School of Medicine and Public Health, University of Newcastle, Newcastle, Australia.
Hunter Medical Research Institute, Newcastle, Australia.
Drug Alcohol Rev. 2022 Nov;41(7):1510-1520. doi: 10.1111/dar.13507. Epub 2022 Jun 28.
Addiction to tobacco is one of the main drivers of continued tobacco use. This study explored whether perceived addiction, type of tobacco and demographic characteristics were associated with past quit attempts (PQA), intention and self-efficacy to quit among combustible tobacco (CT) or smokeless tobacco (SLT) users in India.
A cross-sectional survey was conducted among adult tobacco users (N = 607) attending an out-patient department in Mumbai. Logistic regression analysis was used to investigate the association between demographic characteristics, type of tobacco, addiction perceptions and cessation behaviours.
Being 'a little addicted' (adjusted odds ratio, AOR [95% confidence interval, CI] 2.75 [1.83, 4.11], P < 0.0001) or 'quite addicted' (AOR [95% CI] 2.93 [1.53, 5.62], P < 0.0012) was associated with lower odds of making a PQA compared to 'not addicted at all'. Being a SLT user (AOR [95% CI] 0.64 [0.41, 0.99], P = 0.047) and female (AOR [95% CI] 0.46 [0.26, 0.81], P = 0.0068) was associated with lower odds of making a PQA. There was a significant decrease in the odds of intention to quit as age increased by 1 year (AOR [95% CI] 0.98 [0.97, 0.99], P = 0.0018). Being identified as 'a little addicted' (AOR [95% CI] 0.28 [0.14, 0.55], P = 0.0003), 'quite addicted' (AOR [95% CI] 0.16 [0.07, 0.39], P < 0.0001) or 'very addicted' (AOR [95% CI] 0.09 [0.04, 0.19], P < 0.0001) was associated with lower odds of self-efficacy to quit compared to 'not addicted at all'.
Lack of awareness about addiction may inhibit cessation, particularly among less educated and female users of SLT and CT products.
对烟草的依赖是继续使用烟草的主要原因之一。本研究旨在探讨在印度，可燃烟草（CT）或无烟烟草（SLT）使用者中，对成瘾的感知、烟草类型和人口统计学特征是否与过去的戒烟尝试（PQA）、戒烟意向和自我效能感有关。
在孟买的一家门诊部门，对成年烟草使用者（N=607）进行了横断面调查。使用逻辑回归分析来研究人口统计学特征、烟草类型、成瘾认知与戒烟行为之间的关联。
与“完全不上瘾”相比，“有点上瘾”（调整后的优势比[95%置信区间，CI]2.75 [1.83, 4.11]，P<0.0001）或“非常上瘾”（调整后的优势比[95%CI]2.93 [1.53, 5.62]，P<0.0012）与 PQA 尝试的可能性较低相关。与 PQA 尝试的可能性较低相关的因素还有 SLT 用户（调整后的优势比[95%CI]0.64 [0.41, 0.99]，P=0.047）和女性（调整后的优势比[95%CI]0.46 [0.26, 0.81]，P=0.0068）。随着年龄每增加 1 岁，戒烟意向的可能性显著降低（调整后的优势比[95%CI]0.98 [0.97, 0.99]，P=0.0018）。被认定为“有点上瘾”（调整后的优势比[95%CI]0.28 [0.14, 0.55]，P=0.0003）、“非常上瘾”（调整后的优势比[95%CI]0.16 [0.07, 0.39]，P<0.0001）或“极其上瘾”（调整后的优势比[95%CI]0.09 [0.04, 0.19]，P<0.0001）与自我效能感较低相关，而自我效能感较低则与戒烟可能性较低相关。
对成瘾的认识不足可能会抑制戒烟，特别是在受教育程度较低和女性 SLT 和 CT 使用者中。
