Understanding Awareness and Perceptions of Tobacco Use and Cessation in Marginalized Pakistani Communities

Abstract

Tobacco use remains a major public health challenge in Pakistan, with a high prevalence of both smoking and smokeless forms. This study inquiries about the knowledge, perceptions, and attitudes towards tobacco use and cessation among marginalized populations in Pakistan. Conducted across five major districts with 1,568 respondents, the research explores awareness of health risks, tobacco control policies, cessation resources, and alternative products. Findings reveal low awareness of tobacco policies (only 4.9%), limited knowledge of cessation services (31%), and misconceptions about safer alternatives. Peer pressure, stress relief, and curiosity emerged as key factors for tobacco initiation, while addiction and stress were primary barriers to quitting. Socioeconomic disparities were evident, with higher education and income correlating with better awareness and willingness to consider cessation options. The study underscores the need for targeted education, improved access to cessation support, and community-based interventions to address gaps in knowledge and foster healthier attitudes towards tobacco use.