Background
Methods
Study design & procedures
Recruitment of respondents and consent
Dependent variables
Independent variables
Socio-demographic factors
Tobacco usage and addiction
Previous quitting experience
Data analysis
Ethical considerations
Results
Demographic characteristics of the sample
Intention to quit within 30 days (Yes = 183; No = 820) | Setting a quit date (Yes = 172; No = 820) | |||
---|---|---|---|---|
Characteristics | N (%) | p-value | N (%) | p-value |
Demographic and health condition
| ||||
Age (years)
| ||||
≤ 25 years |
42 (23)
|
<0.001
|
30 (17)
|
<0.001
|
>25 years |
141 (77)
|
145 (83)
| ||
Sex
| ||||
Male | 146 (80) | 0.621 | 125 (71) | 0.057 |
Female | 37 (20) | 50 (29) | ||
Location
| ||||
Rural | 133 (81) | 0.211 |
108 (69)
|
0.038
|
Urban | 31 (19) |
49 (31)
| ||
Religion
| ||||
Hindu | 159 (87) | 0.558 | 146 (84) | 0.429 |
Muslim | 16 (9) | 16 (9) | ||
Christian | 7 (4) | 11 (6) | ||
Others (Sikh, Jain & Buddhism) | 1 (0.6) | 1(1) | ||
Caste
| ||||
SC | 31 (17) | 0.073 | 40 (24) | 0.385 |
ST | 26 (14) | 25 (15) | ||
OBC | 73 (40) | 68 (40) | ||
General | 51 (28) | 37 (22) | ||
Marital status
| ||||
Single | 41 (22) | 0.062 | 35 (20) | 0.277 |
Married | 142 (78) | 140 (80) | ||
Education
| ||||
Uneducated |
51 (29)
|
<0.001
|
55 (33)
|
<0.001
|
Less than primary |
58 (32)
|
40 (24)
| ||
Primary but less than secondary |
49 (27)
|
48 (29)
| ||
Secondary and above |
22 (12)
|
24 (14)
| ||
Occupation
| ||||
Employed | 175 (96) | 0.001 | 2 (1) | 0.58 |
Unemployed |
7 (4)
| 173 (99) | ||
Socio-economic status
| ||||
Below poverty line |
82 (45)
|
0.007
| 99 (59) | 0.097 |
Above poverty line |
99 (55)
| 70 (41) | ||
Self-reported health
| ||||
Poor |
31 (17)
|
28 (16)
|
<0.001
| |
Fair |
82 (45)
|
<0.001
|
57 (33)
| |
Good |
70 (38)
|
90 (51)
| ||
Tobacco Usage & Addiction
| ||||
Forms of tobacco
| ||||
Smoked tobacco |
66 (36)
|
<0.001
|
45 (26)
|
<0.001
|
Smokeless tobacco |
110 (60)
|
116 (66)
| ||
Both |
7 (4)
|
14 (8)
| ||
Age at initiation (years)
| 21.98 ± 9.58 | 0.82 | 22.16 ± 9.89 | 0.65 |
FTND score for smoked tobacco (0 - 8)
| 4.19 ± 1.25 | 0.062 |
4.14 ± 1.21
|
0.025
|
FTND score for smokeless tobacco (0 - 7)
|
3.53 ± 0.11
|
<0.001
| 3.47 ± 1.45 |
<0.001
|
Other substances (Alcohol, opium etc
.)
| ||||
Yes |
22 (12)
|
<0.001
|
19 (11)
|
<0.001
|
No |
160 (88)
|
156 (89)
| ||
Previous quit attempts
| ||||
No. of quit attempts in past 12 months | ||||
0 |
77 (47)
|
74 (43)
| ||
1 to 5 |
83 (51)
|
<0.001
|
81 (47)
|
<0.001
|
5 to 10 |
2 (1)
|
14 (8)
| ||
>10 |
2 (1)
|
2 (1)
|
Intention to quit tobacco
Intention to quit within 30 days (n = 1003) | Ready to set quit date (n = 995) | |||
---|---|---|---|---|
Characteristics | Unadjusted OR (95% CI) | Adjusted OR (95% CI) | Unadjusted OR (95% CI) | Adjusted OR (95% CI) |
Demographic
| ||||
Age (years)
| ||||
≤25 years | Reference | Reference | Reference | Reference |
>25 years
|
0.31 (0.16 to 0.59)
|
0.47 (0.22 to 0.99)
|
0.46 (0.26 to 0.83)
| 0.70 (0.34 to 1.43) |
Education
| ||||
Uneducated | Reference | Reference | Reference | Reference |
Less than primary |
1.74 (1.01 to 3.00)
| 1.30 (0.71 to 2.36) | 1.08 (0.63 to 1.86) | 0.99 (0.53 to 1.85) |
Primary but less than secondary | 1.79 (0.99 to 3. 21) | 1.27 (0.71 to 2.36) | 1.63 (0.95 to 2.77) | 1.09 (0.57 to 2.07) |
Secondary and above |
2.32 (1.04 to 5.15)
| 1.39 (0.56 to 3.43) |
2.27 (1.17 to 4.40)
| 1.59 (0.72 to 3.50) |
Work
| ||||
Unemployed | Reference | Reference | NS | NS |
Employed |
0.08 (0.01 to 0.38)
