{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T18:08:19Z","timestamp":1779127699807,"version":"3.51.4"},"reference-count":64,"publisher":"Public Library of Science (PLoS)","issue":"5","license":[{"start":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T00:00:00Z","timestamp":1779062400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Healthcare provider (HCP) advice to quit smoking is an essential component of smoking cessation interventions. The National Family Health Survey (NFHS) is a periodic health survey of the Indian population. In this cross-sectional analysis we compared NFHS 2015\u221216 to NFHS 2019\u221221, and examined the prevalence of the HCP advice to quit tobacco and its associated factors among male cigarette and bidi users.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The analytic sample included those who had a HCP visit in the past 12 months. We defined quit advice as receiving any advice to quit smoking from a HCP in the last 12 months (\u201cHCP advice to quit\u201d). We compared sociodemographic characteristics of participants between NFHS-4 and 5. We pooled both samples to conduct multivariate logistic regression analysis for the binary outcome of HCP advice to quit, and examined sociodemographic (age, education, caste, occupation), lifestyle and environmental (smoking frequency, alcohol consumption, second hand smoke exposure), health (non-communicable disease diagnosis), and healthcare use (oral examination, health insurance coverage) factors associated with this outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among cigarette and bidi users visiting a HCP, advice to quit significantly improved from NFHS-4 (54.2%) to NFHS-5 (56.7%) (p\u2009&lt;\u20090.025). Being 45\u221254 years of age (AOR\u2009=\u20091.67, 95% CI\u2009=\u20091.47-1.89), having a non-communicable disease diagnosis (AOR\u2009=\u20091.80, 95% CI\u2009=\u20091.53-2.12), and smoking &gt;10 cigarettes\/bidi per day (AOR\u2009=\u20091.44, 95% CI\u2009=\u20091.29-1.60) were significantly associated with HCP advice to quit. Individuals from Scheduled Tribes were less likely to receive HCP advice to quit (AOR\u2009=\u20090.60, 95% CI\u2009=\u20090.50-0.71).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>While HCP advice to quit increased from NFHS-4 to NFHS-5, it was limited to those who fit the risk factor profile of a middle-aged male with non-communicable diseases. Although the study is limited by self-reported cross sectional data and survey-item differences between NFHS rounds, our findings present a pressing need for interventions to increase HCP advice to quit to other demographics of men who smoke.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0349022","type":"journal-article","created":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T17:30:10Z","timestamp":1779125410000},"page":"e0349022","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Receipt of healthcare provider advice to quit tobacco use among Indian men"],"prefix":"10.1371","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9358-9712","authenticated-orcid":true,"given":"Prakash Babu","family":"Kodali","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maya","family":"Vijayaraghavan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2026,5,18]]},"reference":[{"issue":"10292","key":"pone.0349022.ref001","doi-asserted-by":"crossref","first-page":"2337","DOI":"10.1016\/S0140-6736(21)01169-7","article-title":"Spatial, temporal, and demographic patterns in prevalence of smoking tobacco use and attributable disease burden in 204 countries and territories, 1990-2019: a systematic analysis from the Global Burden of Disease Study 2019","volume":"397","author":"GBD 2019 Tobacco Collaborators","year":"2021","journal-title":"Lancet"},{"issue":"10","key":"pone.0349022.ref002","doi-asserted-by":"crossref","first-page":"4790","DOI":"10.3390\/ijerph10104790","article-title":"Smoking behaviour and mental health disorders--mutual influences and implications for therapy","volume":"10","author":"A Minichino","year":"2013","journal-title":"Int J Environ Res Public Health"},{"issue":"10","key":"pone.0349022.ref003","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2022.31480","article-title":"Association Between Smoking, Smoking Cessation, and Mortality by Race, Ethnicity, and Sex Among US Adults","volume":"5","author":"B Thomson","year":"2022","journal-title":"JAMA Netw Open"},{"key":"pone.0349022.ref004","author":"TISS Mumbai, WHO, CDC, MoHFW","year":"2017"},{"issue":"10082","key":"pone.0349022.ref005","doi-asserted-by":"crossref","first-page":"1885","DOI":"10.1016\/S0140-6736(17)30819-X","article-title":"Smoking prevalence and attributable disease burden in 195 countries and territories, 1990-2015: a systematic analysis from the Global Burden of Disease Study 2015","volume":"389","author":"Collaborators GBD 2015 Tobacco","year":"2017","journal-title":"Lancet"},{"key":"pone.0349022.ref006","year":"2018"},{"issue":"1","key":"pone.0349022.ref007","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2021-050916","article-title":"Theoretical constructs of smoking cessation among current tobacco smokers in India: a secondary analysis of Global Adult Tobacco Survey-2 (2016-2017)","volume":"12","author":"G Bhatt","year":"2022","journal-title":"BMJ Open"},{"issue":"3","key":"pone.0349022.ref008","doi-asserted-by":"crossref","first-page":"394","DOI":"10.4103\/ijc.IJC_213_19","article-title":"Socio-demographic correlates of quit attempts and successful quitting among smokers in India: analysis of Global Adult Tobacco Survey 2016-17","volume":"58","author":"JP Tripathy","year":"2021","journal-title":"Indian J Cancer"},{"issue":"9842","key":"pone.0349022.ref009","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1016\/S0140-6736(12)61085-X","article-title":"Tobacco use in 3 billion individuals from 16 countries: an analysis of nationally representative cross-sectional household surveys","volume":"380","author":"GA Giovino","year":"2012","journal-title":"Lancet"},{"key":"pone.0349022.ref010","doi-asserted-by":"crossref","first-page":"353","DOI":"10.12688\/wellcomeopenres.17465.3","article-title":"Trends and correlates of hardcore smoking in India: findings from the Global Adult Tobacco Surveys 1 & 2","volume":"6","author":"KP Veena","year":"2022","journal-title":"Wellcome Open Res"},{"issue":"4","key":"pone.0349022.ref011","first-page":"355","article-title":"Social exclusion, caste & health: a review based on the social determinants framework","volume":"126","author":"KR Nayar","year":"2007","journal-title":"Indian J Med Res"},{"issue":"1","key":"pone.0349022.ref012","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1186\/s12939-022-01817-y","article-title":"Why are they \u201cunreached\u201d? 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