Educating the handicraft factory workers about tobacco cessation and to assess its effectiveness by motivational interviewing: An Intervention study.

INTRODUCTION: Tobacco use is considered to be global pandemic. The study was done to assess the effectiveness of smoking cessation intervention among workers by motivational interviewing among handicraft factories, Jodhpur, Rajasthan. METHODOLOGY: An interventional study was carried out among 400 handicraft factory workers on the basis of inclusion and exclusion criterion. Twenty one handicraft factories were taken into consideration. Training, Standardization and Calibration of Examiners was carried out in the public health department. The structured pre-tested proforma and Fagerstrom questionnaire was used to record the data. Four sessions of intervention were given to workers. Follow ups were carried out after 1 month, 3month and 6month. Paired t-test was used to compare Fagerstrom/smoking analysis mean scores among study and control groups before and after intervention. RESULTS: showed that in study group, a percentage change of +1.2%, seen in high dependence category and -1.5 in very high dependence and after 6 months the change was+14.2%, 18.7%, -19.2% in Very low dependence, Low dependence, Medium dependence, -11.8% was seen in high dependence category and -1.8 in very high dependence. When comparison was done among Fagerstrom/smoking analysis mean scores among study subjects before and after intervention. It was found that there was a significant difference between the mean scores of Fagerstrom/smoking analysis between baseline - 3 months, 3 months to 6 months and 6 months to 9 months among study group as compared to control group. CONCLUSION: Tobacco addiction produces neurological and behavioural change, optima; approach involving behavioural change and pharmacotherapy are needed.

Obesidade e trabalho das baianas de acarajé na cidade do Salvador,Bahia, Brasil / Obesity and work of the baianas de acarajé in the city of Salvador, Bahia, Brasil / Obesidad y el trabajo de las baianas de acarajé en la ciudad de Salvador, Bahia, Brasil

Este estudo tem como tema o trabalho artesanal das baianas de acarajé e a relação com a saúde dessa trabalhadora e com o seu ambiente de trabalho. As baianas de acarajé garantem a sua subsistência com o preparo e a venda de produtos como o acarajé, em pontos de vendas apropriados, executando um trabalho desgastante e que exige muita dedicação. Trata-se de um estudo de caráter qualitativo, cujo objetivo é analisar as acepções sobre o fenômeno do corpo obeso das baianas de acarajé e a relação com sua saúde, ambiente e práticas alimentares no trabalho. Os resultados indicam que o fogo, a fumaça e os movimentos repetitivos são vistos pelas baianas como possíveis riscos para os acidentes e aquisição de enfermidades; elas elegem um duplo corpo em relação ao modo de viver no mundo: obeso para o seu trabalho de baiana e magro para sua vida cotidiana; a falta de tempo para a vida social leva-as a não cuidar do próprio corpo e de sua alimentação. Conclui-se que o trabalho árduo e desgastante executado pelas baianas de acarajé promove uma fadiga recorrente, que se agrava na repetição dos movimentos gerados no processo de produção dos bolinhos e causa problemas de saúde agravados com o sobrepeso e a obesidade.

This is a qualitative study aiming to examine the meanings of the phenomenon of the obese body of the baianas de acarajé and the relationship with their health, environment and eating habits at work. The work of the baiana de acarajé is exhausting and requires much dedication. While that is the livelihood of these workers, this kind of activity can bring harm to the health of these women. The fire, smoke and repetitive movements are mentioned as possible risks for the acquisition of accidents and illnesses. It was identifeid that the baianas de acarajé elect a double body regarding the way of living in the world: obese for their work and lean to your daily life. In this sense it is perceived that the lack of time for social life allows them to not take care of their body and their food.

Este estudio tiene como tema el trabajo del artesano del baianas de acarajé y de la relación con la salud de este trabajador y su ambiente del trabajo. El trabajo de la baiana de acarajé es agotador y requiere mucha dedicación. Mientras es el sustento de esos trabajadores, este tipo de actividad puede traer el daño a la salud de estas mujeres. El fuego, movimientos repetitivos y humos se mencionan como posibles riesgos para la adquisición de accidentes y enfermedades;ellos eligen un cuerpo doble en lo referente a la manera de vivir en el mundo: obesos para su trabajo y magra para su vida cotidiana. En este sentido se percibe que la falta de tiempo para la vida social permite que no cuidar de su cuerpo y su comida. Uno concluyó que el trabajo arduo y del desgastante ejecutado por el baianas de acarajé promueve una fatiga recurrente, eso si agrava en la repetición de los movimientos generados en curso de producción de galletas y problemas dela causa de la salud agravados con el exceso de peso y el obesidade.