|
0.15 (0.03 to 0.76)
| NS | NS |
Location
| ||||
Rural | NS | NS | Reference | Reference |
Urban | NS | NS | 1.53 (0.95 to 2.46) | 1.17 (0.69 to 1.99) |
Socio-economic status
| ||||
Above PL | Reference | Reference | NS | NS |
Below PL |
0.51 (0.32 to 0.83)
| 0.63 (0.37 to 1.06) | NS | NS |
Self-reported health
| ||||
Poor | Reference | Reference | Reference | Reference |
Fair | 1.08 (0.61 to 1.92) | 1.20 (0.65 to 2.21) | 0.73 (0.40 to 1.34) | 0.61 (0.31 to 1.22) |
Good | 1.32 (0.69 to 2.53) | 1.17 (0.56 to 2.45) | 1.81 (0.99 to 3.29) | 1.23 (0.61 to 2.49) |
Form of tobacco
| ||||
Smoked tobacco | Reference | Reference | Reference | Reference |
Smokeless tobacco |
1.69 (1.04 to 2.73)
| 1.22 (0.71 to 2.09) |
2.52 (1.58 to 4.03)
|
2.05 (1.15 to 3.65)
|
Both | 0.52 (0.19 to 1.41) | 0.43 (0.15 to 1.28) |
2.16 (1.03 to 4.52)
| 1.31 (0.54 to 3.22) |
Other substances besides tobacco
| ||||
No | Reference | Reference | Reference | Reference |
Yes | 1.01 (0.56 to 1.81) | 0.95 (0.50 to 1.81) | 0.91 (0.51 to 1.64) | 0.85 (0.42 to 1.69) |
FTND score for smoked tobacco
| NS | NS | 0.98 (0.85 to 1.14) | 1.10 (0.91 to 1.34) |
FTND score for smokeless tobacco
| 1.00 (0.84 to 1.19) | 0.99 (0.82 to 1.20) | 0.95 (0.81 to 1.11) | 0.95 (0.80 to 1.13) |
No. of quit attempts in past 12 months
| ||||
0 | Reference | Reference | Reference | Reference |
1 to 5 |
2.28 (1.45 to 3.56)
|
2.20 (1.38 to 3.51)
|
2.73 (1.77 to 4.23)
|
2.46 (1.52 to 3.96)
|
5 to 10 | 0.44 (0.08 to 2.51) | 0.43 (0.06 to 3.02) |
7.92 (3.25 to 19.28)
|
7.50 (2.82 to 19.96)
|
>10 | 0.70 (0.14 to 3.43) | 0.87 (0.17 to 4.45) | 1.00 (0.20 to 4.90) | 1.20 (0.23 to 6.39) |
Setting a quit date
Intend to quit smoking within 30 days (n = 260) | Ready to set quit date | |||
---|---|---|---|---|
(n = 274) | ||||
Characteristics | OR (95% CI) | p-value | OR (95% CI) | p-value |
Previous quitting experience
| ||||
Time since most recent serious quit attempt
| ||||
>6 months | Reference | Reference | ||
1 – 6 months |
4.40 (1.26 to 15.42)
|
0.021
|
2.96 (1.22 to 7.17)
|
0.016
|
Motivational factors
| ||||
Concern for personal health | ||||
No/A little | Reference | Reference | ||
Yes, strongly | 1.60 (0.59 to 4.33) | 0.357 |
3.42 (1.35 to 8.65)
|
0.01
|
Concern about effect on non-smokers | ||||
No/A little | Reference | Reference | ||
Yes, strongly | 0.78 (0.19 to 3.13) | 0.723 | 0.82 (0.22 to 3.01) | 0.763 |
Society’s disapproval of smoking | ||||
No/A little | Reference | Reference | ||
Yes, strongly | 3.50 (0.82 to 15.00) | 0.092 | 2.69 (0.64 to 11.23) | 0.175 |
Price of cigarettes/bidis | ||||
No/A little | Reference | Reference | ||
Yes, strongly | 0.93 (0.21 to 4.16) | 0.926 | 2.79 (0.92 to 8.49) | 0.071 |
Smoke free laws | ||||
No/A little | Reference | Reference | ||
Yes, strongly | 1.07 (0.22 to 4.18) | 0.932 | 1.59 (0.42 to 6.02) | 0.491 |
Advertisements/information on health risks of smoking | ||||
No/A little | Reference | Reference | ||
Yes, strongly | 1.94 (0.49 to 7.72) | 0.345 | 2.83 (0.76 to 10.61) | 0.123 |
Health warnings labels on cigarette packages | ||||
No/A little | Reference | Reference | ||
Yes, strongly | 1.41 (0.42 to 4.75) | 0.582 | 0.37 (0.09 to 1.56) | 0.176 |
Setting an example for children | ||||
No/A little | Reference | Reference | ||
Yes, strongly | 0.84 (0.29 to 2.46) | 0.75 |
2.50 (1.03 to 6.03)
|
0.042
|
Family disapproval of smoking | ||||
No/A little | Reference | Reference | ||
Yes, strongly | 1.37 (0.47 to 4.00) | 0.57 | 0.64 (0.21 to 1.94) | 0.426 |