INFLUENCE OF DEPRESSION, ANXIETY, STRESS, SELF-EFFICACY AND SELF- ESTEEM ON SMOKING CESSATION ATTEMPTS AMONG HEAVY SMOKERS IN A SOUTH INDIAN ADULT POPULATION – A CROSS-SECTIONAL ANALYTICAL STUDY

Abstract

Objectives - Despite making considerable strides in smoking cessation intervention programs, the high failure rates of these cessation methods have raised concerns and asserted the need to re-strategize these programs. There is a dearth of evidence regarding the role of depression, anxiety, stress, self-esteem, and self-efcacy in the determination of successful cessation attempts. This study aimed to investigate this association among heavy smokers in a south Indian adult population. Materials And Methods- A cross-sectional study was conducted on 557 heavy smokers, recruited from the OPD of KLE Institute of Dental Sciences, Bangalore over one year by convenience sampling. The Depression, Anxiety, and Stress status of the participants were assessed using the DASS-21 scale. Rosenberg Self-esteem Scale and General self-efcacy scale were used to assess the self-esteem and self-efcacy of the participants respectively. The Outcome variable was a self-reported Successful 24-hour abstinence from Smoking. The association between these variables was assessed using Multivariate logistic regression on SPSS 24 version, with a p-value set at 0.05 Results- Smokers with anxiety and stress were less likely to sustain a successful 24 hour quit attempt. Subjects with higher self-esteem were twice as likely to give a successful attempt at quitting the habit as opposed to those with low self-esteem. Conclusion - Anxiety, Stress, and Self-esteem inuence smoking cessation attempts in smokers, hence it warrants the need to factor in these variables while devising cessation therapies for better success.