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Smokeless tobacco cessation in S outh A sian communities: a multi‐centre prospective cohort study
Author(s) -
Croucher Ray,
Shanbhag Siddharth,
Dahiya Manu,
Kassim Saba,
Csikar Julia,
Ross Louise
Publication year - 2012
Publication title -
addiction
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.424
H-Index - 193
eISSN - 1360-0443
pISSN - 0965-2140
DOI - 10.1111/j.1360-0443.2012.04085.x
Subject(s) - smokeless tobacco , prospective cohort study , medicine , environmental health , smoking cessation , advertising , cohort , tobacco use , psychology , business , population , pathology
Aim To evaluate smokeless tobacco cessation in communities of S outh A sian origin. Design Multi‐centre prospective cohort study. Setting Three tobacco cessation services offering specialist smokeless tobacco cessation outreach clinic support to S outh A sians ( B angladeshi, I ndian and P akistani) resident in E ngland. Participants A total of 239 S outh A sian participants seeking to stop smokeless tobacco use between N ovember 2010 and D ecember 2011. Measurements Socio‐demographics, tobacco use and dependence, self‐reported abstinence at 4 weeks and satisfaction measures. Findings Participants' mean age was 45 [standard deviation ( SD ) = 13] years, were predominantly female (76%), of Bangladeshi origin (74%), either home carers (53%) or not working (29%). Sixty‐three per cent were recruited from community locations, 21% through a clinical contact and 16% through friends and family. Mean daily number of smokeless tobacco intakes was 10 ( SD = 7) and the mean dependence score was 4.5 ( SD = 1.9). Sixty‐three per cent of participants achieved continuous abstinence 4 weeks after quitting. Using nicotine replacement therapy ( NRT ) versus not using it [ OR = 3.47, 95% confidence interval ( CI ): 1.25, 9.62] and below median (≤8) daily smokeless tobacco intakes ( OR = 1.91, 95% CI : 1.07, 3.40) predicted successful abstinence. Conclusion S outh A sian smokeless tobacco users resident in E ngland accessing services to help them stop appear to have short‐term success rates comparable with smokers attending stop‐smoking services, with higher success rates being reported by those using nicotine replacement therapy.