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Smoking cessation intervention in Rural Kerala, India: Findings of a randomised controlled trial

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Smoking cessation intervention in Rural Kerala, India : Findings of a randomised controlled trial. / Jayakrishnan, Radhakrishnan; Uutela, Antti; Mathew, Aleyamma; Auvinen, Anssi; Mathew, Preethi Sara; Sebastian, Paul.

In: ASIAN PACIFIC JOURNAL OF CANCER PREVENTION, Vol. 14, No. 11, 2013, p. 6797-6802.

Research output: Contribution to journalArticleScientificpeer-review

Harvard

Jayakrishnan, R, Uutela, A, Mathew, A, Auvinen, A, Mathew, PS & Sebastian, P 2013, 'Smoking cessation intervention in Rural Kerala, India: Findings of a randomised controlled trial', ASIAN PACIFIC JOURNAL OF CANCER PREVENTION, vol. 14, no. 11, pp. 6797-6802. https://doi.org/10.7314/APJCP.2013.14.11.6797

APA

Jayakrishnan, R., Uutela, A., Mathew, A., Auvinen, A., Mathew, P. S., & Sebastian, P. (2013). Smoking cessation intervention in Rural Kerala, India: Findings of a randomised controlled trial. ASIAN PACIFIC JOURNAL OF CANCER PREVENTION, 14(11), 6797-6802. https://doi.org/10.7314/APJCP.2013.14.11.6797

Vancouver

Jayakrishnan R, Uutela A, Mathew A, Auvinen A, Mathew PS, Sebastian P. Smoking cessation intervention in Rural Kerala, India: Findings of a randomised controlled trial. ASIAN PACIFIC JOURNAL OF CANCER PREVENTION. 2013;14(11):6797-6802. https://doi.org/10.7314/APJCP.2013.14.11.6797

Author

Jayakrishnan, Radhakrishnan ; Uutela, Antti ; Mathew, Aleyamma ; Auvinen, Anssi ; Mathew, Preethi Sara ; Sebastian, Paul. / Smoking cessation intervention in Rural Kerala, India : Findings of a randomised controlled trial. In: ASIAN PACIFIC JOURNAL OF CANCER PREVENTION. 2013 ; Vol. 14, No. 11. pp. 6797-6802.

Bibtex - Download

@article{9ce9bf75e0a448e1b51ddb4fa6370157,
title = "Smoking cessation intervention in Rural Kerala, India: Findings of a randomised controlled trial",
abstract = "Background: Prevalence of tobacco use is higher in the rural than urban areas of India. Unlike tobacco cessation clinics located in urban areas, community-based smoking cessation intervention has the potential to reach a wider section of the community to assist in smoking cessation in the rural setting. The present study aimed to assess the effectiveness of a cessation intervention in rural Kerala state, India. Materials and Methods: Current daily smoking resident males in the age group 18-60 years from four community development blocks in rural Kerala were randomly allocated to intervention and control groups. The intervention group received multiple approaches in which priority was given to face-to-face interviews and telephone counselling. Initially educational materials on tobacco hazards were distributed. Further, four rounds of counselling sessions were conducted which included a group counselling with a medical camp as well as individual counselling by trained medical social workers. The control group received general awareness training on tobacco hazards along with an anti-tobacco leaflet. Self-reported smoking status was assessed after 6 and 12 months. Factors associated with tobacco cessation were estimated using binomial regression method. Results: Overall prevalence of smoking abstinence was 14.7{\%} in the intervention and 6.8{\%} in the control group (Relative risk: 1.85, 95{\%} CI: 1.05, 3.25). A total of 41.3{\%} subjects in the intervention area and 13.6{\%} in the control area had reduced smoking by 50{\%} or more at the end of 12 months. Lower number of cigarettes/bidi used, low nicotine dependence and consultation with a doctor for a medical ailment were the statistically significant predictors for smoking cessation. Conclusions: Rigorous approaches for smoking cessation programmes can enhance quit rates in smoking in rural areas of India.",
keywords = "Community approach, India, Intervention, Rural Kerala, Smoking cessation",
author = "Radhakrishnan Jayakrishnan and Antti Uutela and Aleyamma Mathew and Anssi Auvinen and Mathew, {Preethi Sara} and Paul Sebastian",
year = "2013",
doi = "10.7314/APJCP.2013.14.11.6797",
language = "English",
volume = "14",
pages = "6797--6802",
journal = "ASIAN PACIFIC JOURNAL OF CANCER PREVENTION",
issn = "1513-7368",
publisher = "Asian Pacific Organization for Cancer Prevention",
number = "11",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Smoking cessation intervention in Rural Kerala, India

