{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T23:01:37Z","timestamp":1788994897059,"version":"build-2803163510"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Tobacco use remains a leading disease burden and mortality in India. As key influencers in public health, healthcare professionals (HCPs) play a crucial role in tobacco prevention and control. This study aimed to evaluate the knowledge, attitudes, and practices of government HCPs and workers regarding the harmful effects of tobacco, their perceptions, and usage behaviors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MATERIALS AND METHODS:<\/jats:title>\n                    <jats:p>\n                      A cross-sectional study design was implemented among 366 government HCPs and workers selected through a multistage simple random sampling method from two districts in Jharkhand. One block was randomly selected from each district. Participants were equally divided (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 183 each). Data were collected using a structured, self-designed validated questionnaire, with a Content Validity Index of 0.86 and Cronbach\u2019s alpha of 0.75. Statistical analysis involved descriptive methods, Chi-square tests using Jamovi software (Version Solid 2.6.0.0, Sydney, Australia) with a significance level set at\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>The study revealed that 63.1% of respondents were aware of tobacco\u2019s health risks, yet only 45.6% knew about tobacco control laws, indicating a significant knowledge gap. Despite their professional roles, 44% reported using tobacco, often influenced by social pressure, stress, and perceived status. Encouragingly, 35.2% showed willingness to quit. A significant association was found between gender and tobacco use patterns. Counseling and local-level awareness initiatives were preferred methods for intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>This study achieved its objective by identifying gaps in awareness and practices related to tobacco use among healthcare personnel. The high prevalence of tobacco use and limited awareness of laws point to the need for targeted cessation support and gender-responsive strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jehp.jehp_203_25","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T13:02:22Z","timestamp":1769778142000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Tobacco usage among healthcare professionals and workers in tribal areas of Jharkhand \u2013 A cross-sectional study"],"prefix":"10.4103","volume":"15","author":[{"given":"Rohit","family":"Raj","sequence":"first","affiliation":[{"name":"Department of Community Medicine, Manipal Tata Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jarina","family":"Begum","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Manipal Tata Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syed Irfan","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Manipal Tata Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swati","family":"Shikha","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Manipal Tata Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Manipal Tata Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aashish","family":"Papneja","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Adesh Medical College and Hospital, Ambala, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1]]},"reference":[{"key":"R2-20260130","article-title":"GATS2 (Global Adult Tobacco Survey) Fact Sheet, India, 2016\u201317"},{"key":"R3-20260130","doi-asserted-by":"crossref","first-page":"438","DOI":"10.4103\/2319-5932.171161","article-title":"Health professional\u2019s perception toward tobacco cessation: A cross-sectional study","volume":"13","author":"Aggarwal","year":"2015","journal-title":"J Indian Assoc Public Health Dent"},{"key":"R5-20260130","doi-asserted-by":"crossref","first-page":"e0282487","DOI":"10.1371\/journal.pone.0282487","article-title":"Social determinants of tobacco use among tribal communities in India: Evidence from the first wave of Longitudinal Ageing Study in India","volume":"18","author":"Murmu","year":"2023","journal-title":"PLoS One"},{"key":"R8-20260130","doi-asserted-by":"crossref","first-page":"3257","DOI":"10.4103\/jfmpc.jfmpc_2216_21","article-title":"Knowledge, attitude, and practices toward tobacco control among rural community health care workers of primary subcenters in Belagavi district, Karnataka","volume":"11","author":"Pai Khot","year":"2022","journal-title":"J Family Med Prim Care"},{"key":"R9-20260130","doi-asserted-by":"crossref","first-page":"1209","DOI":"10.1093\/ntr\/ntae058","article-title":"Integration of a tobacco cessation program into a rural community-based maternal and