Department of Humanities and Social Science, Indian Institute of Technology, Kanpur, India.
Chronic Illn. 2022 Dec;18(4):770-783. doi: 10.1177/17423953211032262. Epub 2021 Jul 14.
Cessation of all forms of tobacco is necessary for controlling mortality associated with coronary artery diseases (CADs). In India, smokeless tobacco (SLT) is the most used form of tobacco. With around 60% of the world's smokeless tobacco users living in India, the task of tobacco cessation has become daunting and complicated for Indian researchers and policy makers.
We conducted the present study to understand CAD patients' perspectives towards their SLT use and to identify barriers of SLT cessation.
Using a semi-structured interview method, we obtained data from 12 CAD patients who were currently using some form of SLT.
Thematic analysis suggests that CAD patients were unable to quit SLT addiction due to (a) certain socio-environmental factors that support SLT, (b) prevalence of misconceptions about the link between SLT use and their cardiac condition, (c) perceived lower self-efficacy to quit, (d) fatalistic attitude towards health outcomes and (e) substituting addiction with perceived lesser harmful products.
The findings reveal that factors responsible for the continuation of SLT usage are multipronged. Current SLT users' perspectives can facilitate the development of effective intervention and rehabilitation programs aimed at de-addiction of cardiac patients.
要控制与冠状动脉疾病（CAD）相关的死亡率，必须停止使用所有形式的烟草。在印度，无烟烟草（SLT）是使用最广泛的烟草形式。由于全球约 60%的无烟烟草使用者生活在印度，因此，印度的研究人员和政策制定者在戒烟方面面临着艰巨而复杂的任务。
我们进行了本项研究，旨在了解 CAD 患者对其 SLT 使用的看法，并确定 SLT 戒烟的障碍。
我们采用半结构式访谈方法，从 12 名目前正在使用某种形式 SLT 的 CAD 患者中获取数据。
主题分析表明，CAD 患者无法戒除 SLT 成瘾，原因是：（a）某些支持 SLT 的社会环境因素；（b）对 SLT 使用与心脏状况之间关联的误解普遍存在；（c）戒烟的自我效能感较低；（d）对健康结果持宿命论态度；（e）用认为危害较小的产品替代成瘾。
研究结果表明，导致继续使用 SLT 的因素是多方面的。目前 SLT 用户的观点可以为制定有效的干预和康复计划提供帮助，这些计划旨在帮助心脏患者戒除成瘾。
