Science Journal of Public Health

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Motivation for Cessation of Smoking and Its Associated Factors Among Patients Who Smoke Admitted to A Tertiary Hospital in North Kerala

Received: 21 November 2016    Accepted: 06 December 2016    Published: 12 January 2017
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Abstract

Use of tobacco is associated with significant morbidity and mortality globally. It is one of the leading risk factors of several diseases including cardiovascular pulmonary diseases and cancers. Stopping smoking has immediate and major health benefits. A major opportunity to promote health and well being exists in hospitals when smokers get admitted as patients. Doctors and paramedical staff have the authoritative power to ask patients to stop smoking. Thus this study was conducted to find out the percentage of smoker patients who were motivated by doctors to quit smoking. In addition the socio demographic characteristics and smoking habits were studied and also factors that were associated with attitude for quitting smoking were assessed. A hospital based cross sectional study with quantitative method of data collection was done among patients who are smokers admitted to this hospital for smoking related diseases like coronary vascular disease (CVD), lung and any other diseases apparently not related to smoking. Quantitative data was collected through face to face interview using a pre tested questionnaire. Analysis was done with descriptive statistics and chi square using epi info. Out of 179 patients who participated 177 were males. The mean age of patients was 54.8 with a standard deviation of 14.6 years. More than 85% belonged to the lower and lower middle class. More than 50% of patients smoked cigarettes. The mean age of initiation of smoking was 16 years and peer pressure was the most common reason for initiation. In this study 64% of the total smoker patients were motivated by doctors to quit smoking while only 26% of smoker patients admitted for non related diseases were motivated by doctors Brief advice by doctors and the smoking related diseases namely lung and CVD’s were factors associated with motivation to stop smoking while social class was not associated with motivation for cessation. Simply addressing the topic of smoking is a crucial first step in a medical consultation. Patients with tobacco-related complaints should be told that their problem is related to tobacco use and they should consider quitting. With patients who do not have tobacco related diseases the subject of tobacco usage will have to be addressed in a general way. Introducing the smoking topic can initiate a structured intervention tailored to the patient's needs.

DOI 10.11648/j.sjph.20170501.15
Published in Science Journal of Public Health (Volume 5, Issue 1, January 2017)
Page(s) 35-40
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Smoking, Cessation, Motivation

References
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[2] K Srinath Reddy, Prakash C Gupta Editors, Report on Tobacco Control in India, Ministry Of Health and Family Welfare, CDC –USA, WHO, 2004.
[3] (IIPS), Mumbai and Ministry of Health and Family welfare, GOI, New Delhi; 2010.
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[8] Helping Patients stop – The Role of Hospitals in Smoking Cessation. Conference Report, Action on Smoking and Health, Wales, Cardiff, March 2002.
[9] John R Hughes, Motivating and helping smokers to stop smoking. J Gen Intern Med. 2003 Dec; 18(12): 1053–1057.
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[20] Mythily Subramaniam, Shazana Shahwan, Restria Fauziana, Pratika Satghare, Louisa Picco, Janhavi Ajit Vaingankar et al. Perspectives on Smoking Initiation and Maintenance: A Qualitative Exploration among Singapore Youth, Int. J. Environ. Res. Public Health 2015, 12(8), 8956-8970.
[21] Raj Narain, Sarita Sardana, Sanjay Gupta, Ashok Sehgal. Age at initiation & prevalence of tobacco use among school children in Noida, India: A cross-sectional questionnaire based survey: Indian J Med Res. 2011 Mar; 133(3): 300–307.
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Author Information
  • Department of Community Medicine, Academy of Medical Sciences, Pariyaram, Kannur, India

  • Department of Community Medicine, Academy of Medical Sciences, Pariyaram, Kannur, India

  • Department of Community Medicine, Academy of Medical Sciences, Pariyaram, Kannur, India

  • Department of Community Medicine, Academy of Medical Sciences, Pariyaram, Kannur, India

  • Department of Community Medicine, Academy of Medical Sciences, Pariyaram, Kannur, India

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    Usha Karunakaran, Binoo Divakaran, Suma Harindramohan, Ganesh Mallar, Jayasree Anandabhavan Kumaran. (2017). Motivation for Cessation of Smoking and Its Associated Factors Among Patients Who Smoke Admitted to A Tertiary Hospital in North Kerala. Science Journal of Public Health, 5(1), 35-40. https://doi.org/10.11648/j.sjph.20170501.15

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    Usha Karunakaran; Binoo Divakaran; Suma Harindramohan; Ganesh Mallar; Jayasree Anandabhavan Kumaran. Motivation for Cessation of Smoking and Its Associated Factors Among Patients Who Smoke Admitted to A Tertiary Hospital in North Kerala. Sci. J. Public Health 2017, 5(1), 35-40. doi: 10.11648/j.sjph.20170501.15

