Background:
The study aimed to assess the physiological and psychological dependence of tobacco use among patients visiting the Tobacco Cessation Center in the tertiary institution.
Methods:
A cross-sectional study design with simple random sampling was used. The information obtained from the subject was through interview recorded on a structured pro forma. The information included demographic details, dependence status based on smoking history and behavior, the Fagerstrom Test for Nicotine Dependence (FTND) for physiological dependence, and the Kano Test for Social Nicotine Dependence (KTSND) for psychological dependence. Tobacco use for both the smoked tobacco (ST) and smokeless tobacco (SLT) was recorded as the number of packs per day.
Results:
The mean pack year score was 122.6 ± 143.8. Similarly, the mean FTND score was 6.8 ± 2.4 and the mean KTSND score was 14.3 ± 4.1. The study subjects in various behavioral stages were precontemplation (26.1%), contemplation (21.1%), preparation (31.4%), action (20%), and maintenance (1.4%), respectively. Simple linear regression shows that the mean pack year, FTND, and KTSND scores were weakly explained for various stages of behavioral changes.
Conclusion:
Pack year is related to dose-response relationship which indicates both intensity and duration for developing tobacco-related diseases. The mean FTND score for physiological nicotine dependence for various variables clearly indicates price inelasticity for tobacco use. The mean KTSND score for psychological nicotine dependence for various variables clearly indicates some price elasticity for tobacco use and socio-behavioral factors related to the pattern of use. Price elasticity is important for the given scale that is used for the type of nicotine dependence considering ST is price inelastic and SLT as price elastic.