Awareness and usage of digital tools for cessation of smoking among college going smokers in Ernakulam, Kerala: A cross-sectional survey in 2022

Abstract

ABSTRACT

Despite numerous studies reporting on tobacco use prevalence, there's a dearth of secondary data addressing the

willingness, reasons for reluctance, and utilization of digital technologies for tobacco cessation counselling.

Objectives were to understand the prevalence of tobacco smoking among college students in Ernakulam, to

understand the awareness and willingness to use digital technology for tobacco cessation. A cross-sectional survey

included undergraduate and postgraduate students from six colleges in Ernakulam district, Kerala, covering fields

such as Medical, Dental, Nursing, Engineering, Arts, and other sciences. Purposive sampling was employed.

Descriptive analysis and multiple logistic regression were used to explore internet usage prevalence and its

correlates. The study found that 40% of participants were smokers, while only 32% were familiar with digital

technologies. However, 55% expressed a strong willingness to use digital tools for quitting smoking, particularly

smartphone apps and text-based services. Over half (53.7%) had attempted to quit, with those aged 23 to 26 in arts

and sciences showing the highest inclination, citing health and financial reasons. Despite multiple attempts, success

rates were low, with reasons for reluctance including confidence in self-management, doubts about digital tools,

and lack of motivation to quit. The study examined how digital technologies can aid smoking cessation efforts.

These tools have the potential to foster behavior change and support quitting. With the widespread adoption of

digital technology in India, particularly in urban and rural areas where internet usage is rising, there's an opportunity

to utilize these tools effectively for smoking cessation.