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    AMA Style

    Usha Karunakaran, Binoo Divakaran, Suma Harindramohan, Ganesh Mallar, Jayasree Anandabhavan Kumaran. Motivation for Cessation of Smoking and Its Associated Factors Among Patients Who Smoke Admitted to A Tertiary Hospital in North Kerala. Sci J Public Health. 2017;5(1):35-40. doi: 10.11648/j.sjph.20170501.15

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  • @article{10.11648/j.sjph.20170501.15,
      author = {Usha Karunakaran and Binoo Divakaran and Suma Harindramohan and Ganesh Mallar and Jayasree Anandabhavan Kumaran},
      title = {Motivation for Cessation of Smoking and Its Associated Factors Among Patients Who Smoke Admitted to A Tertiary Hospital in North Kerala},
      journal = {Science Journal of Public Health},
      volume = {5},
      number = {1},
      pages = {35-40},
      doi = {10.11648/j.sjph.20170501.15},
      url = {https://doi.org/10.11648/j.sjph.20170501.15},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.sjph.20170501.15},
      abstract = {Use of tobacco is associated with significant morbidity and mortality globally. It is one of the leading risk factors of several diseases including cardiovascular pulmonary diseases and cancers. Stopping smoking has immediate and major health benefits. A major opportunity to promote health and well being exists in hospitals when smokers get admitted as patients. Doctors and paramedical staff have the authoritative power to ask patients to stop smoking. Thus this study was conducted to find out the percentage of smoker patients who were motivated by doctors to quit smoking. In addition the socio demographic characteristics and smoking habits were studied and also factors that were associated with attitude for quitting smoking were assessed. A hospital based cross sectional study with quantitative method of data collection was done among patients who are smokers admitted to this hospital for smoking related diseases like coronary vascular disease (CVD), lung and any other diseases apparently not related to smoking. Quantitative data was collected through face to face interview using a pre tested questionnaire. Analysis was done with descriptive statistics and chi square using epi info. Out of 179 patients who participated 177 were males. The mean age of patients was 54.8 with a standard deviation of 14.6 years. More than 85% belonged to the lower and lower middle class. More than 50% of patients smoked cigarettes. The mean age of initiation of smoking was 16 years and peer pressure was the most common reason for initiation. In this study 64% of the total smoker patients were motivated by doctors to quit smoking while only 26% of smoker patients admitted for non related diseases were motivated by doctors Brief advice by doctors and the smoking related diseases namely lung and CVD’s were factors associated with motivation to stop smoking while social class was not associated with motivation for cessation. Simply addressing the topic of smoking is a crucial first step in a medical consultation. Patients with tobacco-related complaints should be told that their problem is related to tobacco use and they should consider quitting. With patients who do not have tobacco related diseases the subject of tobacco usage will have to be addressed in a general way. Introducing the smoking topic can initiate a structured intervention tailored to the patient's needs.},
     year = {2017}
    }
    

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    AU  - Usha Karunakaran
    AU  - Binoo Divakaran
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    AU  - Ganesh Mallar
    AU  - Jayasree Anandabhavan Kumaran
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    JO  - Science Journal of Public Health
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    PB  - Science Publishing Group
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    UR  - https://doi.org/10.11648/j.sjph.20170501.15
    AB  - Use of tobacco is associated with significant morbidity and mortality globally. It is one of the leading risk factors of several diseases including cardiovascular pulmonary diseases and cancers. Stopping smoking has immediate and major health benefits. A major opportunity to promote health and well being exists in hospitals when smokers get admitted as patients. Doctors and paramedical staff have the authoritative power to ask patients to stop smoking. Thus this study was conducted to find out the percentage of smoker patients who were motivated by doctors to quit smoking. In addition the socio demographic characteristics and smoking habits were studied and also factors that were associated with attitude for quitting smoking were assessed. A hospital based cross sectional study with quantitative method of data collection was done among patients who are smokers admitted to this hospital for smoking related diseases like coronary vascular disease (CVD), lung and any other diseases apparently not related to smoking. Quantitative data was collected through face to face interview using a pre tested questionnaire. Analysis was done with descriptive statistics and chi square using epi info. Out of 179 patients who participated 177 were males. The mean age of patients was 54.8 with a standard deviation of 14.6 years. More than 85% belonged to the lower and lower middle class. More than 50% of patients smoked cigarettes. The mean age of initiation of smoking was 16 years and peer pressure was the most common reason for initiation. In this study 64% of the total smoker patients were motivated by doctors to quit smoking while only 26% of smoker patients admitted for non related diseases were motivated by doctors Brief advice by doctors and the smoking related diseases namely lung and CVD’s were factors associated with motivation to stop smoking while social class was not associated with motivation for cessation. Simply addressing the topic of smoking is a crucial first step in a medical consultation. Patients with tobacco-related complaints should be told that their problem is related to tobacco use and they should consider quitting. With patients who do not have tobacco related diseases the subject of tobacco usage will have to be addressed in a general way. Introducing the smoking topic can initiate a structured intervention tailored to the patient's needs.
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