e-journal
A comparative study of perceptions on tobacco in vulnerable populations between India and France
Perceptions of tobacco are a relatively unexplored issue in disadvantaged populations in India
and France. The objectives of this study included the following: obtain qualitative information on
representations of tobacco use and cessation within two vulnerable populations; identify cultural factors
that influence tobacco use and cessation; and acquire information for the development of effective
tobacco cessation strategies. A total of 21 focus groups were conducted in India and France. All study
participants were disadvantaged adults 18 years old or older. Sixty women resided in South Delhi in India
and 163 adults with disabilities resided in the south of France. They were all current tobacco users. Data
were collected by focus group and analysed with thematic coding. In both samples, the most relevant
reasons of tobacco use were daily life circumstances, which were also a major barrier to quitting. None
of the participants reported that quitting difficulties could be due to dependence or nicotine addiction.
The data also suggested that whilst some participants wanted to stop, they also anticipated quitting
would be extremely challenging. In addition, there were a number of cross-cultural differences between
Indian and French disadvantaged people: level of information concerning the health risk related to
tobacco use and level of demand for support to quit from health professionals were most often cited.
Recommendations are made for a specific approach among disadvantaged people. The paper concludes
that in order to facilitate cessation, tobacco control interventions need to focus on coping strategies to
deal with feelings of distress, withdrawal symptoms, and the circumstances of everyday life experienced
by disadvantaged tobacco users.
Keywords: tobacco, vulnerable population, perception, comparative study, tobacco cessation,
smokeless tobacco, qualitative study
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