Impact of nicotine dependence on self-efficacy and readiness to quit among tobacco consumers in rural areas

J Family Med Prim Care. 2024 Mar;13(3):1079-1084. doi: 10.4103/jfmpc.jfmpc_1624_23. Epub 2024 Apr 4.

Abstract

Aim and objectives: The aim of the present study was to determine the impact or effect of nicotine dependence on self-efficacy and readiness to quit.

Materials and method: The current study was performed using a cross-sectional descriptive questionnaire design among tobacco users visiting primary health care facilities in the rural Jaipur district. Jaipur district is divided into four directions: east, west, north, and south. From each direction, two PHCs were selected randomly based on suitable accessibility to patients. Sample size of study is 465. Out of 465 tobacco consumers, 238 were consuming a smoked form of tobacco, and 227 study participants were consuming a smokeless form of tobacco.

Results: It was observed that the majority of study participants (145 (31%)) need smoke/smokeless tobacco within 5 minutes of waking up. With regards to internal stimuli, the majority of study participants (179 (38%)) and (203 (44%)) were not very sure that they would refrain from smoking when they were nervous and depressed. It was determined that quitting tobacco products was not at all important for 159 (34%) study participants. In regards to confidence in tobacco product quitting, only 79 (16%) of tobacco consumers were extremely confident.

Conclusion: It was concluded that nicotine dependence impacts both self-efficacy and readiness to quit. It was determined that the higher the nicotine dependence, the less self-efficacy and the less would be the readiness to quit.

Keywords: Dependency; nicotine; self-efficacy; tobacco.