Sociodemographic Factors, Severity of Addiction and Substance-seeking Situations in Nicotine dependent Patients: A Retrospective Study
Arun V Kumar, Shilpa A Adarkar, Shubhangi R Parkar
CONTEXT: Nicotine use has become the most prevalent, most deadly, and most costly and yet the most ignored of the substance dependencies. With over 200 million nicotine consumers in India at present, it becomes important to address this health hazard and take up strong measures toward damage control. Objective: The objective of the article is to assess the sociodemographic profile, severity of nicotine dependence, and common substance-taking situation in nicotine-dependent patients. MATERIALS AND METHODS: This is a retrospective study of 100 nicotine consumers attending the deaddiction outpatient department at King Edward Memorial Hospital, Mumbai, Maharashtra, India. Relevant sociodemographic data were obtained using a predesigned proforma. Fagerstrom test to evaluate severity of nicotine dependence and the common substance-taking situations were noted from the proforma. RESULTS: Majority were male in the early adult age, secondary educated and had positive family history. The most common mode of consumption was smokeless (59%) form and schizophrenia (13%) was the most common comorbid psychiatry disorder. The severity of dependence was between low to medium. The main reason for starting nicotine consumption was peer pressure and factors for maintaining it were negative situations like unpleasant emotion and physical discomfort. CONCLUSION: Adolescent age is a vulnerable period during which they are exposed to nicotine use. Appropriate strategies can be applied by knowing the drug-seeking situation.
Negative situation, Nicotine, Peer pressure