{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:57:35Z","timestamp":1747184255911,"version":"3.40.5"},"reference-count":28,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,6,28]],"date-time":"2022-06-28T00:00:00Z","timestamp":1656374400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Addiction to tobacco is one of the main drivers of continued tobacco use. This study explored whether perceived addiction, type of tobacco and demographic characteristics were associated with past quit attempts (PQA), intention and self\u2010efficacy to quit among combustible tobacco (CT) or smokeless tobacco (SLT) users in India.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional survey was conducted among adult tobacco users (<jats:italic>N<\/jats:italic>\u00a0=\u00a0607) attending an out\u2010patient department in Mumbai. Logistic regression analysis was used to investigate the association between demographic characteristics, type of tobacco, addiction perceptions and cessation behaviours.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Being \u2018a little addicted\u2019 (adjusted odds ratio, AOR [95% confidence interval, CI] 2.75 [1.83, 4.11],<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001) or \u2018quite addicted\u2019 (AOR [95% CI] 2.93 [1.53, 5.62],<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0012) was associated with lower odds of making a PQA compared to \u2018not addicted at all\u2019. Being a SLT user (AOR [95% CI] 0.64 [0.41, 0.99],<jats:italic>P<\/jats:italic>\u00a0=\u00a00.047) and female (AOR [95% CI] 0.46 [0.26, 0.81],<jats:italic>P<\/jats:italic>\u00a0=\u00a00.0068) was associated with lower odds of making a PQA. There was a significant decrease in the odds of intention to quit as age increased by 1 year (AOR [95% CI] 0.98 [0.97, 0.99],<jats:italic>P<\/jats:italic>\u00a0=\u00a00.0018). Being identified as \u2018a little addicted\u2019 (AOR [95% CI] 0.28 [0.14, 0.55],<jats:italic>P<\/jats:italic>\u00a0=\u00a00.0003), \u2018quite addicted\u2019 (AOR [95% CI] 0.16 [0.07, 0.39],<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001) or \u2018very addicted\u2019 (AOR [95% CI] 0.09 [0.04, 0.19],<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001) was associated with lower odds of self\u2010efficacy to quit compared to \u2018not addicted at all\u2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusion<\/jats:title><jats:p>Lack of awareness about addiction may inhibit cessation, particularly among less educated and female users of SLT and CT products.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.13507","type":"journal-article","created":{"date-parts":[[2022,6,28]],"date-time":"2022-06-28T13:54:04Z","timestamp":1656424444000},"page":"1510-1520","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association between perceived addiction and cessation behaviours among users of smokeless or combustible tobacco 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 Newcastle Australia"},{"name":"Priority Research Centre for Health Behaviour University of Newcastle Newcastle Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Flora","family":"Tzelepis","sequence":"additional","affiliation":[{"name":"School of Medicine and Public Health University of Newcastle Newcastle Australia"},{"name":"Hunter Medical Research Institute 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"}]},{"given":"Sima","family":"Ahmadi","sequence":"additional","affiliation":[{"name":"Hunter Medical Research Institute Newcastle Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Paul","sequence":"additional","affiliation":[{"name":"School of Medicine and Public Health University of Newcastle Newcastle Australia"},{"name":"Hunter Medical Research Institute 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":[[2022,6,28]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-021-11801-w"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2018.11.030"},{"volume-title":"The science of drug use and addiction: the basics","year":"2018","author":"National Institute of Drug Abuse (NIDA)","key":"e_1_2_12_5_1"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntx186"},{"volume-title":"Finding the strength to kill your best friend: smokers talk about smoking and quitting","year":"2001","author":"Carter S","key":"e_1_2_12_7_1"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2009.06.015"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/09595230701710829"},{"volume-title":"Tobacco in Australia: facts and issues Melbourne","year":"2016","author":"Greenhalgh E","key":"e_1_2_12_10_1"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2008.02.017"},{"key":"e_1_2_12_12_1","unstructured":"World Health Organization (WHO).WHO global report on trends in prevalence of tobacco use 2000\u20102025. 2019."},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-016-3177-8"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-13-263"},{"volume-title":"Global adult tobacco survey GATS 2 India 2016\u201017","year":"2018","author":"Tata Institute of Social Sciences (TISS), Mumbai and Ministry of Health and Family Welfare, Government of India","key":"e_1_2_12_15_1"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jegh.2014.05.001"},{"key":"e_1_2_12_17_1","unstructured":"VashiGH.Navi Mumbai Municipal Corporation (NMMC). Available from:https:\/\/nmmc.gov.in\/navimumbai\/general-hospital-vashi-cps. Accessed March 2021"},{"key":"e_1_2_12_18_1","unstructured":"Ontario Tobacco Research Unit \u2010 Questions from Population Surveys of Tobacco Use in Canada [Internet].2018. Available from:https:\/\/www.otru.org.resources. Accessed July 2018"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijmr.IJMR_537_20"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-021-12261-y"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2004.03.001"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2017.11.009"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijc.IJC_203_17"},{"key":"e_1_2_12_24_1","unstructured":"India Details Tobacco Control laws.2021. Available from:https:\/\/www.tobaccocontrollaws.org\/legislation\/country\/india\/pl-content. Accessed March 2021"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.4103\/jfmpc.jfmpc_169_18"},{"key":"e_1_2_12_26_1","doi-asserted-by":"crossref","first-page":"141","DOI":"10.4103\/jpgm.JPGM_408_19","article-title":"Willingness to quit tobacco and its correlates among Indian tobacco users\u2014findings from the global adult tobacco survey India, 2016\u201317","volume":"66","author":"Kar S","year":"2020","journal-title":"J Postgrad Med"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/2010105816667137"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.4103\/0253-7176.168613"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph9020564"}],"container-title":["Drug and Alcohol Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/dar.13507","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/dar.13507","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/dar.13507","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T23:41:01Z","timestamp":1727480461000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/dar.13507"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,28]]},"references-count":28,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2022,11]]}},"alternative-id":["10.1111\/dar.13507"],"URL":"https:\/\/doi.org\/10.1111\/dar.13507","archive":["Portico"],"relation":{},"ISSN":["0959-5236","1465-3362"],"issn-type":[{"type":"print","value":"0959-5236"},{"type":"electronic","value":"1465-3362"}],"subject":[],"published":{"date-parts":[[2022,6,28]]},"assertion":[{"value":"2022-01-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-05-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-06-28","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}