{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T02:10:50Z","timestamp":1788401450141,"version":"build-2803163510"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T00:00:00Z","timestamp":1748995200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100020412","name":"Vital Strategies","doi-asserted-by":"publisher","award":["INDIA-30-19"],"award-info":[{"award-number":["INDIA-30-19"]}],"id":[{"id":"10.13039\/100020412","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,6,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Tobacco use among healthcare workers compromises their role as cessation advocates. This study focuses on nicotine dependence, quit intentions, and cessation efforts among daily tobacco-using healthcare students, professionals, and staff in Eastern India.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A multicentric cross-sectional study using a structured questionnaire was conducted in 24 healthcare institutions across Bihar and Jharkhand during July\u2013August 2023, analysing data from 729 daily tobacco users among a total of 7619 participants.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The mean nicotine dependence score was 4.6\u2005\u00b1\u20052.3, with 49.2% showing moderate dependence, 38.4% low, and 12.3% high. Among daily users, 63.1% expressed quit intentions. Two-thirds (67.9%) attempted to quit in the past year, with 36.6% using nicotine replacement therapy and 62.0% trying unaided. Participants without quit intentions had higher odds of moderate dependence [adjusted odds ratio (AOR)\u2005=\u20059.36] and high dependence (AOR\u2005=\u200528.8). Receiving no cessation advice increased the odds of moderate (AOR\u2005=\u20055.30) and high dependence (AOR\u2005=\u200516.15). Quit intentions were associated with lower nicotine dependence (AOR\u2005=\u200529.9 for low and 4.04 for moderate), receiving quit advice (AOR\u2005=\u20052.03), and awareness of tobacco control laws (AOR\u2005=\u20051.08 per unit). Quit attempts were influenced by quit intentions (AOR\u2005=\u200513.03), lower nicotine dependence (AOR\u2005=\u20052.68 for moderate), and receiving cessation advice (AOR\u2005=\u20052.82).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The study population showed moderate nicotine dependence and substantial quit intentions, emphasizing the need for stronger healthcare-led cessation efforts to enhance success and empower healthcare workers as tobacco control advocates.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/fampra\/cmaf029","type":"journal-article","created":{"date-parts":[[2025,6,29]],"date-time":"2025-06-29T04:05:00Z","timestamp":1751169900000},"source":"Crossref","is-referenced-by-count":3,"title":["Nicotine dependence, quit intentions, and cessation efforts among daily tobacco-using healthcare students, professionals, and staff in Eastern India: insights from a multicentric study"],"prefix":"10.1093","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7609-6446","authenticated-orcid":false,"given":"Bijit","family":"Biswas","sequence":"first","affiliation":[{"name":"Department of Community & Family Medicine, All India Institute of Medical Sciences , Deoghar 814152, Jharkhand ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saurabh","family":"Varshney","sequence":"additional","affiliation":[{"name":"Executive Director & Chief Executive Officer, All India Institute of Medical Sciences , Deoghar 814152, Jharkhand ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Jahnavi","sequence":"additional","affiliation":[{"name":"Department of Community & Family Medicine, All India Institute of Medical Sciences , Deoghar 814152, Jharkhand ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Venkata 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