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ORIGINAL ARTICLE Table of Contents   
Year : 2021  |  Volume : 46  |  Issue : 4  |  Page : 641-644
Community-based interventional study for tobacco cessation in urban slums of Ahmedabad City: A cluster-randomized trial


1 Department of Community Medicine, Grant Government Medical College, Mumbai, Maharashtra, India
2 Department of Community Medicine, AMC MET Medical College, Ahmedabad, Gujarat, India

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijcm.IJCM_1016_20

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Background: Tobacco is one of the most important preventable causes of death and a leading public health problem all over the world. The present study was conducted to determine the effect of community-based intervention for tobacco cessation in urban slums of Ahmedabad city. Materials and Methods: A total of 20 slums (10 slums each) in the intervention and control group were randomly selected through the process of randomization. A total of 200 participants each in the intervention and control group were studied through a cluster-randomized trial. Results: The outcome of the community-based tobacco intervention measured after 6 months depicted that the odds ratio (OR) of the prevalence of tobacco abstinence, quit rate, and reduction of more than 50% of tobacco use was significantly higher (30.37 times, 2.84 times, and 2.19 times respectively more) in the intervention as compared to the control group. However, after 1 year of the first and immediately after the second intervention, the OR of tobacco point prevalence abstinence, quit rate, and reduction of more than 50% was more pronounced (5.11 times, 3.52 times, and 4.31 times, respectively, more) in the intervention group than the control group. Post intervention, it was also observed that there was a significant increase in the average quit attempt. Conclusion: The community-based intervention was very effective in reducing the consumption of tobacco in urban slums in any form. As per the study findings, there is a wide possibility for the integration of tobacco cessation activity into the health program.


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  2007 - Indian Journal of Community Medicine | Published by Wolters Kluwer - Medknow
  Online since 15th September, 2007