Abstract
Abstract

National Journal of Community Medicine

Original Article

Year: 2020 | Volume: 11 | Issue: 2 | Page No: 64-70

Tobacco Cessation and the Non-Allopathic Private Physician in India: A Survey in Navi Mumbai, India

Author: Himanshu A Gupte1, Vaibhav Thawal2, Kripa Gopalan3, Nilesh Chatterjee4

Affiliation:

1General Manager, Narotam Sekhsaria Foundation, Mumbai

2Senior Manager, Narotam Sekhsaria Foundation, Mumbai

3Research Consultant, Narotam Sekhsaria Foundation, Mumbai

4Research Advisor, Salaam Bombay Foundation, Mumbai

Abstract:

Background: Private non-allopathic practitioners are often the first point of medical care for low-income populations in India, and likely encounter a sizeable number of tobacco-users. While there is evidence that physicians’ advice for tobacco cessation enhances quit rates among tobacco users, little is known about tobacco-cessation knowledge, attitudes and practices of private non-allopathic practitioners. Methods: A cross-sectional survey was conducted with non-allopathic private practitioners in Navi Mumbai, India. Results: Majority (92%) of the practitioners had not received any tobacco-cessation related training. Around 85% never ever-used tobacco; 82.5% said tobacco-use was harmful irrespective of age; and all respondents said tobacco products contained harmful chemicals. However, a third (32.5%) said smokeless tobacco was less harmful than smoking and 52.5% said tobacco-use was socially acceptable in India. Only 10% were aware of methods to measure nicotine dependence. Although 97.5% thought tobacco use was high among their patients, only 15% recorded individual tobacco-use in patient files; and a third (35%) referred the patient to cessation services. Female practitioners were more likely to refer for cessation (p=0.043). Conclusion: Only one in three practitioners referred tobacco-user patients to cessation or screening services indicating an urgent need for training and sensitization of private non-allopathic practitioners to increase the reach of tobacco-cessation services in India.

Keywords: Tobacco cessation services, non-allopathic practitioners, private physicians, AYUSH, India

DOI: 10.5455/njcm.20190910080603


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