Quit attempts among tobacco users identified in the Tamil Nadu Tobacco Survey of 2015/2016: a 3 year follow-up mixed methods study
Objectives To determine current tobacco use in 2018/2019, quit attempts made and to explore the enablers and barriers in quitting tobacco among tobacco users identified in the Tamil Nadu Tobacco Survey (TNTS) in 2015/2016.Setting TNTS was conducted in 2015/2016 throughout the state of Tamil Nadu (TN...
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| Format: | Article |
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BMJ Publishing Group
2020-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/9/e034607.full |
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| author | Jaya Prasad Tripathy Abhay Nirgude Surendran Veeraiah Vidhubala Elangovan Arvind Krishnamurthy Tanu Anand Mahendra M Reddy Revathy Sudhakar Niraimathi K Divyarajprabhakar Subramani Swaminathan Rajaraman Hemanth Raj Elluswami |
| author_facet | Jaya Prasad Tripathy Abhay Nirgude Surendran Veeraiah Vidhubala Elangovan Arvind Krishnamurthy Tanu Anand Mahendra M Reddy Revathy Sudhakar Niraimathi K Divyarajprabhakar Subramani Swaminathan Rajaraman Hemanth Raj Elluswami |
| author_sort | Jaya Prasad Tripathy |
| collection | DOAJ |
| description | Objectives To determine current tobacco use in 2018/2019, quit attempts made and to explore the enablers and barriers in quitting tobacco among tobacco users identified in the Tamil Nadu Tobacco Survey (TNTS) in 2015/2016.Setting TNTS was conducted in 2015/2016 throughout the state of Tamil Nadu (TN) in India covering 111 363 individuals. Tobacco prevalence was found to be 5.2% (n=5208).Participants All tobacco users in 11 districts of TN identified by TNTS (n=2909) were tracked after 3 years by telephone. In-depth interviews (n=26) were conducted in a subsample to understand the enablers and barriers in quitting.Primary and secondary outcomes Current tobacco use status, any quit attempt and successful quit rate were the primary outcomes, while barriers and enablers in quitting were considered as secondary outcomes.Results Among the 2909 tobacco users identified in TNTS 2015/2016, only 724 (24.9%) could be contacted by telephone, of which 555 (76.7%) consented. Of those who consented, 210 (37.8%) were currently not using tobacco (ie, successfully quit) and 337 (60.7%) continued to use any form of tobacco. Of current tobacco users, 115 (34.1%) have never made any attempt to quit and 193 (57.3.8%) have made an attempt to quit. Those using smoking form of tobacco products (adjusted relative risk (aRR)=1.2, 95% CI: 1.1 to 1.4) and exposure to smoke at home (aRR=1.2, 95% CI: 1.1 to 1.3) were found to be positively associated with continued tobacco use (failed or no quit attempt). Support from family and perceived health benefits are key enablers, while peer influence, high dependence and lack of professional help are some of the barriers to quitting.Conclusion Two-thirds of the tobacco users continue to use tobacco in the last 3 years. While tobacco users are well aware of the ill-effects of tobacco, various intrinsic and extrinsic factors play a major role as a facilitator and lack of the same act as a barrier to quit. |
| format | Article |
| id | doaj-art-1a7af19558624d1dac362ac860b102e0 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-1a7af19558624d1dac362ac860b102e02025-01-07T14:15:08ZengBMJ Publishing GroupBMJ Open2044-60552020-09-0110910.1136/bmjopen-2019-034607Quit attempts among tobacco users identified in the Tamil Nadu Tobacco Survey of 2015/2016: a 3 year follow-up mixed methods studyJaya Prasad Tripathy0Abhay Nirgude1Surendran Veeraiah2Vidhubala Elangovan3Arvind Krishnamurthy4Tanu Anand5Mahendra M Reddy6Revathy Sudhakar7Niraimathi K8Divyarajprabhakar Subramani9Swaminathan Rajaraman10Hemanth Raj Elluswami11Community Medicine, All India Institute of Medical Sciences - Nagpur, Nagpur, Maharashtra, IndiaDepartment of Community Medicine, Yenepoya Medical College, Yenepoya (Deemed to be University), Mangaluru, IndiaPsycho-oncology, Cancer