Poor implementation of tobacco control measures and lack of education influences the intention to quit tobacco: a structural equation modelling approach
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John, Tenny
Kaur, Damanpreet
Nayeem, Maryam
Ahmed, Mohammed Khaleel
Kamel, Ahmed M
Tadakamadla, Santosh Kumar
Caponio, Vito Carlo Alberto
Lo Muzio, Lorenzo
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Abstract
Background: Tobacco consumption remains a public health issue and is one of the major causes of death in India. This study presents a validated conceptual model to assess the interaction between education, perceived application of tobacco control measures, type of tobacco and their effects on the intention to quit tobacco. Additionally, the direct and mediating roles of tobacco use -frequency, -duration, and -dependency on the intention to quit is also investigated. Methods: An analytical cross-sectional study was carried out, and data from tobacco users of six randomly selected states in India was collected via face-to-face interviews. Structural equation modeling (SEM) was performed using R v 3.6.3 to test the model fit and to explore the association between tobacco control measures and the intention to quit tobacco. Results: From 1962 tobacco users, 43.7% wanted to quit tobacco immediately. Tambakoo (57.7%) was the most common type of tobacco used and 68.9% said that minors could buy tobacco. Findings from SEM showed that that one standard deviation (SD) increase in the perceived application of tobacco control measures is directly associated with a 0.181 SD increase in the intention to quit tobacco (B = 0.181, P < 0.001), and this effect was partially mediated by frequency of tobacco consumption (B = 0.06, P < 0.05). Also, a better education level was associated with a higher intention to quit tobacco (B = 0.14, P < 0.001). Conclusions: To conclude, the application of tobacco control measures and a better education level may positively affect the intention to quit tobacco. The frequency of tobacco use and the number of influencers play an essential role in deciding to quit. In future, longitudinal studies are recommended to further substantiate the evidence.
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BMC Public Health
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22
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1
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© The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made.
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Public health
Science & Technology
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
Quit tobacco
Adults
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Quadri, MFA; John, T; Kaur, D; Nayeem, M; Ahmed, MK; Kamel, AM; Tadakamadla, SK; Caponio, VCA; Lo Muzio, L, Poor implementation of tobacco control measures and lack of education influences the intention to quit tobacco: a structural equation modelling approach, BMC Public Health, 2022, 22 (1), pp. 1199