Chen Daniel T H, Nargis Nigar, Fong Geoffrey T, Huq Syed Mahfuzul, Quah Anne C K, Filippidis Filippos T
Public Health Policy Evaluation Unit, School of Public Health, Imperial College London, London, United Kingdom.
Primary Care Epidemiology, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.
Tob Induc Dis. 2023 Feb 17;21:25. doi: 10.18332/tid/159137. eCollection 2023.
Transitions between different tobacco products are frequent among tobacco users in Bangladesh; however, the reasons leading to such transitions and why they quit are not well researched. The aim of the study is to examine perceptions and reasons reported by tobacco users in Bangladesh to transition to other products or quit.
Data from four waves (2009-2015) of the International Tobacco Control (ITC) Bangladesh Survey were used. Repeated data on perceptions and reasons for exclusive cigarette (n=520), bidi (n=130), and SLT users (n=308) to either start using other products or quit were analyzed with sampling weights. The percentages of responses across waves were used to calculate the pooled proportion data using a meta-analysis approach.
Common reasonsig for respondents switching to other tobacco products were influence of friends/family (73.8-86.0%), and curiosity (44.4-71.3%). The perceived calming effect of smoking cigarettes and bidis (43.2-56.9%), and the impression that bidis were less harmful (52.3%) and taste better (71.2%) were major reasons for exclusive SLT users to switch products. Health concerns (16.5-62.7%) and disapproval from friends/family (29.8-56.4%) were generally the main reasons for quitting. For smoked tobacco users, doctor's advice (41.6%), package warning labels (32.3%), and price (32.4%) seemed to be the major driving factors to quit.
Results highlight that the reasons for switching between tobacco products and quitting include social factors (e.g. friends/family) and (mis) perceptions regarding the products. Tobacco control policy could emphasize cessation support, increased price and education campaigns as key policies to reduce overall tobacco use in Bangladesh. Data from four waves (2009-2015) of the International Tobacco Control (ITC) Bangladesh Survey were used. Repeated data on perceptions and reasons for exclusive cigarette (n=520), bidi (n=130), and SLT users (n=308) to either start using other products or quit were analyzed with sampling weights. The percentages of responses across waves were used to calculate the pooled proportion data using a meta-analysis approach.
在孟加拉国，烟草使用者频繁更换不同的烟草产品；然而，导致这种转变以及他们戒烟的原因尚未得到充分研究。本研究的目的是调查孟加拉国烟草使用者报告的转向其他产品或戒烟的认知和原因。
使用了国际烟草控制（ITC）孟加拉国调查四轮（2009 - 2015年）的数据。对仅吸卷烟者（n = 520）、比迪烟吸食者（n = 130）和无烟烟草使用者（n = 308）开始使用其他产品或戒烟的认知和原因的重复数据进行加权抽样分析。使用荟萃分析方法，通过各轮调查的回答百分比来计算合并比例数据。
受访者转向其他烟草产品的常见原因是朋友/家人的影响（73.8 - 86.0%）和好奇心（44.4 - 71.3%）。仅吸无烟烟草者转向其他产品的主要原因是认为吸卷烟和比迪烟有镇静作用（43.2 - 56.9%），以及认为比迪烟危害较小（52.3%）且味道更好（71.2%）。健康担忧（16.5 - 62.7%）和朋友/家人的反对（29.8 - 56.4%）通常是戒烟的主要原因。对于吸传统烟草的使用者来说，医生的建议（41.6%）、包装警示标签（32.3%）和价格（32.4%）似乎是戒烟的主要驱动因素。
结果表明，烟草产品之间转换和戒烟的原因包括社会因素（如朋友/家人）以及对产品的（错误）认知。烟草控制政策可以强调戒烟支持、提高价格和开展教育活动，将其作为减少孟加拉国总体烟草使用的关键政策。使用了国际烟草控制（ITC）孟加拉国调查四轮（2009 - 2015年）的数据。对仅吸卷烟者（n = 520）、比迪烟吸食者（n = 130）和无烟烟草使用者（n = 308）开始使用其他产品或戒烟的认知和原因的重复数据进行加权抽样分析。使用荟萃分析方法，通过各轮调查的回答百分比来计算合并比例数据。
