Smokeless tobacco cessation in South Asian communities: a multi-centre prospective cohort study
Article first published online: 2 NOV 2012
© 2012 The Authors, Addiction © 2012 Society for the Study of Addiction
Special Issue: Engaging Disadvantaged Tobacco Users with Cessation Support
Volume 107, Issue Supplement S2, pages 45–52, December 2012
How to Cite
Croucher, R., Shanbhag, S., Dahiya, M., Kassim, S., Csikar, J. and Ross, L. (2012), Smokeless tobacco cessation in South Asian communities: a multi-centre prospective cohort study. Addiction, 107: 45–52. doi: 10.1111/j.1360-0443.2012.04085.x
- Issue published online: 2 NOV 2012
- Article first published online: 2 NOV 2012
- Manuscript Accepted: 28 AUG 2012
- Manuscript Revised: 25 FEB 2012
- Manuscript Received: 13 FEB 2012
- NHS Tower Hamlets
- prospective cohort study;
- smokeless tobacco;
- South Asians
To evaluate smokeless tobacco cessation in communities of South Asian origin.
Multi-centre prospective cohort study.
Three tobacco cessation services offering specialist smokeless tobacco cessation outreach clinic support to South Asians (Bangladeshi, Indian and Pakistani) resident in England.
A total of 239 South Asian participants seeking to stop smokeless tobacco use between November 2010 and December 2011.
Socio-demographics, tobacco use and dependence, self-reported abstinence at 4 weeks and satisfaction measures.
Participants' mean age was 45 [standard deviation (SD) = 13] years, were predominantly female (76%), of Bangladeshi origin (74%), either home carers (53%) or not working (29%). Sixty-three per cent were recruited from community locations, 21% through a clinical contact and 16% through friends and family. Mean daily number of smokeless tobacco intakes was 10 (SD = 7) and the mean dependence score was 4.5 (SD = 1.9). Sixty-three per cent of participants achieved continuous abstinence 4 weeks after quitting. Using nicotine replacement therapy (NRT) versus not using it [OR = 3.47, 95% confidence interval (CI): 1.25, 9.62] and below median (≤8) daily smokeless tobacco intakes (OR = 1.91, 95% CI: 1.07, 3.40) predicted successful abstinence.
South Asian smokeless tobacco users resident in England accessing services to help them stop appear to have short-term success rates comparable with smokers attending stop-smoking services, with higher success rates being reported by those using nicotine replacement therapy.