Perspectives of smokers, smokeless tobacco users and cessation practitioners in India: A qualitative study

Sequeira, Miriam, Naughton, Felix, Velleman, Richard, Murthy, Pratima, D'souza, Joseline, Pacheco, Marimilha Grace, Kamat, Amita Kenkre, Gadiyar, Akshatha, Sanjeevan, Vinita, Jain, Latika and Nadkarni, Abhijit (2024) Perspectives of smokers, smokeless tobacco users and cessation practitioners in India: A qualitative study. Archives of Psychiatric Nursing, 51. pp. 194-200. ISSN 0883-9417

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Abstract

Introduction: India is the second largest consumer of tobacco in the world and accounts for 70% of global deaths due to smokeless tobacco (SLT) use. AIM: The aim of this study is to understand the perspectives of tobacco users (smokers and SLT users) and practitioners in India to inform cessation interventions. Method: Semi-structured in-depth interviews with tobacco users (smoked and smokeless; n=23), and healthcare practitioners (n=13). Perspectives were triangulated using thematic analysis to examine convergence, divergence and complementarity of findings. Results: We present the results in a socio-ecological framework to highlight reasons for initiation and continuation of tobacco and motives to quit at the individual, interpersonal, occupational, societal and policy levels. SLT is seen as culturally acceptable compared to smoked forms of tobacco. Emotionally framed messages highlighting negative effects of tobacco on loved ones were perceived to be a better motivator than other types of cessation messages. Discussion: Nuanced differences exist between smokers and SLT user perspectives which have implications for cessation programs. Our findings supplement similar studies with other South Asian populations. Implications for Practice: Our study provides useful insights to tailor cessation interventions to the type of tobacco consumed in order to enhance their acceptability and effectiveness.

Item Type: Article
Additional Information: Funding Information: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. This work was funded by the Department of Health and Social Care (DHSC), the Foreign, Commonwealth and Development Office (FCDO), the Medical Research Council (MRC), and Wellcome, UK (Grant number MR/R018456/1).
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Centres > Norwich Institute for Healthy Aging
Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health
Faculty of Medicine and Health Sciences > Research Groups > Behavioural and Implementation Science
Faculty of Medicine and Health Sciences > Research Groups > Health Promotion
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Depositing User: LivePure Connector
Date Deposited: 09 Jul 2024 13:31
Last Modified: 25 Sep 2024 17:55
URI: https://ueaeprints.uea.ac.uk/id/eprint/95843
DOI: 10.1016/j.apnu.2024.06.018

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