A Qualitative Study to Explore the Role of Health Workers in Reducing Smokeless Tobacco Consumption in India

Authors

DOI:

https://doi.org/10.31101/jhtam.3017

Keywords:

Smokeless Tobacco, India, Health Workers, Interventions, Prevention Advice,

Abstract

India is one of the largest smokeless tobacco consumers globally, leading to devastating health consequences. However, smokeless tobacco still remains poorly understood. Health workers have an essential role in curbing this rise in consumption by offering smokeless tobacco prevention advice. A better understanding of health workers knowledge and practice at offering preventative advice will help strengthen tobacco policies. This study aims to explorethe role of HWs offering SLT prevention advice by identifying facilitators for and barriers against implementation of this opportunistic strategy. Health workers were recruited through purposive sampling and sixteen participants took part in semi-structured online interviews. Data was transcribed verbatim and analysed through thematic analysis. Health workers stated that training was the greatest facilitator but also greatest barrier to providing smokeless tobacco prevention advice. They also thought that training during university was inadequate and external training sources were more beneficial to providing prevention advice. Smokeless tobacco training of a high standard is a major facilitator and needs providing during university and post-gradation. Smokeless tobacco needs prioritisation over smoking tobacco policies in India and stakeholders need to come together to tackle this multi-factorial problem.

References

Allen. (2017). The SAGE Encyclopedia of Communication Research Methods.Thousand Oaks: Sage Publications.

Archibald, Ambagtsheer, Casey, & Lawless. (2019). Using Zoom videoconferencing for qualitative data collection: perceptions and experiences of researchers and participants. International Journal of Qualitative Methods, 18(2), 132–140.

Biswas, A., Dalal, K., Abdullah, A. S. M., Rahman, A. K. M. F., & Halim, A. (2020). Gestational diabetes: Exploring the perceptions, practices and barriers of the community and healthcare providers in rural Bangladesh: A qualitative study. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 13, 1339–1348. https://doi.org/10.2147/DMSO.S238523

Braun, & Clarke. (2016). Using thematic analysis in psychology. Qualitative. Research in Psychology, 3(2), 77–101.

Brose, Konwar, & Buragohain. (2020). Oral cancer diagnosis and perspectives in India. Sensors International., 1(146), 34–43.

Bryman. (2012). Social Research Methods, 4th Edition (4th edition). Oxford; New York: Oxford University Press.

Cahil, Lancaster, & Green. (2010). Stage-based interventions for smoking cessation. Cochrane Database Syst Rev, 1(11), 44–92. https://doi.org/doi:10.1002/14651858.CD004492.pub4

Geldsetzer, P. (2020). Use of rapid online surveys to assess people’s perceptions during infectious disease outbreaks: A Cross-sectional Survey on COVID-19. Journal of Medical Internet Research, 22(4), 1–13. https://doi.org/10.2196/18790

Green, & Thorogood. (2013). Qualitative Methods for Health Research. [Online]. 3rd ed. [Accessed 23 June 2021]. London: Sage Publications.

Institutes., N. C. (2021). Definition of Smokeless Tobacco. [Online]. [Accessed 21 July 2021]. https://www.cancer.gov/publications/dictionaries/cancer-terms/def

Irani. (2019). The use of videoconferencing for qualitative interviewing: opportunities, challenges, and considerations. Clinical Nursing Research., 28(1), 3–8.

Jasemi, Valizadeh, Zamanzadeh, & Keogh. (2017). A concept analysis of holistic care by hybrid model. Indian Journal of Palliative Care., 23(1), 71–80.

Kassaw, C., & Pandey, D. (2020). The prevalence of general anxiety disorder and its associated factors among women’s attending at the perinatal service of Dilla University referral hospital, Dilla town, Ethiopia, April, 2020 in Covid pandemic. Heliyon, 6(11), e05593. https://doi.org/10.1016/j.heliyon.2020.e05593

Khan, Tonnies, & Muller. (2014). Smokeless tobacco and oral cancer in South Asia: a systematic review with meta-analysis. Journal of Cancer Epidemiology, 20(14), 1–11. https://doi.org/doi: https://doi.org/10.1155/2014/394696

Majid, Othman, Mohamad, Lim, & Yusof. (2017). Piloting for interviews in qualitative research: operationalization and lessons learnt. International Journal of Academic Research in Business and Social Sciences, 7(4), 83-89.

