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Tobacco Cessation |

Effect of Literacy and Family Support on Smoking Cessation

Gopal Chawla; Amrit Pal Kansal; Vishal Chopra; Naresh Kumar; Komaldeep Kaur
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Government Medical College, Patiala, Punjab, India


Chest. 2014;146(4_MeetingAbstracts):968A. doi:10.1378/chest.1992304
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Abstract

SESSION TITLE: Tobacco Cessation and Prevention Posters

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 29, 2014 at 01:30 PM - 02:30 PM

PURPOSE: As the burden of tobacco epidemic is now moving from developed countries to developing countries, there is an urgent need of tobacco cessation intervention studies to be conducted in less researched developing countries such as India.This paper aims to analyse the effect of literacy level and family support on smoking cessation outcomes .

METHODS: A prospective study was done in patients who were smokers and visiting a teaching hospital in Northern India. Information on socio economic, nicotine dependence, family/medical history, baseline stage‑of‑change, and treatment initiated were seeked using performa and verbal questionnaire and repeated behavioural counselling for smoking cessation was done over period of 6 months and results were analysed for relation between smoking cessation stage and literacy level and presence of family support.

RESULTS: In the present study, 207 patients participated.The mean age of study subjects was 50.74±14.74. Majority 64.3% patients belong to lower class.117(56.5%) were laborers or farmers. 83.4% started smoking before age of 26. 81.1%of smokers started smoking under influence of friends and relatives. According to health elief model 44 (21.3%) were in Pre contemplation stage, 93 (44.9%) in Contemplation stage, 57 (27.5%) in Preparation stage and 13 (6.3%) in Action stage 133(64.3%) were illiterate, 24(11.6%)have taken education upto primary level , 29(14.0%) were matric and 21 (10.1%) were graduates.92 had family support while 115 didn’t. At end of 6 months of repeated behavioral counselling, it was seen 56.4% of illiterate, 33.3% of primary educated , 55.2% of matric pass and 33.8% of graduates were in maintanence stage while 11.3% of illiterate, 25% of primary educated, 10.6% of matric pass and 28.6 % of graduates relapsed. Out of 115 smokers without and 92 with family support, 46% and 57.6% ended up in maintainence stage respectively.

CONCLUSIONS: Literacy and family support are not significantly related with stage after counselling as p value is more than 0.5, strengthening the fact literacy levels and presence or absence of family support not hamper behavioral counselling as intervention in quitting smoking

CLINICAL IMPLICATIONS: Health professionals have the greatest potential to promote a decrease in tobacco use; and thus, a decrease in Smoking induced mortality and morbidity. Repeated attempts are worth the effort, patient and attendants visiting health care setting are more receptive to smoking cessation counselling as they are on receiving end of illness.

DISCLOSURE: The following authors have nothing to disclose: Gopal Chawla, Amrit Pal Kansal, Vishal Chopra, Naresh Kumar, Komaldeep Kaur

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