{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:17:50Z","timestamp":1787761070406,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Tobacco is one of the biggest threats to the public health. Tobacco harms not only human health but also the environment. The Cigarette and Other Tobacco Products Act (COTPA) was implemented in India in 2003. Compliance of these laws in public places is mandatory. This study presents an innovative model to make hospitals tobacco-free. The aim is to assess the effectiveness of implementation of tobacco-free hospitals among security guards, tobacco users, and key observers visiting a tertiary care dental hospital through a comprehensive strategy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MATERIALS AND METHODS:<\/jats:title>\n                    <jats:p>\n                      An exploratory study was conducted in three phases. Structured training was organized for all security guards (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 25) along with pre- and post-assessment using a validated questionnaire. All the patients and attendants entering the hospital were screened for tobacco products by security guards. Those patients who were carrying tobacco products to the hospital (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 107) were interviewed using a validated questionnaire. Opinions of key observers (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 223) who witnessed the event were also recorded. Descriptive statistics (means, frequency distribution) and inferential statistics (Chi-square test) were calculated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>At the baseline, only 20% security guards were aware about tobacco legislations, whereas after 1 month, more than 80% security guards were aware about the laws. Around two-third of study participants of both the groups were aware of COTPA Section 4. Approximately 33.6% of tobacco users and 58.4% of key observers were aware of COTPA Section 6b. Forty tobacco users in the study availed tobacco cessation services of the hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Every staff should be a torch bearer of tobacco control. The study highlights a comprehensive approach of integrating hospital staff and linking vital cessation services by implementing Sections of COTPA.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jehp.jehp_144_22","type":"journal-article","created":{"date-parts":[[2022,12,8]],"date-time":"2022-12-08T04:20:33Z","timestamp":1670473233000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Feasibility of the novel \u2018Tobacco-Free Hospital\u2019 model and its compliance assessment at a tertiary care hospital of New Delhi, India"],"prefix":"10.4103","volume":"11","author":[{"given":"Surbhi","family":"Kapoor","sequence":"first","affiliation":[{"name":"Department of Public Health Dentistry, Maulana Azad Institute of Dental Sciences, Maulana Azad Medical College Campus, Bahadur Shah Zafar Marg, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikrant R.","family":"Mohanty","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry, Maulana Azad Institute of Dental Sciences, Maulana Azad Medical College Campus, Bahadur Shah Zafar Marg, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aswini Y.","family":"Balappanavar","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry, Maulana Azad Institute of Dental Sciences, Maulana Azad Medical College Campus, Bahadur Shah Zafar Marg, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shivam","family":"Kapoor","sequence":"additional","affiliation":[{"name":"International Union Against Tuberculosis and Lung Disease (The Union), South-East Asia Office, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kavita","family":"Rijhwani","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry, Maulana Azad Institute of Dental Sciences, Maulana Azad Medical College Campus, Bahadur Shah Zafar Marg, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Puneet","family":"Chahar","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry, Maulana Azad Institute of Dental Sciences, Maulana Azad Medical College Campus, Bahadur Shah Zafar Marg, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sneha","family":"Malhotra","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry, Maulana Azad Institute of Dental Sciences, Maulana Azad Medical College Campus, Bahadur Shah Zafar Marg, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,11,26]]},"reference":[{"key":"R2-20260529","year":"2017","journal-title":"Tobacco and Its Environmental Impact: An Overview"},{"key":"R6-20260529","doi-asserted-by":"crossref","first-page":"132","DOI":"10.5958\/0976-5506.2018.01439.0","article-title":"Awareness of smoke-free legislation (Section 4 of COTPA) among owners or person in-charge of the public places in Ramanagara City","volume":"9","author":"Usha","year":"2008","journal-title":"Indian J Public Health Res Dev"},{"key":"R7-20260529","doi-asserted-by":"crossref","first-page":"100","DOI":"10.4103\/ijph.IJPH_126_17","article-title":"Assessment of implementation status of Cigarettes and Other Tobacco Products Act (COTPA) and its awareness among residents in a block of Haryana","volume":"62","author":"Rath","year":"2018","journal-title":"Indian J Public Health"},{"key":"R8-20260529","first-page":"2097","article-title":"Compliance assessment of cigarette and other tobacco products act in public places in Delhi government hospitals","volume":"19","author":"Rijhwani","year":"2018","journal-title":"Asian Pac J Cancer Prev"},{"key":"R10-20260529","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1177\/003335490712200606","article-title":"Impact of a smoke-free hospital campus policy on employee and consumer behavior","volume":"122","author":"Wheeler","year":"2007","journal-title":"Public Health Rep"},{"key":"R11-20260529","doi-asserted-by":"crossref","first-page":"3","DOI":"10.4103\/2249-4863.130248","article-title":"A critical appraisal of Kuppuswamy's socioeconomic status scale in the present scenario","volume":"3","author":"Sharma","year":"2014","journal-title":"J Family Med Prim Care"},{"key":"R13-20260529","doi-asserted-by":"crossref","first-page":"125","DOI":"10.4103\/jehp.jehp_74_18","article-title":"Cognizance and social attitudes regarding tobacco control laws in and around educational institutions of Nellore city, India","volume":"7","author":"Athuluru","year":"2018","journal-title":"J Educ Health Promot"},{"key":"R14-20260529","doi-asserted-by":"crossref","first-page":"312","DOI":"10.4103\/0970-2113.120607","article-title":"Compliance monitoring of prohibition of smoking (under section-4 of COTPA) at a tertiary health-care institution in a smoke-free city of India","volume":"30","author":"Tripathy","year":"2013","journal-title":"Lung India"},{"key":"R15-20260529","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1136\/tobaccocontrol-2012-050673","article-title":"Effective smoke-free policies in achieving a high level of compliance with smoke-free law: Experiences from a district of North India","volume":"23","author":"Goel","year":"2014","journal-title":"Tob Control"},{"key":"R16-20260529","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1136\/tobaccocontrol-2016-053559","article-title":"Compliance with smoke-free legislation and smoking behaviour: Observational field study from Punjab, India","volume":"27","author":"Goel","year":"2018","journal-title":"Tob Control"},{"issue":"Suppl 1","key":"R17-20260529","first-page":"A657","article-title":"Investment and getting back the reward: Training different government agencies to implement the tobacco control law in Bangladesh","volume":"16","author":"Sobhan","year":"2018","journal-title":"Tob Induc Dis"},{"key":"R18-20260529","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1471-2458-11-602","article-title":"Religious officials' knowledge, attitude, and behavior towards smoking and the new tobacco law in Kahramanmaras, Turkey","volume":"11","author":"Sucakli","year":"2011","journal-title":"BMC Public Health"}],"container-title":["Journal of Education and Health 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