1. Smokeless tobacco cessation in South Asian communities: a multi-centre prospective cohort study.
- Author
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Croucher R, Shanbhag S, Dahiya M, Kassim S, Csikar J, and Ross L
- Subjects
- Adult, Ambulatory Care methods, Asian People, Bangladesh ethnology, Behavior Therapy, England epidemiology, Female, Humans, Logistic Models, Male, Middle Aged, Nicotine therapeutic use, Nicotinic Agonists therapeutic use, Patient Satisfaction, Prospective Studies, Substance Withdrawal Syndrome epidemiology, Tobacco Use Cessation Devices, Tobacco Use Disorder drug therapy, Tobacco Use Disorder ethnology, Outcome and Process Assessment, Health Care statistics & numerical data, Tobacco Use Cessation methods, Tobacco Use Disorder prevention & control, Tobacco, Smokeless adverse effects
- Abstract
Aim: To evaluate smokeless tobacco cessation in communities of South Asian origin., Design: Multi-centre prospective cohort study., Setting: Three tobacco cessation services offering specialist smokeless tobacco cessation outreach clinic support to South Asians (Bangladeshi, Indian and Pakistani) resident in England., Participants: A total of 239 South Asian participants seeking to stop smokeless tobacco use between November 2010 and December 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: South Asian smokeless tobacco users resident in England 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., (© 2012 The Authors, Addiction © 2012 Society for the Study of Addiction.)
- Published
- 2012
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