Sarkar Bidyut K, Arora Monika, Gupta Vinay K, Reddy K Srinath
Department of Epidemiology and Public Health, University College London, London, UK.
Asian Pac J Cancer Prev. 2013;14(3):1931-5. doi: 10.7314/apjcp.2013.14.3.1931.
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.
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).
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).
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.
本研究旨在确定吸烟者和无烟烟草使用者戒烟尝试的社会人口学决定因素，以找出印度烟草戒断行为的相关因素。
这是一项横断面研究，以两个邦12个区当前烟草使用者在过去12个月内的戒烟尝试结果为研究对象。采用简单和多变量逻辑回归分析来获得社会人口学变量（年龄、性别、教育程度、职业、社会经济地位、社区、地区、家庭类型）和烟草使用者状态（吸烟者/无烟者）的比值比（OR）。
在综合分析中，与无烟烟草使用者相比，吸烟者尝试戒烟的预测概率更高（OR = 1.41，CI 1.14 - 1.90），古吉拉特邦的烟草使用者比安得拉邦的使用者尝试戒烟的可能性更小（OR = 0.60，CI 0.47 - 0.78）。受教育程度较高（OR = 1.40，CI 1.04 - 1.94）、社会经济地位（SES）较高（OR = 2.39，CI 1.54 - 3.69）以及属于非农业劳动者职业群体（OR = 1.90，CI 1.29 - 2.78）的烟草使用者尝试戒烟的概率更高。即使在对所有其他变量进行调整后，这些影响仍然存在。在分类分析中，除了无烟者作为一个单独群体外，研究结果相似，教育水平与戒烟尝试无显著关联且比值比更低（OR = 0.91，CI 0.58 - 1.42）。
这是首批对印度烟草使用者（包括无烟烟草使用者）戒烟尝试的潜在决定因素提供有用见解的研究之一，探索了戒烟尝试相关因素的社会人口学模式。
