Smokeless tobacco quitting during COVID-19: A mixed-methods pilot study among participants screened for a cessation trial in India

Introduction: COVID-19 and subsequent country-wide lockdown has impacted smokeless tobacco (SLT) product availability in India. We aimed to examine SLT quitting during COVID-19 lockdown among SLT users who consented to be enrolled in a cessation programme. Methods: Between January–March 2020, we scr...

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Autores principales:	Prashant Kumar Singh, Pankhuri Jain, Varsha Pandey, Shikha Saxena, Surbhi Tripathi, Anuj Kumar, Lucky Singh, Shalini Singh
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Smokeless tobacco COVID-19 Quitting India Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/3d366f8283744ed8beb0d364868dbaab
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spelling	oai:doaj.org-article:3d366f8283744ed8beb0d364868dbaab2021-11-18T04:48:25ZSmokeless tobacco quitting during COVID-19: A mixed-methods pilot study among participants screened for a cessation trial in India2213-398410.1016/j.cegh.2021.100902https://doaj.org/article/3d366f8283744ed8beb0d364868dbaab2021-10-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2213398421002104https://doaj.org/toc/2213-3984Introduction: COVID-19 and subsequent country-wide lockdown has impacted smokeless tobacco (SLT) product availability in India. We aimed to examine SLT quitting during COVID-19 lockdown among SLT users who consented to be enrolled in a cessation programme. Methods: Between January–March 2020, we screened 227 exclusive SLT users to be enrolled in a randomized-controlled feasibility study on SLT cessation. However, all activities were suspended due to national lockdown in response to the COVID-19 pandemic. To examine the quitting intention and behaviour during COVID-19 lockdown, we re-contacted these individuals telephonically; during September–October 2020. Results: Of 227 participants, 87 (38.3%) could not be contacted on phone. We conducted telephonic qualitative interviews and assessed the SLT use status, willingness to quit and participate in the SLT cessation trial among the remaining 140 participants. Among these, 12.1% (17/140) showed no willingness to participate in the study due to migration. Since COVID-19 lockdown, 32.1% (45/140) participants reported quitting SLT due to non-availability, increased cost of products, shifts in community norms and family pressures. Conclusions: COVID-19 pandemic presented an opportunity for tobacco cessation as stringent bans and isolation from social circles enabled tobacco cessation. It also triggered improvement in dissemination of public health information at an unprecedented scale, particularly related to the vulnerability of tobacco users to co-morbidities and harm from SARS CoV-2 infection. Implementation of strict bans on sale and consumption of SLT and strengthening of cessation support may lead to sustainable tobacco control. This study provides insight into effective policy strategies to reduce SLT use; which need to be substantiated with adequate cessation support.Prashant Kumar SinghPankhuri JainVarsha PandeyShikha SaxenaSurbhi TripathiAnuj KumarLucky SinghShalini SinghElsevierarticleSmokeless tobaccoCOVID-19QuittingIndiaPublic aspects of medicineRA1-1270ENClinical Epidemiology and Global Health, Vol 12, Iss , Pp 100902- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Smokeless tobacco COVID-19 Quitting India Public aspects of medicine RA1-1270
spellingShingle	Smokeless tobacco COVID-19 Quitting India Public aspects of medicine RA1-1270 Prashant Kumar Singh Pankhuri Jain Varsha Pandey Shikha Saxena Surbhi Tripathi Anuj Kumar Lucky Singh Shalini Singh Smokeless tobacco quitting during COVID-19: A mixed-methods pilot study among participants screened for a cessation trial in India
description	Introduction: COVID-19 and subsequent country-wide lockdown has impacted smokeless tobacco (SLT) product availability in India. We aimed to examine SLT quitting during COVID-19 lockdown among SLT users who consented to be enrolled in a cessation programme. Methods: Between January–March 2020, we screened 227 exclusive SLT users to be enrolled in a randomized-controlled feasibility study on SLT cessation. However, all activities were suspended due to national lockdown in response to the COVID-19 pandemic. To examine the quitting intention and behaviour during COVID-19 lockdown, we re-contacted these individuals telephonically; during September–October 2020. Results: Of 227 participants, 87 (38.3%) could not be contacted on phone. We conducted telephonic qualitative interviews and assessed the SLT use status, willingness to quit and participate in the SLT cessation trial among the remaining 140 participants. Among these, 12.1% (17/140) showed no willingness to participate in the study due to migration. Since COVID-19 lockdown, 32.1% (45/140) participants reported quitting SLT due to non-availability, increased cost of products, shifts in community norms and family pressures. Conclusions: COVID-19 pandemic presented an opportunity for tobacco cessation as stringent bans and isolation from social circles enabled tobacco cessation. It also triggered improvement in dissemination of public health information at an unprecedented scale, particularly related to the vulnerability of tobacco users to co-morbidities and harm from SARS CoV-2 infection. Implementation of strict bans on sale and consumption of SLT and strengthening of cessation support may lead to sustainable tobacco control. This study provides insight into effective policy strategies to reduce SLT use; which need to be substantiated with adequate cessation support.
format	article
author	Prashant Kumar Singh Pankhuri Jain Varsha Pandey Shikha Saxena Surbhi Tripathi Anuj Kumar Lucky Singh Shalini Singh
author_facet	Prashant Kumar Singh Pankhuri Jain Varsha Pandey Shikha Saxena Surbhi Tripathi Anuj Kumar Lucky Singh Shalini Singh
author_sort	Prashant Kumar Singh
title	Smokeless tobacco quitting during COVID-19: A mixed-methods pilot study among participants screened for a cessation trial in India
title_short	Smokeless tobacco quitting during COVID-19: A mixed-methods pilot study among participants screened for a cessation trial in India
title_full	Smokeless tobacco quitting during COVID-19: A mixed-methods pilot study among participants screened for a cessation trial in India
title_fullStr	Smokeless tobacco quitting during COVID-19: A mixed-methods pilot study among participants screened for a cessation trial in India
title_full_unstemmed	Smokeless tobacco quitting during COVID-19: A mixed-methods pilot study among participants screened for a cessation trial in India
title_sort	smokeless tobacco quitting during covid-19: a mixed-methods pilot study among participants screened for a cessation trial in india
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/3d366f8283744ed8beb0d364868dbaab
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Smokeless tobacco quitting during COVID-19: A mixed-methods pilot study among participants screened for a cessation trial in India

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