Department of Health Sciences, University of York, Heslington, York, UK.
IPH&SS Khyber Medical University, Peshawar, Pakistan.
Nicotine Tob Res. 2021 Aug 29;23(10):1801-1804. doi: 10.1093/ntr/ntab065.
Smokeless tobacco (ST) is a significant South Asian public health problem. This paper reports a qualitative study of a sample of South Asian ST users.
Interviews, using a piloted topic guide, with 33 consenting, urban dwelling adult ST users explored their ST initiation, continued use, and cessation attempts. Framework data analysis was used to analyze country specific data before a thematic cross-country synthesis was completed.
Participants reported long-term ST use and high dependency. All reported strong cessation motivation and multiple failed attempts because of ease of purchasing ST, tobacco dependency, and lack of institutional support.
Interventions to support cessation attempts among consumers of South Asian ST products should address the multiple challenges of developing an integrated ST policy, including cessation services.
This study provides detailed understanding of the barriers and drivers to ST initiation, use, and cessation for users in Bangladesh, India, and Pakistan. It is the first study to directly compare these three countries. The insight was then used to adapt an existing behavioral support intervention for ST cessation for testing in these countries.
无烟烟草（ST）是南亚地区一个重大的公共卫生问题。本文报告了对南亚 ST 用户样本进行的定性研究。
对 33 名同意接受采访的城市成年 ST 用户进行了试点主题指南采访，以探讨他们开始使用 ST、继续使用 ST 和试图戒烟的情况。在完成主题跨国综合分析之前，使用框架数据分析了特定国家的数据。
参与者报告说长期使用 ST，依赖性强。所有人都报告说有强烈的戒烟动机和多次戒烟失败，原因是 ST 购买容易、烟草依赖和缺乏机构支持。
为南亚 ST 产品消费者提供的支持戒烟尝试的干预措施应解决制定综合 ST 政策面临的多重挑战，包括戒烟服务。
这项研究深入了解了孟加拉国、印度和巴基斯坦 ST 用户开始使用 ST、继续使用 ST 和戒烟的障碍和驱动因素。这是首次对这三个国家进行直接比较的研究。然后，利用这一见解，对现有的行为支持 ST 戒烟干预措施进行了调整，以便在这些国家进行测试。
