Smoking cessation practices and perspectives among in-patients in a tertiary teaching hospital setting

Mohammed Saud, Madhu Basave Gowda, Srinath Kenkere Marulaiah


Background: The objective of the present study was to assess the in-patient’s perspectives about smoking cessation and the services they received.

Methods: A descriptive study was carried out in a hospital attached to a Medical College. An interview schedule was administered in person to in-patients to assess their perspectives towards smoking cessation and services received.

Results: Of the 141 in-patients interviewed, 40% were active smokers. Almost 3/4th of active smokers had moderate to high nicotine dependence. About 92% of active smokers reported being asked about smoking status and being advised to quit, but only 23% received assistance, and 8% had a follow-up arranged. Health was the top reason for the willingness to quit. Around 90% of study participants had no awareness about tobacco cessation centres and services.

Conclusions: An in-patient setting has a higher proportion of smokers than the general population. These in-patients should be a prime target for cessation programs as there are relatable health reasons and opportunity for the delivery of comprehensive smoking cessation services based on 5 A’s protocol, which is currently lacking. Creating better awareness regarding smoking cessation centres and services available is necessary.


Smoking, Cessation services, In-patients

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Global Health Estimates 2016: Deaths by cause, age, sex, by country and by region, 2000-2016. Geneva, World Health Organization, 2018. Available at: _burden_disease/estimates/en/. Accessed on 24 October 2018.

Tata Institute of Social Sciences (TISS), Mumbai and Ministry of Health and Family Welfare, Government of India. Global Adult Tobacco Survey GATS 2 India 2016-17. Available at: . Accessed on 24 October 2018.

Jha P, Jacob B, Gajalakshmi V, Gupta PC, Dhingra N, Kumar R, et al. A nationally representative case-control study of smoking and death in India. N Engl J Med. 2008;358:1137-47.

John RM, Rout SK, Kumar BR, Arora M. Economic burden of tobacco-related diseases in India, New Delhi: Ministry of Health and Family Welfare, Government of India; 2014. Available at: Accessed on 24 October 2018.

Institute for Health Metrics and Evaluation (IHME). Tobacco Visualization. Seattle, WA: IHME, University of Washington, 2017. Available at: Accessed on 24 October 2018.

Hatsukami DK, Stead LF, Gupta PC. Tobacco addiction. Lancet. 2008;371(9629):2027-38.

Hughes JR, Keely J, Naud, S. Shape of the relapse curve and long-term abstinence among untreated smokers. Addiction. 2004;99(1):29-38.

Asma S, Mackay J, Song SY, Zhao L, Morton J, Palipudi KM, et al. The GATS Atlas. 2015. CDC Foundation, Atlanta, GA. Available at: Accessed on 24 Oct 2018.

Joshi, SR. Tobacco free India: save our children. JAPI. 2006;54:605-7.

Garg A, Singh MM, Gupta VK, Garg S, Daga MK, Saha R. Prevalence and correlates of tobacco smoking, awareness of hazards, and quitting behavior among persons aged 30 years or above in a resettlement colony of Delhi, India. Lung India. 2012;29:336-40.

Jindal SK, Aggarwal AN, Chaudhry K, Chhabra SK, D'Souza GA, Gupta D, et al. Tobacco smoking in India: Prevalence, quit-rates and respiratory morbidity. Indian J Chest Dis Allied Sci. 2006;48:37-42.

Borland R, Li L, Driezen P, Wilson N, Hammond D, Thompson ME, et al. Cessation assistance reported by smokers in 15 countries participating in the International Tobacco Control (ITC) policy evaluation surveys. Addiction. 2012;107(1):197-205.

Martínez C, Castellano Y, Andres A, Anton L, Ballbe M, Fernandez P, et al. Factors associated with implementation of the 5A's smoking cessation model. Tob Induc Dis. 2017;15:41.

Tong EK, Strouse R, Hall J, Kovac M, Schroeder SA. National survey of U.S. health professionals’ smoking prevalence, cessation practices, and beliefs. Nicotine Tob Res. 2010;12(7):724-33.

Islam K, Saha I, Saha R, Khan SA, Thakur R, Shivam S. Predictors of quitting behaviour with special reference to nicotine dependence among adult tobacco-users in a slum of Burdwan district, West Bengal, India. Indian J Med Res. 2014;139(4):638-42.

Surani NS, Gupta PC, Fong TG, Pednekar MS, Quah AC, Bansal-Travers M. Intention to quit among Indian tobacco users: Findings from International Tobacco Control Policy evaluation India pilot survey. Indian J Cancer. 2012;49:431-7.

Lindson‐Hawley N, Thompson TP, Begh R. Motivational interviewing for smoking cessation. Cochrane Database of Syst Rev 2015;3:CD006936.

Lancaster T, Stead LF. Individual behavioural counselling for smoking cessation. Cochrane Database of Syst Rev. 2017;3(3):CD001292.

ICD-10 Classifications of Mental and Behavioural Disorder: Clinical Descriptions and Diagnostic Guidelines. Geneva. World Health Organisation; 1992.

Fiore MC, Jaén CR, Baker TB. Treating Tobacco Use and Dependence: 2008 Update. Clinical Practice Guideline. Rockville, MD: U.S. Department of Health and Human Services. Public Health Service. May 2008. Available at: Accessed on 25 October 2018.

Halladay JR, Vu M, Ripley-Moffitt C, Gupta SK, O’Meara C, Goldstein AO. Patient perspectives on tobacco use treatment in primary care. Prev Chronic Dis. 2015;12:14.