Smokeless tobacco initiation, use and cessation in South Asia:a qualitative assessment
| Autor: | Ray Croucher, Anuj Kumar, Narjis Rizvi, Linda Bauld, Zarak Husain Ahmed, Roshani Babu, Fayaz Ahmad, Heather Thomson, Suzanne Tanya Nethan, Rumana Huque, Kamran Siddiqi, Silwa Lina, Fariza Fieroze, Maira Mubashir, Prashant Singh, Faraz Siddiqui, Cath Jackson, Ian Kellar |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty South asia Tobacco Smokeless Psychological intervention MEDLINE 03 medical and health sciences Tobacco Use 0302 clinical medicine Intervention (counseling) medicine AcademicSubjects/SOC02541 Humans Pakistan 030212 general & internal medicine Tobacco Use Cessation Public health Public Health Environmental and Occupational Health Tobacco Use Disorder Purchasing Smokeless tobacco Family medicine Brief Reports Psychology AcademicSubjects/MED00010 030217 neurology & neurosurgery Qualitative research |
| Zdroj: | Siddiqui, F, Croucher, R, Ahmad, F, Ahmed, Z, Babu, R, Bauld, L, Fieroze, F, Huque, R, Kellar, I, Kumar, A, Lina, S, Mubashir, M, Nethan, S T, Rizvi, N, Siddiqi, K, Kumar Singh, P, Thomson, H & Jackson, C 2021, ' Smokeless tobacco initiation, use and cessation in South Asia : a qualitative assessment ', Nicotine and Tobacco Research . https://doi.org/10.1093/ntr/ntab065 Nicotine & Tobacco Research |
| ISSN: | 1469-994X |
| Popis: | Introduction Smokeless tobacco (ST) is a significant South Asian public health problem. This paper reports a qualitative study of a sample of South Asian ST users. Methods Interviews, using a piloted topic guide, with 33 consenting, urban dwelling adult ST users explored their ST initiation, continued use, and cessation attempts. Framework data analysis was used to analyze country specific data before a thematic cross-country synthesis was completed. Results Participants reported long-term ST use and high dependency. All reported strong cessation motivation and multiple failed attempts because of ease of purchasing ST, tobacco dependency, and lack of institutional support. Conclusions Interventions to support cessation attempts among consumers of South Asian ST products should address the multiple challenges of developing an integrated ST policy, including cessation services. Implications This study provides detailed understanding of the barriers and drivers to ST initiation, use, and cessation for users in Bangladesh, India, and Pakistan. It is the first study to directly compare these three countries. The insight was then used to adapt an existing behavioral support intervention for ST cessation for testing in these countries. |
| Databáze: | OpenAIRE |
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