Global Adult Tobacco Survey (GATS) )

GATS Objectives A j s
The Global Adult Tobacco Survey (GATS) is the global e v s standard for systematically monitoring adult tobacco use n e (smoking and smokeless) and tracking key tobacco control m m o o indicators. i GATS is a nationally representative survey, using a T n t consistent and standard protocol across countries, n t c including India. GATS enhances countries capacity to e design, implement and evaluate tobacco control programs. s n t n s It will also assist India to fulfill their obligations under the n World Health Organization (WHO) Framework Convention g H n on Tobacco Control (FCTC) to generate comparable data t m within and across countries. The WHO has developed h s h MPOWER, a technical assistance package of six evidenceh n e based policies that include: s a
n Monitor tobacco use and prevention policies o o m Protect people from tobacco smoke f Offer help to quit tobacco use arn about the dangers of tobacco a W t o Enforce bans on tobacco advertising, promotion, and sponsorship o Raise taxes on tobacco.

Fa Sheet act
Uttar Pradesh, India: 2009-2010 :

GATS Highlights A h
Tobacco Use
Cuu rrent tobacco uu e in any form: 33.9% of adults; 48.8% of s males and 16.9% of females. a Cuu rrent tobacco ss oking: 14.9% of adults; 23.9% of males m a ann 4.6% of females. d Current cigarette smoking: 2.3% of adults; 4.1% of males and 0.2% of females. m Current bidi smoking: 12.4% of adults; 20.1% of males and 3.5% of females. Cuu rrent users of ss okeless tobacco: 25.3% of aa ults; m c d 3524% of males aa d 13.7% of females. . n e Avv rage age at daily initiation of c bacco use: 17.6 years in e to add lts, 17.5 yearssin males, and 17.7 years in fee ales. u m 53 3% of daily tobacco users consume tobacco within half s an hour of waking up.

Cessation s
51.0% of current smokers and 55.2% of users of smokeless tobacco planned to quit or thought about quitting. b o h 38.4% of smokers and 27.1% of users of smokeless 4 e tobacco were advised to quit by a health care provider. s o

GATS Methodology A t g
GATS uses a global standardized methodology. It includes T o z o s information on respondents background characteristics, o a a tobacco use (smoking and smokeless), cessation, seconda o o s hand smoke, economics, media, and knowledge, attitudes n o e s and perceptions towards tobacco use. In India, GATS was d c d s conducted in 2009-2010 as a household survey of persons n 0 v s 15 years of age and older by theInternational Institute for h a Population Sciences (IIPS), under the coordination of the p i Ministry of Health and Family Welfare (MoHFW). n h F A nationally representative probability sample was used to e o provide national and six regional estimates by residence v (urban and rural) and gender, as well as state estimates b t by gender.Survey information was collected using handheld y e devices.This fact sheet represents the state of Uttar v e Pradesh in India. The estimates were based on 4,141 a e completed interviews of males and females in Uttar m i Pradesh with an overall response rate of 94.2%. a n

Second-hand Smoke
62.7% of adults were exposed to second-hand smoke at home. 29.1% of adults were exposed to second-hand smoke in . e m public places. b

Media d
Adults who noticed any advertisement or promotion: 19.1% u d m i m for cigarettes, 73.8% for bidis, and 82.4% for smokeless 8 d o tobacco. b Current users of the following tobacco products who thought r e c o b about quitting because of a warning label: 35.8% for cigarettes, o u g r 35.2% for bidis, and 38.5% for smokeless tobacco. 2 d k

Knowledge, Attitudes & Perceptions o t n

87.7% of adults believe smoking causes serious illness. e 82.3% of adults believe exposure to tobacco smoke causes serious illness in non-smokers. r b 86.9 % of adults believe smokeless tobacco use causes s e serious illness.

Ministry of H Health and Family Welfare Go overnment of India

GLOBAL TOBACCO SURV LLANCE SYSTEM VE

GTSS S

Global Adult Tobacco Survey (GATS) u )

Tobacco Use o e
TOBACCO SMOKERS O K
Current tobacco smokers r Current cigarette smokers1 r e Current bidi smokers r Daily tobacco smokers l Daily cigarette smokers1 l Daily bidi smokers l Former daily tobacco m smokers2(among ever daily o smokers) o
OVERALL(%) V MEN(%) % WOMEN(%)

