ORCID Profile
0000-0002-5825-8077
Current Organisation
The University of Newcastle
Does something not look right? The information on this page has been harvested from data sources that may not be up to date. We continue to work with information providers to improve coverage and quality. To report an issue, use the Feedback Form.
Publisher: Oxford University Press (OUP)
Date: 18-02-2020
DOI: 10.1093/NTR/NTZ026
Abstract: Hospitalization is an important setting to address tobacco use. Little is known about post-discharge cessation and treatment use in low- and middle-income countries. Our objective was to assess tobacco use after hospital discharge among patients in Mumbai, India. Longitudinal observational study of inpatients (≥15 years) admitted at one hospital from November 2015 to October 2016. Patients reporting current tobacco use were surveyed by telephone after discharge. Of 2894 inpatients approached, 2776 participated and 15.7% (N = 437) reported current tobacco use, including 5.3% (N = 147) smokers, 9.1% (N = 252) smokeless tobacco (SLT) users, and 1.4% (N = 38) dual users. Excluding dual users, SLT users, compared to smokers, were less likely to report a plan to quit after discharge (42.6% vs. 54.2%, p = .04), a past-year quit attempt (38.1% vs. 52.7%, p = .004), to agree that tobacco has harmed them (57.9% vs. 70.3%, p = .02) or caused their hospitalization (43.4% vs. 61.4%, p & .001). After discharge, 77.6% of smokers and 78.6% of SLT users reported trying to quit (p = .81). Six-month continuous abstinence after discharge was reported by 27.2% of smokers and 24.6% of SLT users (p = .56). Nearly all relapses to tobacco use after discharge occurred within 30 days and did not differ by tobacco type (log-rank p = .08). Use of evidence-based cessation treatment was reported by 6.5% (N = 26). Three-quarters of tobacco users in a Mumbai hospital attempted to quit after discharge. One-quarter reported continuous tobacco abstinence for 6 months despite little use of cessation treatment. Increasing post-discharge cessation support could further increase cessation rates and improve patient outcomes. No prior study has measured the patterns of tobacco use and cessation among hospitalized tobacco users in India. Three-quarters of tobacco users admitted to a hospital in Mumbai attempted to quit after discharge, and one-quarter remained tobacco-free for 6 months, indicating that hospitalization may be an opportune time to offer a cessation intervention. Although smokers and SLT users differed in socioeconomic status, perceived risks and interest in quitting, they did not differ in their ability to stay abstinent after hospital discharge.
Publisher: Wiley
Date: 02-03-2022
DOI: 10.1111/DAR.13440
Abstract: Addiction plays a key role in continued tobacco use. The study assessed association of perceived personal addiction and the perceived addictiveness of different forms of tobacco with type of tobacco product used, demographic characteristics and socio‐cultural factors. A cross‐sectional survey of 607 adult tobacco users with age 18 years and above attending a general medicine out‐patient department was conducted. Participants were asked questions on perceived personal addiction to tobacco use and perception of addiction on tobacco products. Logistic regression was applied to investigate the association between demographic characteristics, type of tobacco, socio‐cultural factors and addiction perceptions. The odds of perceived addiction (PA) were lower among smokeless tobacco (SLT) users [OR (95% CI): 0.57 (0.37, 0.89) P = 0.01]. An increase in the odds of PA was seen as age increased [OR (95% CI):1.02 (1.00, 1.03) P = 0.01] and participants with secondary education and above had higher odds of PA compared to participants with no formal education [OR (95% CI): 1.68 (1.09, 2.58) P = 0.02]. The odds of perceiving SLT products to be addictive was lower among SLT users [OR (95% CI): 0.48 (0.30, 0.75) P = 0.002)] compared to combustible tobacco users. The odds of perceiving SLT products to be addictive was lower [(OR (95% CI): 0.35 (0.18, 0.67) P = 0.002)] among females. Participants with secondary education and above had higher odds of perceiving combustible [OR (95% CI): 1.80 (1.17, 2.77) P = 0.008)] and SLT products [OR (95% CI): 1.98 (1.20, 3.30) P = 0.008)] to be addictive compared to no schooling. There is a need to raise awareness in India of the addictiveness of tobacco, particularly for users of SLT, younger people and those with less education.
Publisher: Wiley
Date: 28-06-2022
DOI: 10.1111/DAR.13507
Abstract: Addiction to tobacco is one of the main drivers of continued tobacco use. This study explored whether perceived addiction, type of tobacco and demographic characteristics were associated with past quit attempts (PQA), intention and self‐efficacy to quit among combustible tobacco (CT) or smokeless tobacco (SLT) users in India. A cross‐sectional survey was conducted among adult tobacco users ( N = 607) attending an out‐patient department in Mumbai. Logistic regression analysis was used to investigate the association between demographic characteristics, type of tobacco, addiction perceptions and cessation behaviours. Being ‘a little addicted’ (adjusted odds ratio, AOR [95% confidence interval, CI] 2.75 [1.83, 4.11], P 0.0001) or ‘quite addicted’ (AOR [95% CI] 2.93 [1.53, 5.62], P 0.0012) was associated with lower odds of making a PQA compared to ‘not addicted at all’. Being a SLT user (AOR [95% CI] 0.64 [0.41, 0.99], P = 0.047) and female (AOR [95% CI] 0.46 [0.26, 0.81], P = 0.0068) was associated with lower odds of making a PQA. There was a significant decrease in the odds of intention to quit as age increased by 1 year (AOR [95% CI] 0.98 [0.97, 0.99], P = 0.0018). Being identified as ‘a little addicted’ (AOR [95% CI] 0.28 [0.14, 0.55], P = 0.0003), ‘quite addicted’ (AOR [95% CI] 0.16 [0.07, 0.39], P 0.0001) or ‘very addicted’ (AOR [95% CI] 0.09 [0.04, 0.19], P 0.0001) was associated with lower odds of self‐efficacy to quit compared to ‘not addicted at all’. Lack of awareness about addiction may inhibit cessation, particularly among less educated and female users of SLT and CT products.
Publisher: International Union Against Tuberculosis and Lung Disease
Date: 21-06-2018
DOI: 10.5588/PHA.17.0085
Publisher: E.U. European Publishing
Date: 03-2018
DOI: 10.18332/TID/84030
Publisher: E.U. European Publishing
Date: 15-03-2023
DOI: 10.18332/TID/160073
Publisher: Elsevier BV
Date: 04-2023
No related grants have been discovered for Vaibhav Thawal.