{"title":"东印度日常吸烟保健学生、专业人员和工作人员的尼古丁依赖、戒烟意图和戒烟努力：来自一项多中心研究的见解","authors":"Bijit Biswas, Saurabh Varshney, G Jahnavi, Venkata Lakshmi Narasimha, Santanu Nath, Vinayagamoorthy Venugopal, Sudip Bhattacharya, Arshad Ayub, Benazir Alam, Ujjwal Kumar, Niwedita Jha","doi":"10.1093/fampra/cmaf029","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Tobacco use among healthcare workers compromises their role as cessation advocates. This study focuses on nicotine dependence, quit intentions, and cessation efforts among daily tobacco-using healthcare students, professionals, and staff in Eastern India.</p><p><strong>Methods: </strong>A multicentric cross-sectional study using a structured questionnaire was conducted in 24 healthcare institutions across Bihar and Jharkhand during July-August 2023, analysing data from 729 daily tobacco users among a total of 7619 participants.</p><p><strong>Results: </strong>The mean nicotine dependence score was 4.6 ± 2.3, with 49.2% showing moderate dependence, 38.4% low, and 12.3% high. Among daily users, 63.1% expressed quit intentions. Two-thirds (67.9%) attempted to quit in the past year, with 36.6% using nicotine replacement therapy and 62.0% trying unaided. Participants without quit intentions had higher odds of moderate dependence [adjusted odds ratio (AOR) = 9.36] and high dependence (AOR = 28.8). Receiving no cessation advice increased the odds of moderate (AOR = 5.30) and high dependence (AOR = 16.15). Quit intentions were associated with lower nicotine dependence (AOR = 29.9 for low and 4.04 for moderate), receiving quit advice (AOR = 2.03), and awareness of tobacco control laws (AOR = 1.08 per unit). Quit attempts were influenced by quit intentions (AOR = 13.03), lower nicotine dependence (AOR = 2.68 for moderate), and receiving cessation advice (AOR = 2.82).</p><p><strong>Conclusions: </strong>The study population showed moderate nicotine dependence and substantial quit intentions, emphasizing the need for stronger healthcare-led cessation efforts to enhance success and empower healthcare workers as tobacco control advocates.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":"42 4","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Nicotine dependence, quit intentions, and cessation efforts among daily tobacco-using healthcare students, professionals, and staff in Eastern India: insights from a multicentric study.\",\"authors\":\"Bijit Biswas, Saurabh Varshney, G Jahnavi, Venkata Lakshmi Narasimha, Santanu Nath, Vinayagamoorthy Venugopal, Sudip Bhattacharya, Arshad Ayub, Benazir Alam, Ujjwal Kumar, Niwedita Jha\",\"doi\":\"10.1093/fampra/cmaf029\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Tobacco use among healthcare workers compromises their role as cessation advocates. This study focuses on nicotine dependence, quit intentions, and cessation efforts among daily tobacco-using healthcare students, professionals, and staff in Eastern India.</p><p><strong>Methods: </strong>A multicentric cross-sectional study using a structured questionnaire was conducted in 24 healthcare institutions across Bihar and Jharkhand during July-August 2023, analysing data from 729 daily tobacco users among a total of 7619 participants.</p><p><strong>Results: </strong>The mean nicotine dependence score was 4.6 ± 2.3, with 49.2% showing moderate dependence, 38.4% low, and 12.3% high. Among daily users, 63.1% expressed quit intentions. Two-thirds (67.9%) attempted to quit in the past year, with 36.6% using nicotine replacement therapy and 62.0% trying unaided. Participants without quit intentions had higher odds of moderate dependence [adjusted odds ratio (AOR) = 9.36] and high dependence (AOR = 28.8). Receiving no cessation advice increased the odds of moderate (AOR = 5.30) and high dependence (AOR = 16.15). Quit intentions were associated with lower nicotine dependence (AOR = 29.9 for low and 4.04 for moderate), receiving quit advice (AOR = 2.03), and awareness of tobacco control laws (AOR = 1.08 per unit). Quit attempts were influenced by quit intentions (AOR = 13.03), lower nicotine dependence (AOR = 2.68 for moderate), and receiving cessation advice (AOR = 2.82).</p><p><strong>Conclusions: </strong>The study population showed moderate nicotine dependence and substantial quit intentions, emphasizing the need for stronger healthcare-led cessation efforts to enhance success and empower healthcare workers as tobacco control advocates.</p>\",\"PeriodicalId\":12209,\"journal\":{\"name\":\"Family practice\",\"volume\":\"42 4\",\"pages\":\"\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-06-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Family practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1093/fampra/cmaf029\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Family practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/fampra/cmaf029","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Nicotine dependence, quit intentions, and cessation efforts among daily tobacco-using healthcare students, professionals, and staff in Eastern India: insights from a multicentric study.
Background: Tobacco use among healthcare workers compromises their role as cessation advocates. This study focuses on nicotine dependence, quit intentions, and cessation efforts among daily tobacco-using healthcare students, professionals, and staff in Eastern India.
Methods: A multicentric cross-sectional study using a structured questionnaire was conducted in 24 healthcare institutions across Bihar and Jharkhand during July-August 2023, analysing data from 729 daily tobacco users among a total of 7619 participants.
Results: The mean nicotine dependence score was 4.6 ± 2.3, with 49.2% showing moderate dependence, 38.4% low, and 12.3% high. Among daily users, 63.1% expressed quit intentions. Two-thirds (67.9%) attempted to quit in the past year, with 36.6% using nicotine replacement therapy and 62.0% trying unaided. Participants without quit intentions had higher odds of moderate dependence [adjusted odds ratio (AOR) = 9.36] and high dependence (AOR = 28.8). Receiving no cessation advice increased the odds of moderate (AOR = 5.30) and high dependence (AOR = 16.15). Quit intentions were associated with lower nicotine dependence (AOR = 29.9 for low and 4.04 for moderate), receiving quit advice (AOR = 2.03), and awareness of tobacco control laws (AOR = 1.08 per unit). Quit attempts were influenced by quit intentions (AOR = 13.03), lower nicotine dependence (AOR = 2.68 for moderate), and receiving cessation advice (AOR = 2.82).
Conclusions: The study population showed moderate nicotine dependence and substantial quit intentions, emphasizing the need for stronger healthcare-led cessation efforts to enhance success and empower healthcare workers as tobacco control advocates.
期刊介绍：
Family Practice is an international journal aimed at practitioners, teachers, and researchers in the fields of family medicine, general practice, and primary care in both developed and developing countries.
Family Practice offers its readership an international view of the problems and preoccupations in the field, while providing a medium of instruction and exploration.
The journal''s range and content covers such areas as health care delivery, epidemiology, public health, and clinical case studies. The journal aims to be interdisciplinary and contributions from other disciplines of medicine and social science are always welcomed.
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