Smokeless tobacco utilization among tribal communities in India: A population-based cross-sectional analysis of the Global Adult Tobacco Survey, 2016-2017. 2023

Ritik Agrawal, and Shishirendu Ghosal, and Jogesh Murmu, and Abhinav Sinha, and Harpreet Kaur, and Srikanta Kanungo, and Sanghamitra Pati
Division of Public Health, ICMR-Regional Medical Research Centre, Bhubaneshwar, Odisha, India.

Evidence on smokeless tobacco use is scarce among indigenous communities, with the available literature based either on a specific tribe or on a particular region. Therefore, we aimed to estimate the prevalence of smokeless tobacco and assess its correlation among tribal communities in India. We utilized data from the Global Adult Tobacco Survey-2 conducted in 2016-2017. A total of 12,854 tribal people aged >15 years were included in this study. The utilization of smokeless tobacco was estimated using the weighted proportion, and its correlates were assessed by multivariable logistic regression reported as an adjusted odds ratio (AOR) with a 95% confidence interval. The prevalence of smokeless tobacco use was 32%. Participants aged 31-45 years [AOR: 1.66 (1.37-2.00)], who were men [AOR: 2.37 (1.94-1.90)], and who were daily wage/casual laborers [AOR: 5.32 (3.39-8.34)] were observed to have a significant association with smokeless tobacco. Willingness and attempt to quit smokeless tobacco were higher in Eastern India (31.2%) and central India (33.6%), respectively. We observed one-third of the tribal individuals used smokeless tobacco in India. Tobacco control policies should prioritize men, rural residents, and individuals with fewer years of schooling. Culturally appropriate and linguistically tailored messages are required for behavioral change communication.

UI MeSH Term Description Entries
D007194 India A country in southern Asia, bordering the Arabian Sea and the Bay of Bengal, between Burma and Pakistan. The capitol is New Delhi. Republic of India
D008297 Male Males
D003430 Cross-Sectional Studies Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time. Disease Frequency Surveys,Prevalence Studies,Analysis, Cross-Sectional,Cross Sectional Analysis,Cross-Sectional Survey,Surveys, Disease Frequency,Analyses, Cross Sectional,Analyses, Cross-Sectional,Analysis, Cross Sectional,Cross Sectional Analyses,Cross Sectional Studies,Cross Sectional Survey,Cross-Sectional Analyses,Cross-Sectional Analysis,Cross-Sectional Study,Cross-Sectional Surveys,Disease Frequency Survey,Prevalence Study,Studies, Cross-Sectional,Studies, Prevalence,Study, Cross-Sectional,Study, Prevalence,Survey, Cross-Sectional,Survey, Disease Frequency,Surveys, Cross-Sectional
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D014026 Nicotiana A plant genus of the family SOLANACEAE. Members contain NICOTINE and other biologically active chemicals; the dried leaves of Nicotiana tabacum are used for SMOKING. Tobacco Plant,Nicotiana tabacum,Plant, Tobacco,Plants, Tobacco,Tobacco Plants
D014030 Tobacco, Smokeless Any product of NICOTIANA TABACUM that is not smoked but is either inhaled through the nose, chewed, or stored in cheek pouches. Chewing Tobacco,Oral Tobacco,Smokeless Tobacco,Snuff,Dipping Tobacco,Gutka,Gutka Tobacco,Mint Snuff,Snus,Chewing Tobaccos,Dipping Tobaccos,Gutka Tobaccos,Gutkas,Snuff, Mint,Tobacco, Chewing,Tobacco, Dipping,Tobacco, Gutka,Tobacco, Oral,Tobaccos, Chewing,Tobaccos, Dipping,Tobaccos, Gutka,Tobaccos, Smokeless
D064424 Tobacco Use Use of TOBACCO (Nicotiana tabacum L) and TOBACCO PRODUCTS. Tobacco Consumption,Tobacco Chewing,Consumption, Tobacco,Tobacco Uses

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