Tobacco usage among healthcare professionals and workers in tribal areas of Jharkhand – A cross-sectional study

BACKGROUND: Tobacco use remains a leading disease burden and mortality in India. As key influencers in public health, healthcare professionals (HCPs) play a crucial role in tobacco prevention and control. This study aimed to evaluate the knowledge, attitudes, and practices of government HCPs and workers regarding the harmful effects of tobacco, their perceptions, and usage behaviors. MATERIALS AND METHODS: A cross-sectional study design was implemented among 366 government HCPs and workers selected through a multistage simple random sampling method from two districts in Jharkhand. One block was randomly selected from each district. Participants were equally divided ( n = 183 each). Data were collected using a structured, self-designed validated questionnaire, with a Content Validity Index of 0.86 and Cronbach’s alpha of 0.75. Statistical analysis involved descriptive methods, Chi-square tests using Jamovi software (Version Solid 2.6.0.0, Sydney, Australia) with a significance level set at P < 0.05. RESULTS: The study revealed that 63.1% of respondents were aware of tobacco’s health risks, yet only 45.6% knew about tobacco control laws, indicating a significant knowledge gap. Despite their professional roles, 44% reported using tobacco, often influenced by social pressure, stress, and perceived status. Encouragingly, 35.2% showed willingness to quit. A significant association was found between gender and tobacco use patterns. Counseling and local-level awareness initiatives were preferred methods for intervention. CONCLUSION: This study achieved its objective by identifying gaps in awareness and practices related to tobacco use among healthcare personnel. The high prevalence of tobacco use and limited awareness of laws point to the need for targeted cessation support and gender-responsive strategies.