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VOLUME 61 , ISSUE 1 ( January-March, 2019 ) > List of Articles

Original Article

Demographic Profile, Smoking Cessation Interventions and Continuous Abstinence of Tobacco Users at Two Years

Raj Kumar, Shyam Kanhaiya Saroj, Manoj Kumar, Gopal C. Mahakud

Keywords : Tobacco cessation, Counselling, Pharmacotherapy, Abstinence rate

Citation Information : Kumar R, Saroj SK, Kumar M, Mahakud GC. Demographic Profile, Smoking Cessation Interventions and Continuous Abstinence of Tobacco Users at Two Years. Indian J Chest Dis Allied Sci 2019; 61 (1):31-37.

DOI: 10.5005/ijcdas-61-1-31

License: CC BY-NC 4.0

Published Online: 18-11-2022

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Background: Vallabhbhai Patel Chest Institute, Delhi is providing tobacco cessation services since November 2001. Since then many tobacco users visited and availed these services. Objectives: This study was undertaken to assess the demographic profile and the abstinence rate of the tobacco users at two years, outcomes of a cessation clinic in India, its success rate, type of people enrolling for cessation services, type of tobacco and tobacco dependence. Methods: Tobacco cessation counselling and pharmacotherapy, if required, were provided to tobacco users registered at Tobacco Cessation Centre (TCC) of our Institute from November 2001 to December 2016. During counselling, demographic details and details of tobacco use were obtained. Brief intervention strategies of RAJKUMAR (R=Reaching to the subject, A=assess the stage of change, J=Judge the severity, K=Know the risky situations, U=Use coping skills, M=Medication required or not, A=Arrange follow up, R=Re-evaluation) were applied. Results: Out of a total 7231 registered tobacco users, 7010 (97%) were males with a mean age (±SD) of 42.2 (±14.9) years. Most of the subjects (81%) belonged to urban areas. Majority of them (58.8%) were smokers, with 21.7% severly dependent on tobacco. Overall, continuous abstinence rate was observed to be 53.7%, 47.7%, 38.7%, 31%, 29.5%, 28.8% and 24% at 1, 3, 6, 9, 12, 18 and 24 months, respectively. In non-pharmacotherapy group, continuous abstinence rate for the same period was 55.3%, 46.1%, 35%, 23.9%, 22.4%, 22% and 18.3%, respectively, while in the pharmacotherapy group it was 51.1%, 50.1%, 44.5%, 41.8%, 40.3%, 36.4%, and 32.3%, respectively. Conclusions: Present study showed that tobacco users in the age group of 30-40 years are more interested to quit tobacco. A significant number of tobacco users (24%) continuously abstain from using tobacco for more than two years. Our results suggest that those using pharmacotherapy for tobacco cessation achieve a higher rate of abstinence. A 10-minute behavioural counselling was also found to be effective in reducing and/or quitting tobacco use.

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