child health program in India: A stakeholders\u2019 perspective on task shifting","volume":"26","author":"Gupte","year":"2024","journal-title":"Nicotine Tob Res"},{"key":"R10-20260130","doi-asserted-by":"crossref","first-page":"1468","DOI":"10.4103\/jfmpc.jfmpc_100_23","article-title":"Frontline health workers improves tobacco cessation through health literacy","volume":"12","author":"Ragavane","year":"2023","journal-title":"J Family Med Prim Care"},{"key":"R11-20260130","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1515\/reveh-2022-0160","article-title":"Evolution of tobacco control in India: A narrative review of the legislative and regulatory approach","volume":"39","author":"Bhatia","year":"2024","journal-title":"Rev Environ Health"},{"key":"R12-20260130","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1111\/add.16685","article-title":"Understanding the mechanisms of change in social norms around tobacco use: A systematic review and meta-analysis of interventions","volume":"120","author":"Lahiri","year":"2024","journal-title":"Addiction"},{"key":"R13-20260130","doi-asserted-by":"crossref","first-page":"e002367","DOI":"10.1136\/bmjgh-2020-002367","article-title":"Smokeless tobacco control in India: Policy review and lessons for high-burden countries","volume":"5","author":"Yadav","year":"2020","journal-title":"BMJ Glob Health"},{"key":"R14-20260130","first-page":"1","article-title":"From tradition to troubles: Evaluating the consumption of opium as social practice in western Rajasthan","volume":"12","author":"Bharti","year":"2023","journal-title":"J Drug Alcohol Res"},{"key":"R15-20260130","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1093\/heapol\/czad056","article-title":"Determinants of initiation, continuation and cessation of smokeless tobacco use among pregnant and lactating women: A qualitative study from low-income communities in urban India","volume":"38","author":"Singh","year":"2023","journal-title":"Health Policy Plan"},{"key":"R16-20260130","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1093\/heapro\/daq008","article-title":"Community-based model for preventing tobacco use among disadvantaged adolescents in urban slums of India","volume":"25","author":"Arora","year":"2010","journal-title":"Health Promot Int"},{"key":"R17-20260130","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1016\/j.cegh.2019.09.009","article-title":"Tobacco use among health care workers of tertiary care center of Faridabad, Haryana, India","volume":"8","author":"Prasad","year":"2020","journal-title":"Clin Epidemiol Glob Health"},{"key":"R18-20260130","doi-asserted-by":"crossref","first-page":"78","DOI":"10.4103\/amit.amit_15_22","article-title":"Relationship between peer pressure and initiation of smoking and alcoholism among the college-going students of Kolkata: A case\u2013control study","volume":"9","author":"Bhattacharya","year":"2022","journal-title":"Acta Med Int"},{"key":"R19-20260130","doi-asserted-by":"crossref","first-page":"e20734","DOI":"10.1016\/j.heliyon.2023.e20734","article-title":"A model to explain smokeless tobacco consumption in adults: A grounded theory study","volume":"9","author":"Fattahi","year":"2023","journal-title":"Heliyon"},{"key":"R20-20260130","doi-asserted-by":"crossref","first-page":"e127480","DOI":"10.5812\/ijhrba-127480","article-title":"Investigating the reasons for using smokeless tobacco among adults: A qualitative study based on the grounded theory approach","volume":"11","author":"Solhi","year":"2022","journal-title":"Int J High Risk Behav Addict"},{"key":"R21-20260130","first-page":"492","article-title":"The reasons for using smokeless tobacco: A review","volume":"50","author":"Solhi","year":"2021","journal-title":"Iran J Public Health"},{"key":"R22-20260130","doi-asserted-by":"crossref","first-page":"2485","DOI":"10.1001\/jama.2010.1769","article-title":"Integrating tobacco cessation into mental health care for posttraumatic stress disorder: A randomized controlled trial","volume":"304","author":"McFall","year":"2010","journal-title":"JAMA"}],"container-title":["Journal of Education and Health Promotion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jehp.jehp_203_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T19:30:55Z","timestamp":1786735855000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jehp.jehp_203_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":18,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jehp.jehp_203_25","relation":{},"ISSN":["2277-9531","2319-6440"],"issn-type":[{"value":"2277-9531","type":"print"},{"value":"2319-6440","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-01-31","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-09","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}