Fa Sheet act
Uttar Pra adesh, India: 2009-2010

Media a
TOBACCO INDUSTRY C Y ADVERTISING R
Adults who noticed any advertisement h t or promotion of the following tobacco t o products*: * Cigarettes t Bidis
19.1 73. 8 82.4 28.8 80.3 86.5 7. 9 59. 0 74. 2
OVERALL(%) R MEN(%) WOMEN(%)

14.9 2.3 12.4 12.5 1.6 10.8 13.7

23. 9 4.1 20.1 19.7 2.7 17.4 13.1

4. 6 0. 2 3. 5 4. 3 0. 2 3. 2 16.7

Smokeless tobacco s

SMOKELESS TOBACCO USERS M B S

Current users of smokeless tobacco r Daily users of smokeless tobacco l s Former daily users of smokeless m m tobacco3 (among ever daily users a of smokeless tobacco)
25.3 21.5 5.1 35.4 30.6 4.4 13.7 11.0 7. 3

COUNTER ADVERTISING T S
Adults who noticed anti-tobacco h c information on radio or television* o s Current users of the following tobacco g products who thought about quitting because of a warning label*: Cigarettes t Bidis
33.9 29.8 5.1 48.8 43.2 4.2 16.9 14.4 8. 0 35. 8 35. 2 38. 5 37.4 36.6 40.9 0. 0 24. 3 31. 2 70. 5 71.5 68. 9

TOBACCO USERS O S
(SMOKED AND/OR SMOKELESS) M O

Current tobacco users r Daily tobacco users l Former daily tobacco users4 m s (among ever daily tobacco users) m c

Smokeless tobacco s

Knowledge, Attitudes and Perceptions w i n

OVERALL(%) R MEN(%) WOMEN(%)

Cessation e
OVERALL(%) V MEN(%) % WOMEN(%)

Adults who believe the following causes h serious illness: l Smoking tobacco n Use of smokeless tobacco Exposure to second-hand smoke u
44.1 38.4 44.4 42.7 42.4 19.2
1 2 3

87. 7 86. 9 82. 3

92.1 90.1 85.3

82..7 83. 2 78. 9

Current smokers who plan to quit or r are thinking about quitting Smokers who made an attempt o to quit5 Smokers advised to quit by a health o care provider5,6 e Current users of smokeless r tobaccowho plan to quit or are a t thinking about quitting Users of smokeless tobacco who e t made an attempt to quit7 d Users of smokeless tobacco advised e to quit by a health care provider6,7

51. 0

54. 3

30.9

Includes manufactured cigarettes and hand-rolled cigarettes. a Current non-smokers. Current non-users of smokeless tobacco.

55. 2

59. 9

41.2

4 5

Current non-users of tobacco. n Includes current smokers and those who quit in past 12 months. u o 2 Among those who visited a health care provider in past 12 months. s s Includes current smokeless users and those who quit inpast 12 months. u s Adults reporting that smoking inside their home occurs daily, weekly or monthly. o s s t Among those who work outside of the home who usually work indoors or both indoors o a o and outdoors. o

42. 8 27. 1

44. 9 29. 2

36.8 22.0

6 7 8 9

Second-hand Smoke e d
OVERALL(%) V MEN(%) % WOMEN(%)

Adults exposed to tobacco smoking inside government buildings, healthcare facilities, p r restaurants, or public transportation during the past 30 days. o
11

10

Adults exposed to tobacco smoke: u c At home8 t At the workplace9,* t At any public place10,* t
62 .7 28. 9 29. 1 59.7 30. 8 40. 2 66.1 10.1 16.2

Indian rupees. e *During the past 30 days.

Economics c
Monthly expenditure on cigarettes by a current manufactured n r cigarette smoker (INR11) a Monthly expenditure on bidis by a current bidi smoker ( NR ) n
11

498.9 72.5

u o a s NOTE:Current use refers to daily and less than daily use. Adults refers to persons age 15 years and older. Data have been weighted to be nationally g d e representative of all non-institutionalized men and women age 15 years and older. a i Percentages reflect the prevalence of each indicator in each group, not the a p distribution across groups. n Financial support is provided by the Ministry of Health and Family Welfare, Government of India, and the Bloomberg Initiative to Reduce Tobacco Use, e e i a a program of Bloomberg Philanthropies. Technical assistance is provided by the i Centers for Disease Control and Prevention (CDC), the World Health Organization o D a (WHO), the Johns Hopkins Bloomberg School of Public Health, and RTI n International. Program support is provided by the CDC Foundation. n o h n

GL LOBAL TOBACCO SURVEILLANCE SYSTEM Y

GTSS

November 2011 b