Evaluation of the intentions towards, and success with tobacco-cessation among first-degree relatives of head & neck carcinoma patients
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2017, Vol 5, Issue 9
Abstract
Abstract: Lack of awareness regarding the ill-effects of tobacco is often cited as the reason behind the widespread tobacco use in the community. This study was conducted to assess the intentions towards, and success with tobacco-cessation among first-degree relatives of head & neck squamous cell cancer (HNSCC) patients.During April 2015-January 2017 a total of 358 first-degree relatives of HNSCC patients were enrolled after ensuring awareness of tobacco-related harms. All respondents answered the first interview on the first-day, during which intentions, knowledge and attitudes towards tobacco-use were collected. A second interview was answered 3-months later, and data regarding success with tobacco-cessation, as well as reasons for failure were collected.Though 80.4% (n=288) respondents reported intentions of quitting tobacco during the first-interview, only 15.6% (n=56) were actually able to completely quit tobacco as assessed 3-months later during the second-interview. Long-term tobacco users were less likely to succeed than short-term users (12.5% vs. 26.6%, p=0.0041). Exclusive users of smoked tobacco were less likely to succeed than exclusive users of smokeless tobacco (13% vs. 25.4%, p=0.0235). As to the reasons for not being able to quit tobacco use, inability to curb craving was the most commonly reason reported (by 36.9%), while surprisingly the second commonest reason provided was that 28.4% reported as willing to accept risks of tobacco. Other reasons cited were 'peer pressure' (16.6%) and 'not being convinced with the risks' (11.3%). Only 47.7% of non-quitters were open to nicotine replacement therapy as an option. Even in a population with 100% awareness on the ill-effects of tobacco, the proportion of people quitting tobacco use is dismally low. This implies the need for more intense behavioral modification efforts, moving beyond the simple propagation of awareness about the ill-effects of tobacco use. Keywords:Tobacco cessation, smoking, oral tobacco, smoking cessation, head & neck cancer.
Authors and Affiliations
Vivekanand Satyawali, Swaroop Revannasiddaiah, Kailash Chandra Pandey, Madhup Rastogi
Keywords
Related Articles
- EP ID EP371502
- DOI -
- Views 59
- Downloads 0
Genotypic Distribution of Hepatitis B Virus in different Spectrum of its Viral Load in a Tertiary care Hospital in Northern India
Hepatitis B virus (HBV) genotyping is of clinical relevance to clarify the route, virulence, serologic reactivity pathogenesis and response to antiviral therapy. Current study characterizes the HBV genotypes and its dist...
Prevalence of Cutaneous Infections among Diabetic Patients Attending a Tertiary Care Centre
Diabetes mellitus (DM) is the most common of the endocrine disorders. Mucocutaneous manifestations of diabetes mellitus are many and vary from trivial to life-threatening. Sometimes, mucocutaneous disorders may herald th...
Pancreatic Lipoma: A Case Report and Review of Literature
Abstract: Pancreatic lipomas are mostly incidentally detected when patient undergoes imaging studies for some other reason. Uncommonly, they can present with nonspecific symptoms like abdominal pain or features of pancre...
A study of Anatomical and Morphological variations of the Thyroid gland
It is not uncommon to encounter variations in the Thyroid gland during surgeries. Complete detailed anatomical variations in arterial and venous supply including the presence of ectopic glands is useful for diagnosis an...
Detection of Methicillin Resistant Staphylococcus aureus in Various Clinical Samples Isolated from a Teaching Hospital
Abstract: Methicillin resistant Staphylococcus aureus (MRSA) became a major health care problem. Early and accurate detection of MRSA is essential for implementation of infection control practices.The resistance mechanis...