Heidelberg Institute of Global Health, Heidelberg University, Germany.
Heidelberg Institute of Global Health, Heidelberg University, Germany.
Prev Med. 2022 May;158:107033. doi: 10.1016/j.ypmed.2022.107033. Epub 2022 Mar 23.
Tobacco cessation is a key component of WHO's Framework Convention on Tobacco Control. However, success rates decline significantly from intending to quit tobacco, through attempting and becoming a successful quitter. Among Indian adults, the prevalence of smoking and smokeless tobacco use was 10.7% and 21.4% respectively in 2016. Furthermore, 9% of all deaths were estimated to be attributable to tobacco. This study aims to explore associations of socio-demographic, environmental and behavioural dimensions of tobacco users with the process of successful quitting. Multivariable logistic regression analyses were conducted to study (i) attempting to quit and (ii) being a successful quitter for smoked and smokeless tobacco, using cross-sectional Global Adult Tobacco Survey (GATS) datasets for India (2009-10 and 2016-17), where data was pooled from the two surveys (n = 53,463). Advise to quit by health care provider was associated with quit attempts of smoking (1.82, 95% CI: [1.51; 2.20]), and smokeless tobacco (1.71, 95% CI: [1.45; 2.01]). Never being exposed to smoke at home was the strongest environmental factor for successful smoking cessation (4.04, 95% CI: [2.59; 6.31]). Noticing label warnings and advertisements was also associated with attempting to quit smoked and smokeless tobacco. Being a former smoker/smokeless tobacco user was positively connected with attempting to quit the current use of the other tobacco form. We recommend strategies to promote smoke-free homes, and incorporating 'tobacco cessation advocacy' into the curriculum of health care workers. Strengthening the tobacco control law and program promulgated in India since 2003 and its implementation would significantly promote tobacco cessation.
戒烟是世界卫生组织《烟草控制框架公约》的一个关键组成部分。然而，从打算戒烟到尝试并成功戒烟，成功率会显著下降。在 2016 年，印度成年人的吸烟率和无烟烟草使用率分别为 10.7%和 21.4%。此外，据估计，所有死亡人数中有 9%归因于烟草。本研究旨在探讨烟草使用者的社会人口学、环境和行为维度与成功戒烟过程之间的关联。采用多变量逻辑回归分析方法，研究了（i）尝试戒烟和（ii）成功戒烟的情况，使用了印度 2009-10 年和 2016-17 年全球成人烟草调查（GATS）的横断面数据集，从两次调查中汇总了数据（n=53463）。医疗保健提供者的戒烟建议与吸烟（1.82，95%置信区间：[1.51；2.20]）和无烟烟草（1.71，95%置信区间：[1.45；2.01]）的戒烟尝试有关。从未在家中接触过烟雾是成功戒烟的最强环境因素（4.04，95%置信区间：[2.59；6.31]）。注意标签警告和广告也与尝试戒烟和无烟烟草有关。曾经吸烟/使用无烟烟草与尝试戒烟当前使用的另一种烟草形式呈正相关。我们建议采取策略来促进无烟家庭，并将“戒烟倡导”纳入医疗保健工作者的课程中。加强自 2003 年以来在印度颁布的烟草控制法和计划及其实施，将显著促进戒烟。
