title: Determinants of tobacco cessation behaviour among smokers and smokeless tobacco users in the states of Gujarat and Andhra Pradesh, India.
abstract: BACKGROUND
  This study was undertaken to identify the socio-demographic determinants of quit attempts among smokers and smokeless tobacco users to identify correlates of tobacco cessation behaviour in India.
  
  
  METHODS
  This was a cross-sectional study for the outcome of quit attempts made by current tobacco users in last 12 months in twelve districts in two states. Simple and multivariable logistic regression analysis was used to obtain the odds ratios (ORs) of socio-demographic variables (age, gender, education, occupation, socio- economic status, community, area, type of family) and tobacco user status (smoker/smokeless).
  
  
  RESULTS
  In the combined analysis, a smoker had higher predicted probability of attempting quitting (OR- 1.41,CI 1.14 -1.90), in comparison to a smokeless tobacco user and a tobacco user in the state of Gujarat was less likely to attempt quitting than a user in Andhra Pradesh (OR-0.60, CI 0.47-0.78). The probability of making a quit attempt was higher among tobacco users who were more educated (OR-1.40, CI 1.04-1.94), having a higher socio-economic status (SES) (OR-2.39, CI 1.54-3.69), and belonging to non-agricultural labourer occupational group (OR-1.90, CI 1.29-2.78). The effects were maintained even after adjusting for all other variables. In disaggregated analysis, findings were similar except in smokeless as a separate group, education level was not significantly associated with quit attempts and with lower odds (OR-0.91, CI 0.58-1.42).
  
  
  CONCLUSIONS
  This is one of the first studies to provide useful insight into potential determinants for quit attempts of tobacco users in India including smokeless tobacco users, exploring the socio-demographic patterning of correlates of quit attempts.
authors.affiliation: Department of Epidemiology and Public Health, University College London, London, UK. bidyutk.sarkar@gmail.com
authors.forename: Bidyut K
authors.initials: BK
authors.lastname: Sarkar
authors.forename: Monika
authors.initials: M
authors.lastname: Arora
authors.forename: Vinay K
authors.initials: VK
authors.lastname: Gupta
authors.forename: K Srinath
authors.initials: KS
authors.lastname: Reddy
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D011379:Prognosis; D012907:Smoking / Q000009:adverse effects* / Q000453:epidemiology; D020340:Tobacco Use Cessation / Q000523:psychology*; D014029:Tobacco Use Disorder / Q000517:prevention & control / Q000523:psychology*; D014030:Tobacco, Smokeless / Q000009:adverse effects*; D055815:Young Adult