Flavored smokeless tobacco use in India and Bangladesh
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Central Institute of Psychaitry, India
Publication date: 2018-03-01
Tob. Induc. Dis. 2018;16(Suppl 1):A786
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ABSTRACT
Background:
Flavor improves palatability of smokeless tobacco products
(SLT) and attracts youth. There is limited evidence on flavored SLT use
in India and Bangladesh, the two high SLT consuming countries in the world. This
study maps the use of flavored SLT in India and Bangladesh.
Methods:
Tobacco
products assessed in the first Global Adult Tobacco Survey (GATS) of India and
Bangladesh were analysed to identify flavored SLT product use and map it. Tobacco
product specific assessment as well other tobacco products assessed for daily
and less than daily users were considered. Operationally, any additional
ingredient (except slaked lime) that alters or modifies the taste of plain
tobacco, was considered as flavored one. SPSS used to assess the weighted prevalence
estimates
Results:
The flavored SLTs used in India and Bangladesh were Betel
quid with tobacco or Zarda, gutkha, pan masala, Zarda, gul or gudakau, snuff,
bajjar, kiwam, and dentifrice with tobacco. Prevalence of flavored SLT use in
India and Bangladesh were 17% and 27% respectively. Overall use of SLTs in
India and Bangladesh were 24% and 27% respectively. Zarda(18%), and Betel quid
tobacco (10%) were commonly used flavored SLTs in Bangladesh. In India, Gutkha
(8%) and betel quid(7%) were commonly used flavored SLTs.
Conclusions:
Most SLTs are flavored one and this may aid in continuation
of tobacco epidemic in India and Bangladesh. However there is an opportunity to
limit SLT use by implementing legislation targeting the attractiveness of
tobacco products.