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Smokeless and combustible tobacco use among 148,944 South Asian adults: a cross-sectional study of South Asia Biobank

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dc.contributor.author Xie, W.
dc.contributor.author Mridha, M.K.
dc.contributor.author Gupta, A.
dc.contributor.author Kusuma, D.
dc.contributor.author Butt, A.M.
dc.contributor.author Hasan, M.
dc.contributor.author Brage, S.
dc.contributor.author Loh, M.
dc.contributor.author Khawaja, K.I.
dc.contributor.author Pradeepa, R.
dc.contributor.author Jha, V.
dc.contributor.author Kasturiratne, A.
dc.contributor.author Katulanda, P.
dc.contributor.author Anjana, R.M.
dc.contributor.author Chambers, J.C.
dc.date.accessioned 2023-12-14T09:31:39Z
dc.date.available 2023-12-14T09:31:39Z
dc.date.issued 2023
dc.identifier.citation BMC Public Health.2023;23(1):2465 en_US
dc.identifier.issn 1471-2458
dc.identifier.uri http://repository.kln.ac.lk/handle/123456789/27132
dc.description.abstract INTRODUCTION Tobacco use, in both smoking and smokeless forms, is highly prevalent among South Asian adults. The aims of the study were twofold: (1) describe patterns of SLT and combustible tobacco product use in four South Asian countries stratified by country and sex, and (2) assess the relationships between SLT and smoking intensity, smoking quit attempts, and smoking cessation among South Asian men. METHODS Data were obtained from South Asia Biobank Study, collected between 2018 and 2022 from 148,944 men and women aged 18 years and above, living in Bangladesh, India, Pakistan, or Sri Lanka. Mixed effects multivariable logistic and linear regression were used to quantify the associations of SLT use with quit attempt, cessation, and intensity. RESULTS Among the four South Asian countries, Bangladesh has the highest rates of current smoking (39.9% for male, 0.4% for female) and current SLT use (24.7% for male and 23.4% for female). Among male adults, ever SLT use was associated with a higher odds of smoking cessation in Bangladesh (OR, 2.88; 95% CI, 2.65, 3.13), India (OR, 2.02; 95% CI, 1.63, 2.50), and Sri Lanka (OR, 1.36; 95% CI, 1.14, 1.62). Ever SLT use and current SLT use was associated with lower smoking intensity in all countries. CONCLUSIONS In this large population-based study of South Asian adults, rates of smoking and SLT use vary widely by country and gender. Men who use SLT products are more likely to abstain from smoking compared with those who do not. en_US
dc.language.iso en en_US
dc.publisher Springer en_US
dc.subject Smoking behavior en_US
dc.subject Smokeless tobacco en_US
dc.subject South Asia en_US
dc.title Smokeless and combustible tobacco use among 148,944 South Asian adults: a cross-sectional study of South Asia Biobank en_US
dc.type Article en_US


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