Intention and quitting pattern of smokeless tobacco in a rural community of Anambra state of Nigeria
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Federal Teaching Hospital, Abakaliki, Nigeria
Publish date: 2018-10-03
Tob. Induc. Dis. 2018;16(Suppl 3):A63
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In Nigeria, prevalence studies have consistently reported higher rates of tobacco use in the South-Eastern parts of Nigeria but little is known about the intention and quitting pattern of smokeless tobacco in these parts of the country. The aim of this study was to determine the intention and quitting pattern of smokeless tobacco, among residents of Ukpo community of Anambra state Nigeria.

A cross-sectional descriptive study was carried out among 210 ever users of smokeless tobacco and residents of Ukpo community. Data was collected using anonymous pre-tested interviewer administered questionnaires adapted from Global Adult tobacco Survey. Odd ratios and 95% confidence intervals were computed and P values of < 0.05 were considered statistically significant.

Out of the 210 who have ever used smokeless tobacco, 129 people (61.4%) were current daily users, 59 (28.1%) less than daily users while 22 (10.5%) were not current users. The most common form of smokeless tobacco use was snuff 92 (71 %) comprising 49 (38%) by nose which was the commonest mode of smokeless tobacco used, 43 people (33%) snuff by mouth. Majority using smokeless tobacco 84 (40%) were due to health concern.Out of the 216 people, (41.1%) who visited Health facility only 52 people (24.1%) were asked by the doctor if they used smokeless tobacco and 39(18.6%) were advised to quit. Of the 210 respondents, 60(28, 6%) had intention to quit use of smokeless tobacco. Majority of people who tried to quit smokeless tobacco did so without assistance 52 (24.1%). Others were through counseling at a cessation clinic 50 (23.1%), followed by nicotine replacement therapy 26 (12.0%).

Efforts should be targeted at establishing smokeless tobacco cessation programs in rural communities where smokeless tobacco use is disproportionately high. Programs should be directed at younger males with lower levels of education.

Uzochukwu Ofonakara   
Federal Teaching Hospital, Abakaliki, Nigeria