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Preparedness of frontline health workers for tobacco cessation: An exploratory study from two states of India
BACKGROUND: The 5As approach is a clinic-based approach and has been developed for primary health care providers who are uniquely positioned to interact with tobacco users. The 5As stands for: Ask about tobacco use at every visit, advise tobacco users to quit, assess readiness to quit, assist quit a...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2015
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4535082/ https://www.ncbi.nlm.nih.gov/pubmed/26288762 http://dx.doi.org/10.4103/2249-4863.161301 |
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author | Panda, Rajmohan Srivastava, Swati Persai, Divya Mathur, Manu Raj Modi, Bhavesh Dave, Paresh Arora, Monika |
author_facet | Panda, Rajmohan Srivastava, Swati Persai, Divya Mathur, Manu Raj Modi, Bhavesh Dave, Paresh Arora, Monika |
author_sort | Panda, Rajmohan |
collection | PubMed |
description | BACKGROUND: The 5As approach is a clinic-based approach and has been developed for primary health care providers who are uniquely positioned to interact with tobacco users. The 5As stands for: Ask about tobacco use at every visit, advise tobacco users to quit, assess readiness to quit, assist quit attempts through counseling and pharmacotherapy and arrange follow-up to prevent relapse. The present study explores whether auxiliary nurse midwives (ANMs) adhere to the 3As from the recommended 5As model for tobacco cessation. MATERIALS AND METHODS: The study was a cross-sectional study conducted among 501 ANMs in the state of Gujarat and Andhra Pradesh. Descriptive analysis and chi-square test were employed to test the differences in knowledge levels and practices of ANMs. Bivariate logistic regression was used to examine the association between each predictor variable separately and the outcome variables after adjusting for age and location. Data was analyzed using SPSS version 17 software. RESULTS: Majority of ANMs reported that they were aware of respiratory illnesses, tuberculosis, lung and oral cancer as conditions caused due to tobacco consumption. Awareness of adverse reproductive and child health effects associated with tobacco use was very low. Only about one third of respondents informed all patients about harmful effects. Only 16% of ANMs reported having ever received any on-job training related to tobacco control. ANMs who reported receiving training in tobacco control were about two times more likely to provide information on health effects of tobacco as compared to those who reported not being trained in tobacco control in the state of Gujarat. CONCLUSIONS: A majority of ANMs ask patients about tobacco use but provide advice only to patients suffering from specific diseases. A context-specific capacity building package needs to be designed to equip ANMs in recommended 5As approach in tobacco cessation. |
format | Online Article Text |
id | pubmed-4535082 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-45350822015-08-18 Preparedness of frontline health workers for tobacco cessation: An exploratory study from two states of India Panda, Rajmohan Srivastava, Swati Persai, Divya Mathur, Manu Raj Modi, Bhavesh Dave, Paresh Arora, Monika J Family Med Prim Care Tobacco and Health BACKGROUND: The 5As approach is a clinic-based approach and has been developed for primary health care providers who are uniquely positioned to interact with tobacco users. The 5As stands for: Ask about tobacco use at every visit, advise tobacco users to quit, assess readiness to quit, assist quit attempts through counseling and pharmacotherapy and arrange follow-up to prevent relapse. The present study explores whether auxiliary nurse midwives (ANMs) adhere to the 3As from the recommended 5As model for tobacco cessation. MATERIALS AND METHODS: The study was a cross-sectional study conducted among 501 ANMs in the state of Gujarat and Andhra Pradesh. Descriptive analysis and chi-square test were employed to test the differences in knowledge levels and practices of ANMs. Bivariate logistic regression was used to examine the association between each predictor variable separately and the outcome variables after adjusting for age and location. Data was analyzed using SPSS version 17 software. RESULTS: Majority of ANMs reported that they were aware of respiratory illnesses, tuberculosis, lung and oral cancer as conditions caused due to tobacco consumption. Awareness of adverse reproductive and child health effects associated with tobacco use was very low. Only about one third of respondents informed all patients about harmful effects. Only 16% of ANMs reported having ever received any on-job training related to tobacco control. ANMs who reported receiving training in tobacco control were about two times more likely to provide information on health effects of tobacco as compared to those who reported not being trained in tobacco control in the state of Gujarat. CONCLUSIONS: A majority of ANMs ask patients about tobacco use but provide advice only to patients suffering from specific diseases. A context-specific capacity building package needs to be designed to equip ANMs in recommended 5As approach in tobacco cessation. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4535082/ /pubmed/26288762 http://dx.doi.org/10.4103/2249-4863.161301 Text en Copyright: © Journal of Family Medicine and Primary Care http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Tobacco and Health Panda, Rajmohan Srivastava, Swati Persai, Divya Mathur, Manu Raj Modi, Bhavesh Dave, Paresh Arora, Monika Preparedness of frontline health workers for tobacco cessation: An exploratory study from two states of India |
title | Preparedness of frontline health workers for tobacco cessation: An exploratory study from two states of India |
title_full | Preparedness of frontline health workers for tobacco cessation: An exploratory study from two states of India |
title_fullStr | Preparedness of frontline health workers for tobacco cessation: An exploratory study from two states of India |
title_full_unstemmed | Preparedness of frontline health workers for tobacco cessation: An exploratory study from two states of India |
title_short | Preparedness of frontline health workers for tobacco cessation: An exploratory study from two states of India |
title_sort | preparedness of frontline health workers for tobacco cessation: an exploratory study from two states of india |
topic | Tobacco and Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4535082/ https://www.ncbi.nlm.nih.gov/pubmed/26288762 http://dx.doi.org/10.4103/2249-4863.161301 |
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