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The study assessed association of perceived personal addiction and the perceived addictiveness of different forms of tobacco with type of tobacco product used, demographic characteristics and socio\u2010cultural factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional survey of 607 adult tobacco users with age 18\u2009years and above attending a general medicine out\u2010patient department was conducted. Participants were asked questions on perceived personal addiction to tobacco use and perception of addiction on tobacco products. Logistic regression was applied to investigate the association between demographic characteristics, type of tobacco, socio\u2010cultural factors and addiction perceptions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The odds of perceived addiction (PA) were lower among smokeless tobacco (SLT) users [OR (95% CI): 0.57 (0.37, 0.89)<jats:italic>P<\/jats:italic>\u00a0=\u00a00.01]. An increase in the odds of PA was seen as age increased [OR (95% CI):1.02 (1.00, 1.03)<jats:italic>P<\/jats:italic>\u00a0=\u00a00.01] and participants with secondary education and above had higher odds of PA compared to participants with no formal education [OR (95% CI): 1.68 (1.09, 2.58)<jats:italic>P<\/jats:italic>\u00a0=\u00a00.02]. The odds of perceiving SLT products to be addictive was lower among SLT users [OR (95% CI): 0.48 (0.30, 0.75)<jats:italic>P<\/jats:italic>\u00a0=\u00a00.002)] compared to combustible tobacco users. The odds of perceiving SLT products to be addictive was lower [(OR (95% CI): 0.35 (0.18, 0.67)<jats:italic>P<\/jats:italic>\u00a0=\u00a00.002)] among females. Participants with secondary education and above had higher odds of perceiving combustible [OR (95% CI): 1.80 (1.17, 2.77)<jats:italic>P<\/jats:italic>\u00a0=\u00a00.008)] and SLT products [OR (95% CI): 1.98 (1.20, 3.30)<jats:italic>P<\/jats:italic>\u00a0=\u00a00.008)] to be addictive compared to no schooling.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>There is a need to raise awareness in India of the addictiveness of tobacco, particularly for users of SLT, younger people and those with less education.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.13440","type":"journal-article","created":{"date-parts":[[2022,3,3]],"date-time":"2022-03-03T05:35:04Z","timestamp":1646285704000},"page":"1184-1194","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Addiction perceptions among users of smokeless or combustible tobacco attending a tertiary care hospital in India"],"prefix":"10.1111","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5825-8077","authenticated-orcid":false,"given":"Vaibhav P.","family":"Thawal","sequence":"first","affiliation":[{"name":"School of Medicine and Public Health University of Newcastle Newcastle Australia"},{"name":"Hunter Medical Research Institute New Lambton Heights Newcastle Australia"},{"name":"Priority Research Centre for Health Behaviour University of Newcastle Newcastle Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9914-2732","authenticated-orcid":false,"given":"Flora","family":"Tzelepis","sequence":"additional","affiliation":[{"name":"School of Medicine and Public Health University of Newcastle Newcastle Australia"},{"name":"Hunter Medical Research Institute New Lambton Heights Newcastle Australia"},{"name":"Priority Research Centre for Health Behaviour University of Newcastle Newcastle Australia"},{"name":"Hunter New England Population Health Hunter New England Local Health District Newcastle Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2273-0445","authenticated-orcid":false,"given":"Sima","family":"Ahmadi","sequence":"additional","affiliation":[{"name":"Hunter Medical Research Institute New Lambton Heights Newcastle Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6622-0805","authenticated-orcid":false,"given":"Kerrin","family":"Palazzi","sequence":"additional","affiliation":[{"name":"Hunter Medical Research Institute New Lambton Heights Newcastle Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0504-5246","authenticated-orcid":false,"given":"Christine","family":"Paul","sequence":"additional","affiliation":[{"name":"School of Medicine and Public Health University of Newcastle Newcastle Australia"},{"name":"Hunter Medical Research Institute New Lambton Heights Newcastle Australia"},{"name":"Priority Research Centre for Health Behaviour University of Newcastle Newcastle Australia"},{"name":"Priority Research Centre for Cancer Research Innovation and Translation, University of Newcastle Newcastle Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,3,2]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1073274820914659"},{"volume-title":"Treating Tobacco Use and Dependence: 2008 Update. 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