PMID- 30870711
OWN - NLM
STAT- MEDLINE
DCOM- 20200928
LR  - 20200928
IS  - 1873-6327 (Electronic)
IS  - 0306-4603 (Linking)
VI  - 95
DP  - 2019 Aug
TI  - Correlates of tobacco quit attempts and missed opportunity for tobacco cessation 
      among the adult population in India.
PG  - 82-90
LID - S0306-4603(18)30885-2 [pii]
LID - 10.1016/j.addbeh.2019.03.003 [doi]
AB  - INTRODUCTION: Tobacco cessation is crucial to reduce tobacco-related diseases and 
      premature deaths. Quitting efforts can be enhanced through brief routine 
      interventions at health facilities because healthcare providers are highly 
      trusted, resulting in stronger adherence to their advice. MATERIALS AND METHODS: 
      This study used data on tobacco users aged 15-49 years (n = 93,522) collected as 
      part of the fourth round of the National Family Health Survey (NFHS) 2015-16. 
      Bivariate and multivariate analyses were carried out using STATA (version 13) to 
      understand the socioeconomic and demographic correlates of tobacco quit attempts 
      and advice to quit by healthcare providers. GIS map has been used to show 
      inter-state variations in quit attempts and advice. RESULTS: Thirty per cent of 
      the tobacco users were found to have attempted to quit tobacco. Education, mass 
      media exposure, economic status, and chronic disease emerged as enablers, while 
      alcohol use and social backwardness came out as barriers to quit attempts. Quit 
      advice from the healthcare providers was found not to be given frequently (51%) 
      and varied significantly by the socioeconomic and demographic profile of the 
      users. Not all of the tobacco users attempting to quit had been advised to quit, 
      indicating a missed opportunity to intervene and reinforce quitting at a health 
      facility. CONCLUSIONS: Fewer attempts to quit among the adolescents, the less 
      educated, and the users from the poorest households may increase the burden of 
      tobacco-attributable diseases unless timely interventions are made. Better 
      training of the healthcare providers in administering and recommending tobacco 
      cessation and emphasizing on the value of cessation counselling is urgently 
      required to enhance quitting practices and improve health.
CI  - Copyright (c) 2019 Elsevier Ltd. All rights reserved.
FAU - Pradhan, Manas Ranjan
AU  - Pradhan MR
AD  - Department of Fertility Studies, International Institute for Population Sciences, 
      Mumbai, Maharashtra 400088, India. Electronic address: manasiips@gmail.com.
FAU - Patel, Surendra Kumar
AU  - Patel SK
AD  - International Institute for Population Sciences, Mumbai, Maharashtra 400088, 
      India.
LA  - eng
PT  - Journal Article
DEP - 20190307
PL  - England
TA  - Addict Behav
JT  - Addictive behaviors
JID - 7603486
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Alcohol Drinking/*epidemiology
MH  - Chronic Disease
MH  - Counseling/*statistics & numerical data
MH  - *Economic Status
MH  - *Educational Status
MH  - Female
MH  - *Health Personnel
MH  - Humans
MH  - India/epidemiology
MH  - Male
MH  - Mass Media
MH  - Middle Aged
MH  - *Social Class
MH  - Tobacco Use/epidemiology/*therapy
MH  - Tobacco Use Cessation/*statistics & numerical data
MH  - Tobacco Use Disorder
MH  - Young Adult
OTO - NOTNLM
OT  - Adult
OT  - Cessation
OT  - Correlates
OT  - India
OT  - Tobacco
EDAT- 2019/03/15 06:00
MHDA- 2020/09/29 06:00
CRDT- 2019/03/15 06:00
PHST- 2018/08/08 00:00 [received]
PHST- 2019/01/22 00:00 [revised]
PHST- 2019/03/01 00:00 [accepted]
PHST- 2019/03/15 06:00 [pubmed]
PHST- 2020/09/29 06:00 [medline]
PHST- 2019/03/15 06:00 [entrez]
AID - S0306-4603(18)30885-2 [pii]
AID - 10.1016/j.addbeh.2019.03.003 [doi]
PST - ppublish
SO  - Addict Behav. 2019 Aug;95:82-90. doi: 10.1016/j.addbeh.2019.03.003. Epub 2019 Mar 
      7.