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Determinants of Tobacco Cessation Behaviour among Smokers and Smokeless Tobacco Users in the States of Gujarat and Andhra Pradesh, India

  • Sarkar, Bidyut K. ;
  • Arora, Monika ;
  • Gupta, Vinay K. ;
  • Reddy, K. Srinath
  • Published : 2013.03.30

Abstract

Background: This study was undertaken to identify the socio-demographic determinants of quit attempts among smokers and smokeless tobacco users to identify correlates of tobacco cessation behaviour in India Materials and Methods: This was a cross-sectional study for the outcome of quit attempts made by current tobacco users in last 12 months in twelve districts in two states. Simple and multivariable logistic regression analysis was used to obtain the odds ratios (ORs) of socio-demographic variables (age, gender, education, occupation, socio-economic status, community, area, type of family) and tobacco user status (smoker/smokeless). Results: In the combined analysis, a smoker had higher predicted probability of attempting quitting (OR-1.41,CI 1.14-1.90), in comparison to a smokeless tobacco user and a tobacco user in the state of Gujarat was less likely to attempt quitting than a user in Andhra Pradesh (OR-0.60, CI 0.47-0.78). The probability of making a quit attempt was higher among tobacco users who were more educated (OR-1.40, CI 1.04-1.94), having a higher socio-economic status (SES) (OR-2.39, CI 1.54-3.69), and belonging to non-agricultural labourer occupational group (OR-1.90, CI 1.29-2.78). The effects were maintained even after adjusting for all other variables. In disaggregated analysis, findings were similar except in smokeless as a separate group, education level was not significantly associated with quit attempts and with lower odds (OR-0.91, CI 0.58-1.42). Conclusions: This is one of the first studies to provide useful insight into potential determinants for quit attempts of tobacco users in India including smokeless tobacco users, exploring the socio-demographic patterning of correlates of quit attempts.

Keywords

Smoker;smokeless;quit attempts;determinants;India tobacco control

References

  1. Anantha N, Nandakumar A, Vishwanath N, et al (1994). Efficacy of an anti-tobacco community education program in India. Cancer Causes and Control, 6, 119-29.
  2. Arora M, Stigler MH, Reddy KS (2011). Effectiveness of health promotion in preventing tobacco use among adolescents in India. Global Health Promotion, 18, 9-12. https://doi.org/10.1177/1757975910393163
  3. Corrao M, Guindon G, et al (2000). Building the evidence base for global tobacco control. Bulletin of WHO, 78, 884-90.
  4. Gupta PC, Mehta FS, Pindborg JJ, et al (1986). Intervention study for primary prevention of oral cancer among 36000 Indian tobacco users. Lancet, 327, 1235-9. https://doi.org/10.1016/S0140-6736(86)91386-3
  5. Hatziandreu EJ, Pierce JP, Lefkopoulou M, et al (1990). Quitting smoking in the United States in 1986. J National Cancer Institute, 82, 1402-6. https://doi.org/10.1093/jnci/82.17.1402
  6. Hymowitz N, Cummings KM, Hyland A, et al (1997). Predictors of smoking cessation in a cohort of adult smokers followed for five years. Tobacco control, 6, 57-62. https://doi.org/10.1136/tc.6.suppl_2.S57
  7. Hyland A, Borland R, Li Q, et al (2006). Individual level predictors of cessation behaviour among participants in the International Tobacco Control (ITC) Four Country Survey. Tobacco Control, 15, 83-94. https://doi.org/10.1136/tc.2003.007237
  8. IIPS Mumbai (2010). Global Adult Tobacco Survey (GATS INDIA), 2009-2010. New Delhi: Ministry of Health and Family Welfare, Government of India, 25-37.
  9. Jayakrishnan R, Mathew A, Lekshmi K, et al (2012). Assessment of Nicotine Dependence among smokers in a selected rural population in Kerala, India. [Research communication]. Asian Pac J Cancer Prev, 13, 2663-7. https://doi.org/10.7314/APJCP.2012.13.6.2663
  10. Jena PK, Bandopadhyay C, Mathur MR, Das S (2012). Extending applications of the 'hard core' definition to smokeless tobacco use: estimates from a nationally representative population in India and its implications. [Research article]. Asian Pac J Cancer Prev, 13, 5959-63. https://doi.org/10.7314/APJCP.2012.13.12.5959
  11. Jha P, Jacob B, Gajalakhshmi V, et al (2008). A Nationally representative Case-Control study of smoking and death in India. New England J Med, 358, 1137-47. https://doi.org/10.1056/NEJMsa0707719
  12. Lee CW, Kahende J (2000). Factors associated with successful smoking cessation in United States. Am J Public Health, 97, 1503-9.
  13. Lin L, Borland R, Yong HH, et al (2010). Predictors of smoking cessation among adult smokers in Malaysia and Thailand: findings from the International Tobacco Control Southeast Asia survey. Nicotine and Tobacco Res, 12, 34-44. https://doi.org/10.1093/ntr/ntq030
  14. Rani M, Bonu S, Jha P, Nguyen SN, Jamjoum L (2003). Tobacco use in India: prevalence and predictors of smoking and chewing in a national cross sectional household survey. Tobacco Control, 12, 1-8 https://doi.org/10.1136/tc.12.1.1
  15. Reid JL, Hammond D, Boudreau C, Fong GT, Siapush M (2010). Socioeconomic disparities in quit intentions, quit attempts, and smoking abstinence among smokers in four western countries: findings from the International Tobacco Control Survey. [Original Investigation]. Nicotine & Tobacco Res, 12, 20-33. https://doi.org/10.1093/ntr/ntq051
  16. Siahpush M, Borland R, Yong HH, Kin F, Sirirassamese B (2008). Socio-economic variations in tobacco consumptions, intention to quit and self efficacy to quit among male smokers in Thailand and Malaysia. Addiction, 103, 502-8. https://doi.org/10.1111/j.1360-0443.2007.02113.x
  17. WHO Geneva (1999). Confronting the Epidemic - A global agenda for tobacco control research. Geneva, Switzerland: World Health Organization 5-14.

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