Factors determining intention to quit tobacco: exploring patient responses visiting public health facilities in India

Tobacco Induced Diseases

Manu Raj Mathur²  Mayur Trivedi³  Divya Persai²  Sudhir Venkatesan¹  Rajmohan Panda² 

[1] Division of Epidemiology and Public Health, University of Nottingham, Room B110 Clinical Sciences Building, Nottingham City Hospital, Hucknall Road, Nottingham NG5 1 PB, UK;Public Health Foundation of India, 2nd Floor, PHD House, August kranti Marg, 4/2 Siri Institutional Area, New Delhi 110016, India;Indian Institute of Public Health, Gandhinagar, Sardar Patel Institute Campus, Drive-in Road, Thaltej, Ahmadabad 380054, India

关键词: India;    Tobacco;    Public health facilities;    Motivating factors;    Intention to quit;   

Others  :  866980
DOI  :  10.1186/1617-9625-12-1

 received in 2013-11-02, accepted in 2014-01-15,  发布年份 2014

【 摘 要 】

Introduction

Intention to quit and setting a quit date are key steps in the process towards improving quit rates and are thus an integral part of tobacco cessation efforts. The present study examined various motivating factors of “intention to quit” and “setting a quit date” in patients visiting public health facilities in two states of India.

Methods

A total of 1569 tobacco-users visiting public health facilities in 12 districts of the states of Andhra Pradesh and Gujarat were assessed through an interviewer-administered questionnaire. Bivariate and multivariable logistic regression was performed to assess the effect of socio-demographic characteristics, nicotine dependence, previous quit attempts and motivational factors on “intention to quit within 30 days” and “setting a quit date”.

Results

Only 12% of patients intended to quit tobacco within 30 days and about 11% of them were ready to set a quit date. Respondents aged above 25 years were 53% less likely to quit tobacco within 30 days when compared to those below 25 years (95% Confidence Intervals [CI]: 0.22 to 0.99). Smokeless tobacco users were associated with an odds ratio (OR) of 2.05 (95% CI: 1.15 to 3.65) for “setting a quit date” when compared to smokers. Those with 1 to 5 previous quit attempts (in the past twelve months) were associated with an OR of 2.2 (95% CI: 1.38 to 3.51) for “intention to quit” and 2.46 (95% CI: 1.52 to 3.96) for “setting a quit date”. “Concern for personal health” and “setting an example for children” were associated with ORs of 3.42 (95% CI: 1.35 to 8.65) and 2.5 (95% CI: 1.03 to 6.03) respectively for “setting a quit date”.

Conclusions

This study is amongst the first in India to explore factors associated with the “intention to quit” and “setting a quit date” among patients visiting public health facilities. Our findings suggest that socio-economic and individual-level factors are important factors depicting intention to quit and setting a quit date. We recommend the need for well-defined studies to understand the long term effects of factors influencing tobacco cessation for patients visiting public health facilities in India.

【 授权许可】

   
2014 Panda et al.; licensee BioMed Central Ltd.

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