Associations between sociodemographic factors and receiving "ask and advise" services from healthcare providers in India: analysis of the national GATS-2 dataset.
Associations between sociodemographic factors and receiving "ask and advise" services from healthcare providers in India: analysis of the national GATS-2 dataset.
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DOI：
10.1186/s12889-022-14538-2
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发表时间：
2022-11-18
影响因子：
4.5
通讯作者：
中科院分区：
文献类型：
--
作者：
印度拥有全球约12%的烟草使用者，每年与烟草相关的死亡人数约为135万人。发病率和死亡率是基于性别、农村与城市居住、教育和其他因素的社会模式。根据世界卫生组织的指导，至关重要的是向烟草使用者提供戒烟支持，作为政策和环境变化的补充。尽管可能对人口产生影响，但在资源匮乏的系统中通常没有这种指导。此外，烟草控制服务的提供往往受到社会人口因素的影响。为了了解这一领域的当前活动，我们评估了被医疗保健提供者询问烟草使用情况并建议戒烟的日常烟草使用者的百分比。我们还研究了接受服务的社会模式（与农村与城市居住、年龄、性别、教育、种姓和财富有关）。我们分析了印度2016-2017年全球成人烟草调查（GATS-2）的横截面数据，这是一项具有全国代表性的调查。在74,037名受访者中，约25%的人每天使用吸烟和/或无烟烟草。我们根据农村与城市居住、年龄、性别、教育程度、种姓和财富调查了被问及和被建议使用烟草的总体比率。我们还进行了多变量逻辑回归，以评估人口统计和社会经济条件与参与者接受“询问和建议”服务的关系。在全国范围内，我们发现在日常烟草使用者中，报告被问及烟草使用或被医疗保健提供者建议戒烟的个人比例很低（分别为22%和19%）。在我们最终的回归模型中，被问及和被建议使用烟草的情况以年龄、性别、教育、种姓和财富为模式。这项研究提供了一个有用的起点，以确定解决印度关键服务提供差距的机会。鉴于公共卫生和卫生系统的现有负担，扩大规模将需要创新的、资源适宜的解决方案。调查结果还指出，需要在设计和扩大戒烟支持方面以公平为中心，以便边缘化和服务不足的群体能够公平获得这些关键服务。在线版本包含补充材料，下载地址：10.1186/s12889-022-14538-2。
India is home to about 12% of the world's tobacco users, with about 1.35 million tobacco-related deaths each year. The morbidity and mortality rates are socially patterned based on gender, rural vs. urban residence, education, and other factors. Following the World Health Organization's guidance, it is critical to offer tobacco users support for cessation as a complement to policy and environmental changes. Such guidance is typically unavailable in low-resource systems, despite the potential for population-level impact. Additionally, service delivery for tobacco control tends to be patterned by sociodemographic factors. To understand current activity in this area, we assessed the percentage of daily tobacco users being asked about tobacco use and advised to quit by a healthcare provider. We also examined social patterning of receipt of services (related to by rural vs. urban residence, age, gender, education, caste, and wealth). We analyzed cross-sectional data from India's 2016-2017 Global Adult Tobacco Survey (GATS-2), a nationally representative survey. Among 74,037 respondents, about 25% were daily users of smoked and/or smokeless tobacco. We examined rates of being asked and advised about tobacco use overall and based on rural vs. urban residence, age, gender, education, caste, and wealth. We also conducted multivariate logistic regression to assess the association of demographic and socioeconomic conditions with participants' receipt of “ask and advise” services. Nationally, among daily tobacco users, we found low rates of individuals reporting being asked about tobacco use or advised to quit by a healthcare provider (22% and 19%, respectively). Being asked and advised about tobacco use was patterned by age, gender, education, caste, and wealth in our final regression model. This study offers a helpful starting point in identifying opportunities to address a critical service delivery gap in India. Given the existing burden on the public health and health systems, scale-up will require innovative, resource-appropriate solutions. The findings also point to the need to center equity in the design and scale-up of tobacco cessation supports so that marginalized and underserved groups will have equitable access to these critical services. The online version contains supplementary material available at 10.1186/s12889-022-14538-2.
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影响因子：
1
作者：
Murthy, P;Saddichha, S
通讯作者：
Saddichha, S
影响因子：
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作者：
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DOI：
10.1111/add.13903
发表时间：
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期刊：
Addiction (Abingdon, England)
影响因子：
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作者：
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作者：
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通讯作者：
Calleja, Neville
DOI：
10.5455/njcm.20190910080603
发表时间：
2020-01-01
期刊：
National Journal of Community Medicine
影响因子：
--
作者：
Gupte, Himanshu A;Thawal, Vaibhav;Chatterjee, N.
通讯作者：
Chatterjee, N.