Perspectives of smokers, smokeless tobacco users and cessation practitioners in India: A qualitative study.

Autor: Sequeira M; Addictions and Related Research Group, Sangath, Porvorim, Goa, India., Naughton F; Behavioural and Implementation Science Group, School of Health Sciences, University of East Anglia, Norwich, UK., Velleman R; Addictions and Related Research Group, Sangath, Porvorim, Goa, India; Department of Psychology, University of Bath, Bath, England, UK., Murthy P; Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India., D'souza J; Addictions and Related Research Group, Sangath, Porvorim, Goa, India., Pacheco MG; Addictions and Related Research Group, Sangath, Porvorim, Goa, India., Kamat AK; Department of Public Health Dentistry, Goa Dental College and Hospital, Bambolim, India., Gadiyar A; Department of Public Health Dentistry, Goa Dental College and Hospital, Bambolim, India., Sanjeevan V; Department of Public Health Dentistry, Goa Dental College and Hospital, Bambolim, India., Jain L; Addictions and Related Research Group, Sangath, Porvorim, Goa, India., Nadkarni A; Addictions and Related Research Group, Sangath, Porvorim, Goa, India; Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK. Electronic address: abhijit.nadkarni@lshtm.ac.uk.
Jazyk: angličtina
Zdroj: Archives of psychiatric nursing [Arch Psychiatr Nurs] 2024 Aug; Vol. 51, pp. 194-200. Date of Electronic Publication: 2024 Jul 04.
DOI: 10.1016/j.apnu.2024.06.018
Abstrakt: Introduction: India is the second largest consumer of tobacco in the world and accounts for 70% of global deaths due to smokeless tobacco (SLT) use.
Aim: The aim of this study is to understand the perspectives of tobacco users (smokers and SLT users) and practitioners in India to inform cessation interventions.
Method: Semi-structured in-depth interviews with tobacco users (smoked and smokeless; n=23), and healthcare practitioners (n=13). Perspectives were triangulated using thematic analysis to examine convergence, divergence and complementarity of findings.
Results: We present the results in a socio-ecological framework to highlight reasons for initiation and continuation of tobacco and motives to quit at the individual, interpersonal, occupational, societal and policy levels. SLT is seen as culturally acceptable compared to smoked forms of tobacco. Emotionally framed messages highlighting negative effects of tobacco on loved ones were perceived to be a better motivator than other types of cessation messages.
Discussion: Nuanced differences exist between smokers and SLT user perspectives which have implications for cessation programs. Our findings supplement similar studies with other South Asian populations.
Implications for Practice: Our study provides useful insights to tailor cessation interventions to the type of tobacco consumed in order to enhance their acceptability and effectiveness.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. This work was funded by the Department of Health and Social Care (DHSC), the Foreign, Commonwealth and Development Office (FCDO), the Medical Research Council (MRC), and Wellcome, UK (Grant number MR/R018456/1).
(Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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