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促进改变的咨询:解读印度古吉拉特邦索拉什特拉地区烟草使用者的戒烟率

Counseling for change: Unraveling quit rates among tobacco users in the Saurashtra region of Gujarat, India.

作者信息

Misra Swati, Damor Kaushik Kumar Ramanbhai, Rathod Hetal, Sundar R Naveen Shyam, Parmar Dipesh V

机构信息

Department of Community Medicine, Shri MP Shah Government Medical College, Jamnagar, Gujarat, India.

Department of Community Medicine, GMERS Medical College and General Hospital, Rajpipla, Gujarat, India.

出版信息

J Family Med Prim Care. 2025 May;14(5):1843-1849. doi: 10.4103/jfmpc.jfmpc_1652_24. Epub 2025 May 31.

DOI:10.4103/jfmpc.jfmpc_1652_24
PMID:40547748
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12178473/
Abstract

BACKGROUND

The study focuses on the impact of intensive counseling on tobacco cessation rates, aiming to combat the significant global health issue of tobacco-related deaths. Tailored counseling sessions targeted current tobacco users to increase quit rates and mitigate associated health risks.

METHODOLOGY

The study was conducted in the Saurashtra region of Gujarat from March 2020 to November 2021, and the study engaged 300 participants from health centers. Ethical practices were ensured, with verbal consent obtained and Institutional Ethical Clearance acquired. Interviews and focused group discussions (FGDs) were employed, utilizing the Fagerström Test to assess tobacco addiction severity and explore cessation. Participants aged 18 years and above attending health facilities were included. Data reliability was enhanced through manual checks and Excel coding. Statistical analysis using the Statistical Package for the Social Sciences (SPSS) and visual presentation in Excel were conducted to strengthen findings.

RESULTS

Among 106 current tobacco users assessed using the Fagerström Test, 53.78% fell in the 3-4 scale category, while 29.25% were in the 0-2 scale category. The quit rate reached 34.28% after the final FGD.

CONCLUSION

The study reveals a heightened tobacco prevalence in the Saurashtra region and varying usage patterns across age groups. The quit rate exhibited fluctuations throughout the FGDs, initially increasing after the second FGD but later decreasing, settling at 34.28% in the final assessment. These findings offer insights for tobacco cessation and public health strategies in the region.

摘要

背景

该研究聚焦于强化咨询对戒烟率的影响,旨在应对与烟草相关死亡这一重大全球健康问题。针对当前烟草使用者开展的量身定制咨询课程,以提高戒烟率并降低相关健康风险。

方法

该研究于2020年3月至2021年11月在古吉拉特邦的索拉什特拉地区进行,研究招募了来自健康中心的300名参与者。确保了道德规范,获得了口头同意并取得了机构伦理批准。采用了访谈和焦点小组讨论(FGD),利用法格斯特罗姆测试评估烟草成瘾严重程度并探索戒烟情况。纳入了年龄在18岁及以上且前往健康机构就诊的参与者。通过人工检查和Excel编码提高了数据可靠性。使用社会科学统计软件包(SPSS)进行统计分析,并在Excel中进行可视化展示以强化研究结果。

结果

在使用法格斯特罗姆测试评估的106名当前烟草使用者中,53.78%属于3 - 4级类别,而29.25%属于0 - 2级类别。在最后一次焦点小组讨论后,戒烟率达到34.28%。

结论

该研究揭示了索拉什特拉地区较高的烟草流行率以及不同年龄组的不同使用模式。在焦点小组讨论过程中,戒烟率呈现波动,在第二次焦点小组讨论后最初有所上升,但随后下降,在最终评估中稳定在34.28%。这些发现为该地区的戒烟和公共卫生策略提供了见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/974e/12178473/998f668ce127/JFMPC-14-1843-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/974e/12178473/63c5b1e612ec/JFMPC-14-1843-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/974e/12178473/8cf1b75fb933/JFMPC-14-1843-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/974e/12178473/998f668ce127/JFMPC-14-1843-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/974e/12178473/63c5b1e612ec/JFMPC-14-1843-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/974e/12178473/8cf1b75fb933/JFMPC-14-1843-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/974e/12178473/998f668ce127/JFMPC-14-1843-g003.jpg

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