European Journal of Molecular & Clinical Medicine

Background: Tobacco usage is a global epidemic that is gradually worsening with each passing day. Despite of various efforts being taken against tobacco consumption, it is still a major health issue globally, and in India. Hence the present study is an attempt to assess the change in knowledge and attitude of tobacco use among stone crusher workers in and around Jaipur city before and after intervention.
Method: The main study was conducted in two phases. In the first phase the data regarding the demographic and the personal information on tobacco use, knowledge and attitude was collected using pre designed and pre- tested Performa. In the second phase the basic health education and Cognitive‑ behavioral cessation strategies were provided to the study subjects. Follow-up was done at intervals of 2 weeks, 4 weeks, 3 months and 6 months. All the techniques were reinforced again at the follow‑ ups.
Results: Among the total of 2170 study subjects 615 (28.3%) were smokers, 586 (27.0%) consumed smokeless tobacco and 969 (44.7%) used both smoked and smokeless form. Knowledge regarding various effects of tobacco causing heart attack, asthma, gastritis, lung cancer, oral cancer and headache increases significantly from baseline to fourth counselling. Attitude towards harmful effects and rules and regulations for tobacco use, there was significant increase in mean difference (0.000) between baseline data and fourth counselling respectively.
Conclusion: The prevalence of tobacco use is very high among lower socioeconomic strata. Therefore, tobacco awareness programs and tobacco cessation services tailor made for this group must be planned and implemented.

Tobacco use is one of the most important risk factors for the development of oral mucosal lesions including oral pre-cancer and cancer. The type and location of the lesion varies with the type of tobacco used, the way it is used, and the frequency and duration of use. Hence our study is aimed to determine the effectiveness of anti-tobacco counselling and the presence of oral lesions in patients and their willingness to quit the habit. A retrospective analysis was conducted among 398 participants, of which all were smokers, 320 patients diagnosed with oral mucosal lesions, 78 patients without any lesions. The study protocol included data collection with digital software entry. Statistical analysis was done using SPSS version 22 and a chi-square test was employed, with a p value < 0.05 considered to be statistically significant. The lesion was most common among the age of 31-40years (33.33%), followed by 41-50years (26.92%), 18-30years (20.5%), 51-60years (12.8%) and >60% (6.4%). The review was high among the patients with oral lesion (57.6%), anyways patient with lesion and did not turn up for review is 42.3%. The study population diagnosed with oral mucosal lesion and who had come for review visits had the highest willingness for quit rate (62.7%), than with patients only came for intervention visit (37.2%).