Health literacy and tobacco cessation among hypertensive individuals: A mixed method study.

IF 1.4 Q3 EDUCATION, SCIENTIFIC DISCIPLINES
Journal of Education and Health Promotion Pub Date : 2024-10-28 eCollection Date: 2024-01-01 DOI:10.4103/jehp.jehp_1922_23
Darshan Chauhan, Dhruv Patel, M Yogesh, Nidhi Trivedi
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引用次数: 0

Abstract

Background: Hypertension and tobacco addiction are two major public health challenges in India that frequently coexist. About 30% of Indian adults have hypertension, while over one-fourth use some form of tobacco. So, the present study aimed to determine the prevalence and patterns of tobacco consumption and identify associated socio-demographic factors among hypertensive patients in urban India and also further explored patient perspectives regarding tobacco use through qualitative interviews.

Materials and methods: This mixed-method study was conducted among 305 hypertensive adults recruited from an urban tertiary hospital using interviewer-administered questionnaires. Additionally, 15 tobacco-consuming patients were purposively sampled for in-depth interviews regarding perceptions and behaviors related to tobacco. Descriptive statistics and multi-variable logistic regression models were applied for quantitative analysis and thematic analysis for qualitative data.

Results: The prevalence of ever tobacco use among hypertensive patients was 21%. Smokeless tobacco was the predominant form used. Male gender, urban locality, illiteracy, and lack of knowledge about tobacco hazards had a higher likelihood of tobacco consumption. Qualitative interviews provided complementary insights into triggers like peer influences and stress, barriers to quitting including withdrawal effects and system gaps, and participant perspectives on facilitating cessation.

Conclusion: Tobacco consumption among hypertensives is higher than national averages. Tailored educational, motivational, and policy-level interventions addressing gaps in knowledge, risk perceptions, addiction behaviors, and cessation support systems can enable the promotion of tobacco abstinence and hypertension control in this vulnerable sub-group. The multi-method data provide actionable inputs for planning targeted control and prevention strategies addressing this dual burden.

高血压患者健康素养与戒烟:一项混合方法研究
背景:高血压和烟草成瘾是印度经常共存的两大公共卫生挑战。大约30%的印度成年人患有高血压,而超过四分之一的人使用某种形式的烟草。因此,本研究旨在确定印度城市高血压患者中烟草消费的流行程度和模式,并确定相关的社会人口因素,并通过定性访谈进一步探讨患者对烟草使用的看法。材料和方法:本研究采用问卷调查的方式,从某城市三级医院招募305名高血压患者。此外,有目的地抽取15名烟草消费患者进行深入访谈,了解与烟草有关的认知和行为。定量分析采用描述性统计和多变量logistic回归模型,定性分析采用专题分析。结果:高血压患者有吸烟史的比例为21%。无烟烟草是使用的主要形式。男性、城市地区、文盲和缺乏烟草危害知识的人有较高的烟草消费可能性。定性访谈提供了对同伴影响和压力等触发因素的补充见解,戒烟障碍包括戒断效应和系统差距,以及参与者对促进戒烟的看法。结论:我国高血压患者烟草消费量高于全国平均水平。量身定制的教育、激励和政策层面的干预措施可以弥补知识、风险认知、成瘾行为和戒烟支持系统方面的差距,从而促进这一弱势亚群体的戒烟和高血压控制。多方法数据为规划针对这一双重负担的有针对性的控制和预防战略提供了可操作的投入。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.60
自引率
21.40%
发文量
218
审稿时长
34 weeks
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