Bhaumik, Smitha S., Caitlyn Placek, R. Kochumoni, T. R. Lekha, Dorairaj Prabhakaran, Brian Hitsman, Mark D. Huffman, Sivadasanpillai Harikrishnan, and Shifalika Goenka. “Tobacco Cessation Among Acute Coronary Syndrome Patients in Kerala, India: Patient and Provider Perspectives,” Qualitative Health Research. Published ahead of print, December 14, 2018.
Abstract: Tobacco cessation is an important intervention to reduce mortality from ischemic heart disease, the leading cause of death in India. In this study, we explored facilitators, barriers, and cultural context to tobacco cessation among acute coronary syndrome (ACS, or heart attack) patients and providers in a tertiary care institution in Kerala, with a focus on patient trajectories.
Patients who quit tobacco after ACS expressed greater understanding about the link between tobacco and ACS, exerted more willpower at the time of discharge, and held less fatalistic beliefs about their health compared to those who continued tobacco use.
The former were motivated by the fear of recurrent ACS, strong advice to quit from providers, and determination to survive and financially provide for their families. Systemic barriers included inadequate training, infrequent prescription of cessation pharmacotherapy, lack of ancillary staff to deliver counseling, and stigma against mental health services.
More info: https://doi.org/10.1177/1049732318817047
Reposted from Kerala Scholars eGroup