Quit history, intentions to quit, and reasons for considering quitting among tobacco users in India: Findings from the Tobacco Control Policy Evaluation India Wave 1 Survey.
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Date
2014-12
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Abstract
BACKGROUND: Global Adult Tobacco Survey India 2009–2010 revealed that more than one‑third (35%) of adults in India use tobacco in some
form: 21% use smokeless tobacco, 9% smoke, and 5% are mixed users (they smoke and use smokeless tobacco), and the quit rate is very low.
In an effort to decrease prevalence of tobacco use, it is thus important to understand the factors that are related to intention to quit among Indian
tobacco users. Research has shown consistently that intention to quit is a strong predictor of future quitting. The present study reports the factors
encouraging quitting tobacco products in India. SUBJECTS AND METHODS: Cross‑sectional data from Wave 1 of the International Tobacco Control
Policy Evaluation India Survey conducted in four cities and surrounding rural areas (i.e. Mumbai [Maharashtra], Patna [Bihar], Indore [Madhya
Pradesh], and Kolkata [West Bengal]) between August 2010 and December 2011 were analyzed. A total of 8051 tobacco users (15+ years)
were randomly sampled from 8586 households: 1255 smokers, 5991 smokeless users, and 805 mixed (smoke and smokeless) users. Validated,
standardized questions were asked about current tobacco use, intention to quit, and factors encouraging quitting. RESULTS: Overall, 19.6% of
tobacco users intended to quit. Smokers had less intention to quit as compared to smokeless tobacco users whereas mixed users had more intention
to quit (odds ratio [OR] =1.48, 95% confidence interval [CI] =1.12–1.97) compared to smokeless tobacco users. Highly educated people were
more likely to report intention to quit (OR = 1.82, 95% CI = 1.09–3.02) compared to less educated. Advice by doctors to quit tobacco had a strong
impact on intention to quit (OR = 1.68, CI = 1.29–2.15). Tobacco users who were exposed to antitobacco messages at work places (OR = 1.74,
CI = 1.23–2.46), at restaurants (OR = 1.65, CI = 1.12–2.43), bars (OR = 1.81, CI = 1.07–3.06), on public transportation (OR = 2.14, CI = 1.49–3.08)
and on tobacco packages (OR = 1.77, CI = 1.29–2.14) also expressed greater intention to quit tobacco use. CONCLUSION: Around one‑fifth of
tobacco users in India intended to quit tobacco use. Higher education, doctor’s advice, and antitobacco messages were positively associated with
users’ intention to quit tobacco.
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Keywords
Antitobacco messages, doctor’s advice, factors associated with quitting, intention to quit, reasons for quitting, tobacco control policy India
Citation
Dhumal G G, Pednekar M S, Gupta P C, Sansone G C, Quah A C K, Bansal-Travers M, Fong G T. Quit history, intentions to quit, and reasons for considering quitting among tobacco users in India: Findings from the Tobacco Control Policy Evaluation India Wave 1 Survey. Indian Journal of Cancer. 2014 Dec; 51(5_Suppl): s39-s45.