T2 - Findings of a randomised controlled trial

AU - Jayakrishnan, Radhakrishnan

AU - Uutela, Antti

AU - Mathew, Aleyamma

AU - Auvinen, Anssi

AU - Mathew, Preethi Sara

AU - Sebastian, Paul

PY - 2013

Y1 - 2013

N2 - Background: Prevalence of tobacco use is higher in the rural than urban areas of India. Unlike tobacco cessation clinics located in urban areas, community-based smoking cessation intervention has the potential to reach a wider section of the community to assist in smoking cessation in the rural setting. The present study aimed to assess the effectiveness of a cessation intervention in rural Kerala state, India. Materials and Methods: Current daily smoking resident males in the age group 18-60 years from four community development blocks in rural Kerala were randomly allocated to intervention and control groups. The intervention group received multiple approaches in which priority was given to face-to-face interviews and telephone counselling. Initially educational materials on tobacco hazards were distributed. Further, four rounds of counselling sessions were conducted which included a group counselling with a medical camp as well as individual counselling by trained medical social workers. The control group received general awareness training on tobacco hazards along with an anti-tobacco leaflet. Self-reported smoking status was assessed after 6 and 12 months. Factors associated with tobacco cessation were estimated using binomial regression method. Results: Overall prevalence of smoking abstinence was 14.7% in the intervention and 6.8% in the control group (Relative risk: 1.85, 95% CI: 1.05, 3.25). A total of 41.3% subjects in the intervention area and 13.6% in the control area had reduced smoking by 50% or more at the end of 12 months. Lower number of cigarettes/bidi used, low nicotine dependence and consultation with a doctor for a medical ailment were the statistically significant predictors for smoking cessation. Conclusions: Rigorous approaches for smoking cessation programmes can enhance quit rates in smoking in rural areas of India.

AB - Background: Prevalence of tobacco use is higher in the rural than urban areas of India. Unlike tobacco cessation clinics located in urban areas, community-based smoking cessation intervention has the potential to reach a wider section of the community to assist in smoking cessation in the rural setting. The present study aimed to assess the effectiveness of a cessation intervention in rural Kerala state, India. Materials and Methods: Current daily smoking resident males in the age group 18-60 years from four community development blocks in rural Kerala were randomly allocated to intervention and control groups. The intervention group received multiple approaches in which priority was given to face-to-face interviews and telephone counselling. Initially educational materials on tobacco hazards were distributed. Further, four rounds of counselling sessions were conducted which included a group counselling with a medical camp as well as individual counselling by trained medical social workers. The control group received general awareness training on tobacco hazards along with an anti-tobacco leaflet. Self-reported smoking status was assessed after 6 and 12 months. Factors associated with tobacco cessation were estimated using binomial regression method. Results: Overall prevalence of smoking abstinence was 14.7% in the intervention and 6.8% in the control group (Relative risk: 1.85, 95% CI: 1.05, 3.25). A total of 41.3% subjects in the intervention area and 13.6% in the control area had reduced smoking by 50% or more at the end of 12 months. Lower number of cigarettes/bidi used, low nicotine dependence and consultation with a doctor for a medical ailment were the statistically significant predictors for smoking cessation. Conclusions: Rigorous approaches for smoking cessation programmes can enhance quit rates in smoking in rural areas of India.

KW - Community approach

KW - India

KW - Intervention

KW - Rural Kerala

KW - Smoking cessation

UR - http://www.scopus.com/inward/record.url?scp=84892473555&partnerID=8YFLogxK

U2 - 10.7314/APJCP.2013.14.11.6797

DO - 10.7314/APJCP.2013.14.11.6797

M3 - Article

VL - 14

SP - 6797

EP - 6802

JO - ASIAN PACIFIC JOURNAL OF CANCER PREVENTION

JF - ASIAN PACIFIC JOURNAL OF CANCER PREVENTION

SN - 1513-7368

IS - 11

ER -