Institute-WIA, Chennai, Tamil Nadu, IndiaFenivi Research Solutions, Chennai, Tamil Nadu, IndiaSurgical Oncology, Cancer Institute-WIA, Chennai, Tamil Nadu, IndiaHealth Research, Indian Council of Medical Research, New Delhi, Delhi, IndiaCommunity Medicine, Sri Devaraj Urs Medical College, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, Karnataka, IndiaPsycho-oncology, Cancer Institute-WIA, Chennai, Tamil Nadu, IndiaFenivi Research Solutions, Chennai, Tamil Nadu, IndiaPsycho-oncology, Cancer Institute-WIA, Chennai, Tamil Nadu, IndiaCancer Institute-WIA, Chennai, Tamil Nadu, IndiaSurgical Oncology, Cancer Institute-WIA, Chennai, Tamil Nadu, IndiaObjectives To determine current tobacco use in 2018/2019, quit attempts made and to explore the enablers and barriers in quitting tobacco among tobacco users identified in the Tamil Nadu Tobacco Survey (TNTS) in 2015/2016.Setting TNTS was conducted in 2015/2016 throughout the state of Tamil Nadu (TN) in India covering 111 363 individuals. Tobacco prevalence was found to be 5.2% (n=5208).Participants All tobacco users in 11 districts of TN identified by TNTS (n=2909) were tracked after 3 years by telephone. In-depth interviews (n=26) were conducted in a subsample to understand the enablers and barriers in quitting.Primary and secondary outcomes Current tobacco use status, any quit attempt and successful quit rate were the primary outcomes, while barriers and enablers in quitting were considered as secondary outcomes.Results Among the 2909 tobacco users identified in TNTS 2015/2016, only 724 (24.9%) could be contacted by telephone, of which 555 (76.7%) consented. Of those who consented, 210 (37.8%) were currently not using tobacco (ie, successfully quit) and 337 (60.7%) continued to use any form of tobacco. Of current tobacco users, 115 (34.1%) have never made any attempt to quit and 193 (57.3.8%) have made an attempt to quit. Those using smoking form of tobacco products (adjusted relative risk (aRR)=1.2, 95% CI: 1.1 to 1.4) and exposure to smoke at home (aRR=1.2, 95% CI: 1.1 to 1.3) were found to be positively associated with continued tobacco use (failed or no quit attempt). Support from family and perceived health benefits are key enablers, while peer influence, high dependence and lack of professional help are some of the barriers to quitting.Conclusion Two-thirds of the tobacco users continue to use tobacco in the last 3 years. While tobacco users are well aware of the ill-effects of tobacco, various intrinsic and extrinsic factors play a major role as a facilitator and lack of the same act as a barrier to quit.https://bmjopen.bmj.com/content/10/9/e034607.full |
| spellingShingle | Jaya Prasad Tripathy Abhay Nirgude Surendran Veeraiah Vidhubala Elangovan Arvind Krishnamurthy Tanu Anand Mahendra M Reddy Revathy Sudhakar Niraimathi K Divyarajprabhakar Subramani Swaminathan Rajaraman Hemanth Raj Elluswami Quit attempts among tobacco users identified in the Tamil Nadu Tobacco Survey of 2015/2016: a 3 year follow-up mixed methods study BMJ Open |
| title | Quit attempts among tobacco users identified in the Tamil Nadu Tobacco Survey of 2015/2016: a 3 year follow-up mixed methods study |
| title_full | Quit attempts among tobacco users identified in the Tamil Nadu Tobacco Survey of 2015/2016: a 3 year follow-up mixed methods study |
| title_fullStr | Quit attempts among tobacco users identified in the Tamil Nadu Tobacco Survey of 2015/2016: a 3 year follow-up mixed methods study |
| title_full_unstemmed | Quit attempts among tobacco users identified in the Tamil Nadu Tobacco Survey of 2015/2016: a 3 year follow-up mixed methods study |
| title_short | Quit attempts among tobacco users identified in the Tamil Nadu Tobacco Survey of 2015/2016: a 3 year follow-up mixed methods study |
| title_sort | quit attempts among tobacco users identified in the tamil nadu tobacco survey of 2015 2016 a 3 year follow up mixed methods study |
| url | https://bmjopen.bmj.com/content/10/9/e034607.full |
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