Introduction:
Apart from cigarette, noncigarette tobacco products are also getting popularity in India.

Objectives:
To estimate the prevalence of different tobacco products used by young Indians.

Methods:
We did a secondary data analysis of GATS 2016-17 survey India, to estimate the prevalence of 13 types of tobacco products among youths (<18 years of age) and young adults (18-24 years of age). A total of 74037 individuals participated in the survey; among them, 12105 were aged ≤ 24 years. Participants were asked about their use of cigarettes, rolled tobacco in paper or leaf, bidis, cigar/cheroots/cigarillos, hukkah, electronic cigarettes, water pipe tobacco, betel quid with tobacco, khaini/tobacco lime mixture, mawa (gutka,areca nut-tobacco lime mixture), paan masala, nasal snuffs and oral tobacco use as mishi, qul, gudakhu. The prevalence estimates of use for each tobacco product were assessed based on current use (use in the previous 30 days) and demographic subgroup.

Results:
Every one-sixth [15% (95% CI 13.8%-16.3%)] of young adults were current users of at least one type of tobacco product in 2016 and 2017 and 11% of them were daily users. A total of 5.9 % (95% CI 3.6%-5.5%) of youths had used a tobacco product in the previous 30 days; 3.5% of youths were daily users. Around 26% (95% CI 22.6%-30.8%) of current tobacco users, young adults, and youths together, used multiple tobacco products. Betel quid with tobacco plus khaini or tobacco lime mixture was the most common combination (14.5%) followed by cigarette plus bidis (11.5%). Young adults, male gender, rural residency, primary or below education and living in northeastern part of India reported significantly higher use of tobacco than their counterparts.

Conclusion(s):
During this study more than one-tenth individuals aged 24 years or less were current users of tobacco; 16% in young adults and 6% in youths. Around one fourth were using multiple products.