ORCID Profile
0000-0002-2291-2196
Current Organisations
University of Western Australia
,
University of Sussex
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Publisher: Springer Science and Business Media LLC
Date: 30-08-2016
Publisher: Hindawi Limited
Date: 16-03-2020
DOI: 10.1017/JSC.2020.12
Abstract: This study aims to assess the impact of a behavioural intervention, in the form of a self-monitoring record-keeping logbook, in reducing smoking tobacco expenditure amongst adult male household heads in rural Bangladesh. The experiment was designed as a single-blind clustered randomised controlled trial utilising two-stage random s ling. A total of 650 adult male household heads were s led from 16 chars (riverine islands) from Gaibandha, Northern Bangladesh, with eight chars in treatment and control groups each, between November 2018 and January 2019. The intervention consisted of a logbook to record daily smoking tobacco intake for 4 weeks provided only to participants in treatment chars ( n = 332) while households in control chars received nothing ( n = 318). Final analysis was conducted using 222 and 210 households in the treatment and control chars respectively. The logbook intervention had a significant impact ( P -value = 0.040) on reducing daily tobacco expenditure by 14% (α = 95% CI: −0.273, −0.008) for the treatment group relative to the control group based on a difference-in-difference estimator. This is equivalent to a reduction of 20 cigarettes or 140 bidis smoked in a month. Our minimal contact intervention successfully induced a reduction in smoking tobacco expenditure, which could effectively be incorporated with existing programs in the char regions of Bangladesh.
Publisher: Springer Science and Business Media LLC
Date: 12-2018
Publisher: Hindawi Limited
Date: 27-07-2020
DOI: 10.1017/JSC.2020.20
Abstract: A household-level constant visual deterrent advocacy c aign to reduce tobacco intake was conducted in rural Bangladesh. To evaluate smoking tobacco expenditure by c aign components. We conducted a single-blind clustered randomized controlled trial on 630 adult male household heads from 16 chars (riverine islands) in rural northern Bangladesh, between November 2018 and January 2019. Intervention allotment was randomized at the char level to minimize spillovers, with 8 chars in treatment and control groups each. The intervention provided households in treatment chars ( n = 323) with two visual warning posters, detailing the health effects of tobacco on oneself and external actors, to be hung inside the household for 4 weeks. Households in control chars ( n = 307) received nothing. Reported daily smoking (log) tobacco expenditure values were the primary outcome of interest. Final analysis was conducted using 251 and 210 smokers in treatment and control chars respectively. The intervention reduced relative smoking tobacco expenditure by 12.8% (95% CI −31.45 to 5.81) but was not statistically significant ( P -value = 0.163). Weak to moderate emotional reactions to the posters was identified as a reason for the statistical insignificance. For a visual anti-tobacco intervention to have a substantial impact, it must induce strong emotional responses.
Publisher: Springer Science and Business Media LLC
Date: 17-01-2020
Publisher: Elsevier BV
Date: 09-2017
Publisher: Elsevier BV
Date: 06-2016
Publisher: Elsevier BV
Date: 10-2021
Publisher: Springer Science and Business Media LLC
Date: 16-07-2015
Publisher: Wiley
Date: 02-12-2020
Publisher: Informa UK Limited
Date: 30-08-2021
Publisher: Wiley
Date: 28-03-2022
DOI: 10.1002/HEC.4509
Abstract: We evaluate the performance of two behavioral interventions aimed at reducing tobacco consumption in an ultra‐poor rural region of Bangladesh, where conventional methods like taxes and warning labels are infeasible. The first intervention asked participants to daily log their tobacco consumption expenditure. The second intervention placed two graphic posters with warnings about the harmful effects of tobacco consumption on tobacco users and their children in the sleeping quarters of the participating households. While both interventions reduced household tobacco consumption expenditure, male participants who logged their expenditure substituted cigarettes with cheaper smokeless tobacco. The reduction in tobacco intake is larger among males with a non‐tobacco consuming spouse. Exploratory analysis reveals that risk‐averse males who spent relatively more on tobacco responded more to the logbook intervention. More educated, patient males with children below age five responded better to the poster intervention. The findings suggest that in countries with multi‐tiered tobacco excise tax structures, which incentivize downward substitution, extending complementary demand‐side policies that worked elsewhere to the rural poor might be unwise. Instead, policies may leverage something as universal as parental concern for their children's health to promote better health decision‐making.
Publisher: Public Library of Science (PLoS)
Date: 28-06-2021
DOI: 10.1371/JOURNAL.PONE.0253348
Abstract: Countries across the world responded to the COVID-19 pandemic with what might well be the set of biggest state-led mobility and activity restrictions in the history of humankind. But how effective were these measures across countries? Compared to multiple recent studies that document an association between such restrictions and the control of the contagion, we use an instrumental variable approach to estimate the causal effect of these restrictions on mobility, and the growth rate of confirmed cases and deaths during the first wave of the pandemic. Using the level of stringency in the rest of the world to predict the level of stringency of the restriction measures in a country, we show while stricter contemporaneous measures affected mobility, stringency in seven to fourteen days mattered most for containing the contagion. Heterogeneity analysis, by various institutional inequalities, reveals that even though the restrictions reduced mobility more in relatively less-developed countries, the causal effect of a reduction in mobility was higher in more developed countries. We propose several explanations. Our results highlight the need to complement mobility and activity restrictions with other health and information measures, especially in less-developed countries, to combat the COVID-19 pandemic effectively.
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Adnan Fakir.