Factors associated with intention to quit among tobacco users in India: findings from TCP India survey - Wave 1 and Wave 2
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1
Healis - Sekhsaria Institute of Public Health, India
2
University of Waterloo, Department of Psychology, Canada
3
Ontario Institute for Cancer Research, Canada
Publication date: 2018-03-01
Tob. Induc. Dis. 2018;16(Suppl 1):A347
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ABSTRACT
Background:
In India, it is important
to understand the factors that promote intention to quit as quitting is rather
uncommon. Data from International Tobacco Control Policy (TCP) Project
conducted in four states (Maharashtra, Bihar, Madhya Pradesh and West Bengal)
were used to investigate the factors associated with
intention to quit tobacco.
Methods:
Data from Wave 1 (Aug
2010-Dec 2011) comprising 8,051 tobacco users and Wave 2 (Aug 2012-Dec 2013)
comprising 7,401 users were analysed. Respondents reporting planning to quit using
tobacco in the next month, in the next six months, or sometime in the future,
were categorized as having an intention to quit. Bivariate analysis and
multivariable logistic regression was used to study the relationship between
intention to quit and factors associated with intention to quit among tobacco
users. All analyses were performed using SPSS V.20.0.
Results:
Intention to quit decreased
from 19.6% in Wave 1 to 13.5% in Wave 2. In both waves, education, advice from
doctors to quit and exposure to warning messages on tobacco packages were
associated with intention to quit tobacco. Exposure to anti-tobacco messages on
public transportation vehicles (OR=2.13, CI=1.49-3.08), in restaurants (OR=1.63,
CI=1.11-2.40), in bars (OR=1.81, CI=1.07-3.06) and at workplaces (OR=1.73,
CI=1.23-2.44) were associated with intention to quit in Wave 1. However, these relationships
were not significant in Wave 2.
Conclusions:
Perceptions of individuals
leading to intention to quit are rapidly changing over the years. Future
tobacco control efforts could emphasize on making warnings more effective that
depict the harm of tobacco, taking into consideration, education of
individuals. Also, involving doctors to advise patients to quit might increase
motivation to quit tobacco use.