Bibliographic Details
| Title: |
Cessation Behavior among Smokeless Tobacco Users in India: A Secondary Analysis of Two Rounds of Global Adult Tobacco Surveys. |
| Authors: |
Maniyara, Karthika, Davuluri, Santhi Priyadarshini, Palle, Edukondal, Kodali, Prakash Babu |
| Source: |
Journal of Mental Health & Human Behavior; Jul-Dec2024, Vol. 29 Issue 2, p105-111, 7p |
| Abstract: |
Objective: Smokeless tobacco (SLT) is a prominent form of tobacco use in India. We conducted this secondary analysis to study changes in SLT cessation behavior and its correlates from 2009-2010 to 2016-2017 by analyzing Global Adult Tobacco Surveys (GATS). Methods: An analysis of two rounds of GATS data (GATS-1 [n] =69,296 and GATS-2 [n] =74,037) was conducted. Cessation behavior was defined as previous attempts in the preceding 12 months, and intention to quit tobacco within 12 months following the survey. The percentage prevalence was calculated, and relative change in prevalence measures was computed. Correlates of cessation behavior were identified by employing binary logistic regression. Results: The prevalence of SLT use decreased from 25.9% (GATS-1) to 21.4% (GATS-2). Previous quit attempts decreased from 33.7% (GATS-1) to 32.0% (GATS-2), and intention to quit within the next 12 months decreased from 27.2% (GATS-1) to 19.4% (GATS-2). SLT users who also smoke daily had lower odds of attempting to quit previously (adjusted odds ratio [AOR] =0.61, 95% confidence interval [CI] =0.55--0.68) and intending to quit in future (AOR = 0.76, 95% CI = 0.67--0.86) in both GATS-1 and GATS-2. A higher level of education increased the odds of cessation attempts, while smoking daily lowered the odds of attempting and intending to quit SLT both in GATS-1 and GATS-2. Conclusions: Although SLT use has declined over the years, this decrease was not accompanied by an increase in quit attempts or intention to quit. Utilization of professional cessation services, including counseling, nicotine replacement therapy, and mCessation, remains low. Enhancing awareness and expanding cessation services are crucial for improving tobacco quit rates. [ABSTRACT FROM AUTHOR] |
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| Database: |
Complementary Index |
