Bhatt Garima, Goel Sonu, Shergill Gagandeep
Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
BMJ Case Rep. 2020 Mar 4;13(3):e231890. doi: 10.1136/bcr-2019-231890.
There are many tobacco users who wish to quit. In some cases, ostracism related to religious proscriptions serves as a barrier and prevents them from revealing their addiction status. Religion as an institution has an immense influence on human behaviour. It contributes to the cultural identity of individuals, moderating uniformity in their behaviour and social life. We describe a case from a province in Punjab in North India, where tobacco use is a 'taboo' due to the widely practised faith of Sikhism. The case illustrates how a doctoral thesis student, along with the healthcare providers at a non-communicable disease clinic, overcame the concealment of tobacco use of a patient with hypertension due to fear of social exclusion. The student assisted him in quitting tobacco use through a culturally specific, patient-centric, individualised, behavioural intervention using religion as a backdrop. This case study highlights the importance of recognising and appreciating the dynamics of sociocultural factors to develop a suitable and successful deaddiction strategy. This case elaborates how a simple 'nudge' of religious tenets-based counselling helps the tobacco addict transgress or tide over such barriers.
有许多烟草使用者希望戒烟。在某些情况下，与宗教禁令相关的排斥成为一种障碍，阻止他们暴露自己的成瘾状况。宗教作为一种制度对人类行为有着巨大影响。它塑造了个体的文化身份，调节着他们行为和社会生活的一致性。我们描述一个来自印度北部旁遮普邦某省的案例，在那里，由于锡克教广泛流行，吸烟是一种“禁忌”。该案例展示了一名博士研究生如何与一家非传染性疾病诊所的医护人员一起，克服了一名高血压患者因害怕社会排斥而对吸烟情况的隐瞒。该学生以宗教为背景，通过一种具有文化特异性、以患者为中心、个性化的行为干预措施，帮助他戒烟。本案例研究强调了认识和理解社会文化因素动态以制定合适且成功的戒毒策略的重要性。该案例阐述了基于宗教教义的简单劝导如何帮助吸烟成瘾者跨越或克服此类障碍。