McKay, Patel, & Majeed. (2015). Strategies for tobacco control in India: a systematic review. Plos One., 10(4), 4–18.

Palinkas, Horwitz, Green, Wisdom, Duan, & Hoagwood. (2015). Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Administration and Policy in Mental Health, 42(5), 533–544.

Panda, Persai, Mathur, & Sarkar. (2013). Perception and practices of physicians in addressing the smokeless tobacco epidemic: findings from two states in India. Asian Pacific Journal Cancer Prevalence., 14(12), 7237–7241.

Ramos-Morcillo, A. J., Leal-Costa, C., Moral-García, J. E., & Ruzafa-Martínez, M. (2020). Experiences of nursing students during the abrupt change from face-to-face to e-learning education during the first month of confinement due to COVID-19 in Spain. International Journal of Environmental Research and Public Health, 17(15), 1–15. https://doi.org/10.3390/ijerph17155519

Shaik, & Maddu’s. (2019). Smokeless tobacco products profile and pictorial warning labels in India: A review. Population Medicine, 1(7), 756–764.

Siddiqi, Gupta, Prasad, Croucher, & Sheikh. (2013). Smokeless tobacco use by south Asians. The Lancet Global Health, 1(2), 71. https://doi.org/doi:10.1016/s2214-109x(13)70021-4

Siddiqi, Husain, Vidyasagaran, Readshaw, Mishu, & Sheikh. (2020). Global burden of disease due to smokeless tobacco consumption in adults: an updated analysis of data from 127 countries. BioMedical Central Medicine, 18(1). https://doi.org/doi:10.1186/s12916-020-01677-9

Sim, & Waterfield. (2019). Focus group methodology: some ethical challenges. Quality and Quantity., 53(6), 3003–3022.

Singh, Yadav, Lal, Sinha, Gupta, Swasticharan, & Mehrotra. (2020). Dual Burden of Smoked and Smokeless Tobacco Use in India, 2009–2017: A Repeated Cross-Sectional Analysis Based on Global Adult Tobacco Survey. Nicotine & Tobacco Research, 22(12), 2196–2202. https://doi.org/doi:10.1093/ntr/ntaa033

Sinha, Suliankatchi, Gupta, Thamarangsi, Agarwal, Parascandola, & Mehrotra. (2018). Global burden of all-cause and cause-specific mortality due to smokeless tobacco use: systematic review and meta-analysis. Tobacco Control., 27(1), 35–42.

Stanton, R., To, Q. G., Khalesi, S., Williams, S. L., Alley, S. J., Thwaite, T. L., Fenning, A. S., & Vandelanotte, C. (2020). Depression, anxiety and stress during COVID-19: Associations with changes in physical activity, sleep, tobacco and alcohol use in Australian adults. International Journal of Environmental Research and Public Health, 17(11), 1–13. https://doi.org/10.3390/ijerph17114065

Suliankatchi, Sinha, Rath, Aryal, Zaman, Gupta, & Venugopal. (2017). Smokeless tobacco use is replacing the smoking epidemic in the South East Asia Region. Nicotine & Tobacco Research, 21(1), 95–100. https://doi.org/doi:10.1093/ntr/ntx272

Windriyani, P., Wiharto, & Sihwi, S. W. (2013). Expert system for detecting mental disorder with forward chaining method. International Conference on ICT for Smart Society, 1–7. https://doi.org/10.1109/ICTSS.2013.6588068

World Health Organisation. (2017). Global Adult Tobacco Survey Data from India [Online]. [Accessed 5 June 2021]. https://www.who.int/tobacco/surveillance/survey/gats/ind

World Health Organisation. (2016). Monitoring Health for the SDGs. World Health Statistics, 1.121. https://doi.org/10.1017/CBO9781107415324.004

World Health Organisation. (2021). World Health Organisation Tobacco Factsheet. [Online]. [Accessed 14 June 2021]. https://www.who.int/india/news/detail

Yadav, Singh, Yadav, Kaushik, Chandan, Chandra, Singh, Garg, Gupta, Sinha, & Mehrotra. (2020). Smokeless tobacco control in India: policy review and lessons for high-burden countries. British Medical Journal Global Health., 5(7), 23-67.

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Published

2023-05-16

How to Cite

Mehta, N. (2023). A Qualitative Study to Explore the Role of Health Workers in Reducing Smokeless Tobacco Consumption in India. Journal of Health Technology Assessment in Midwifery, 6(1), 13–24. https://doi.org/10.31101/jhtam.3017

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