Document Type : Original Article
Authors
Abstract
BACKGROUND: Tobacco use is a disease of addiction and a behavior choice. It is valuable to
understand the psychosocial dimension of disease.
OBJECTIVES: The research aimed to assess the (I) behavioral determinants and pattern of tobacco
use (II) readiness to quit tobacco among patients with oral potentially malignant disorders (OPMDs)
using transtheoretical model (TTM) approach visiting the dental college in Goa, India.
MATERIALS AND METHODS: This cross‑sectional analytical study was conducted among
300 patients over 3 months. Information about sociodemographics, determinants including age
and reason of onset, behavioral stages, and the presence of OPMDs was collected using specially
designed pro forma. Descriptive and inferential statistics were performed using SPSS 18.0.
RESULTS: Smokeless form of tobacco 199 (66.34%) was most prevalent followed by smoking
79 (26.33%) and dual tobacco use 22 (07.33%) in males. Majority belonged to low socioeconomic
class. Peer influence was the most‑cited reason. Around 1/3rd of the participants had OPMDs
associated with tobacco use. Significant association was observed between the presence of OPMDs
and TTM behavioral stages. Patients with OPMDs are more motivated for tobacco cessation
(odd’s ratio = 2.30, P = 0.002), that is, they are more in preparation and action stages.
CONCLUSION: The findings reflect that smokeless tobacco use is more prevalent in males with low
level of education and socioeconomic class. Readiness to quit tobacco increases among patients
with OPMDs using TTM.
Keywords
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