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Abstract：
OBJECTIVE: India has the highest number of smokeless tobacco (SLT) products available in different forms, consumed in various ways. The current study aimed to understand the pattern of daily SLT use according to different product categories and whether Quit intention and Quit attempts vary by SLT type and exposure to media messages.
METHODS: Data from Global Adult Tobacco Surveys (GATS), 2016-17, was used to find access to media messages and warning labels by SLT type. Quit attempt and Quit intention were calculated for each of the SLT types. Logistic regression analyses were employed to identify whether access to media messages, warning labels influenced, quit intention and attempts vary by SLT type.
RESULTS: Khaini or tobacco lime mixture was the most common SLT type consumed by 37% of SLT users, whereas SLT users consuming more than one product accounted for 23% of SLT users. Exposure to media messages and warning labels was high among Gutkha/ paan masala tobacco users (74.7% and 81.2%) and low among oral tobacco (Mishri, Gul, Gudakhu) users (56.1% and 60.0%). Quit attempts and quit intention were high among Gutkha/ paan masala tobacco users (38.3% and 22.3%) and low among oral tobacco (Mishri, Gul, Gudakhu) users (25.3% and 13.6%). Users of Oral tobacco and khaini or tobacco-lime mixture were significantly less likely to attempt quitting (AOR 0.806(95%CI: 0.676-0.962), 0.839(95%CI: 0.736-0.956), and have quit intention (AOR 0.681(95%CI: 0.702-0.976), 0.733(95%CI: 0.627-0.857) compared to Gutkha/ paan masala with tobacco users.
CONCLUSIONS: The reach of media messages and warning labels varies by SLT type. Quit intention and attempts vary by SLT type and access to media messages and warning labels. There is a need to re-strategise the tobacco control Information, Education and Communication (IEC) to reach out with effective messaging to the most unreached.
METHODS: Data from Global Adult Tobacco Surveys (GATS), 2016-17, was used to find access to media messages and warning labels by SLT type. Quit attempt and Quit intention were calculated for each of the SLT types. Logistic regression analyses were employed to identify whether access to media messages, warning labels influenced, quit intention and attempts vary by SLT type.
RESULTS: Khaini or tobacco lime mixture was the most common SLT type consumed by 37% of SLT users, whereas SLT users consuming more than one product accounted for 23% of SLT users. Exposure to media messages and warning labels was high among Gutkha/ paan masala tobacco users (74.7% and 81.2%) and low among oral tobacco (Mishri, Gul, Gudakhu) users (56.1% and 60.0%). Quit attempts and quit intention were high among Gutkha/ paan masala tobacco users (38.3% and 22.3%) and low among oral tobacco (Mishri, Gul, Gudakhu) users (25.3% and 13.6%). Users of Oral tobacco and khaini or tobacco-lime mixture were significantly less likely to attempt quitting (AOR 0.806(95%CI: 0.676-0.962), 0.839(95%CI: 0.736-0.956), and have quit intention (AOR 0.681(95%CI: 0.702-0.976), 0.733(95%CI: 0.627-0.857) compared to Gutkha/ paan masala with tobacco users.
CONCLUSIONS: The reach of media messages and warning labels varies by SLT type. Quit intention and attempts vary by SLT type and access to media messages and warning labels. There is a need to re-strategise the tobacco control Information, Education and Communication (IEC) to reach out with effective messaging to the most unreached.
摘要：
目标：印度拥有以不同形式提供的无烟烟草（SLT）产品数量最多，以各种方式消费。当前的研究旨在根据不同的产品类别了解日常SLT使用的模式，以及退出意图和退出尝试是否因SLT类型和媒体消息的暴露而异。
方法：来自全球成人烟草调查（GATS）的数据，2016-17，用于按SLT类型查找对媒体消息和警告标签的访问权限。计算了每种SLT类型的退出尝试和退出意图。采用Logistic回归分析来确定是否访问媒体消息，受影响的警告标签，退出意图和尝试因SLT类型而异。
结果：Khaini或烟草石灰混合物是37％的SLT使用者最常见的SLT类型，而消费一种以上产品的SLT用户占SLT用户的23%。Gutkha/paanmasala烟草使用者接触媒体信息和警告标签的比例很高（74.7％和81.2％），而口服烟草的比例较低（Mishri，Gul,Gudakhu）用户（56.1%和60.0%）。Gutkha/paanmasala烟草使用者的戒烟尝试和戒烟意愿较高（38.3％和22.3％），而口服烟草则较低（Mishri，Gul,Gudakhu）用户（25.3%和13.6%）。口服烟草和khaini或烟草石灰混合物的使用者尝试戒烟的可能性显着降低（AOR0.806（95CI：0.676-0.962），0.839（95CI：0.736-0.956），并有戒烟意向(AOR0.681(95CI：0.702-0.976)，与烟草使用者的Gutkha/paanmasala相比，0.733（95CI：0.627-0.857）。
结论：媒体消息和警告标签的覆盖范围因SLT类型而异。退出意图和尝试因SLT类型以及对媒体消息和警告标签的访问而异。有必要重新制定烟草控制信息的战略，教育和沟通（IEC），以有效地传达给最未达到的人。
方法：来自全球成人烟草调查（GATS）的数据，2016-17，用于按SLT类型查找对媒体消息和警告标签的访问权限。计算了每种SLT类型的退出尝试和退出意图。采用Logistic回归分析来确定是否访问媒体消息，受影响的警告标签，退出意图和尝试因SLT类型而异。
结果：Khaini或烟草石灰混合物是37％的SLT使用者最常见的SLT类型，而消费一种以上产品的SLT用户占SLT用户的23%。Gutkha/paanmasala烟草使用者接触媒体信息和警告标签的比例很高（74.7％和81.2％），而口服烟草的比例较低（Mishri，Gul,Gudakhu）用户（56.1%和60.0%）。Gutkha/paanmasala烟草使用者的戒烟尝试和戒烟意愿较高（38.3％和22.3％），而口服烟草则较低（Mishri，Gul,Gudakhu）用户（25.3%和13.6%）。口服烟草和khaini或烟草石灰混合物的使用者尝试戒烟的可能性显着降低（AOR0.806（95CI：0.676-0.962），0.839（95CI：0.736-0.956），并有戒烟意向(AOR0.681(95CI：0.702-0.976)，与烟草使用者的Gutkha/paanmasala相比，0.733（95CI：0.627-0.857）。
结论：媒体消息和警告标签的覆盖范围因SLT类型而异。退出意图和尝试因SLT类型以及对媒体消息和警告标签的访问而异。有必要重新制定烟草控制信息的战略，教育和沟通（IEC），以有效地传达给最未达到的人。
