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Who uses smokeless tobacco in India’s LASI sample?

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Among 65,561 LASI adults, 38% had used any tobacco; 22.8% ever and 20.4% currently used smokeless tobacco, with higher use in rural, male, poorer, ST, and informal/agricultural work.

Source

Prevalence of smokeless tobacco use in India and its association with various occupations: A LASI study

Bharati B, Sahu KS, Pati S · Frontiers in public health · 2023

doi.org/10.3389/fpubh.2023.1005103Read the full paper ↗24 citationscc by

Study at a glance

Design
Cross-sectional — LASI wave 1 (2017–18) nationally representative survey-weighted descriptives and multivariable logistic regression of smokeless tobacco by occupation
N
N=65561 · LASI wave 1 sample of 65,561 adults; 24,777 (38%) ever used smoked or smokeless tobacco
Population
Indian adults in the Longitudinal Aging Study in India wave 1 (mostly ages 45+)
Outcome
Ever/current smokeless tobacco use and occupational plus childhood-adversity correlates

Structured fields used in claim comparison tables when every cited study has a complete layer.

What they did

Analyzed LASI wave 1 (2017–18) with survey weights, describing ever/current smokeless tobacco (SLT) and fitting multivariable logistic models for occupation, employer type, workplace, business, workload, and childhood adversity.

What they found

Of tobacco users, 51% used SLT, 40% smoked, 9% both. Population-level previous/current SLT: 22.8% and 20.4% (14,090 and 12,461). 88.6% of SLT users still used it (11.4% quit). ST groups had the highest shares (31.6% previous, 28.4% current). Professionals ~10%; plant/machine and agricultural workers ~22%. Authors urge quitting programs for rural male informal workers.

The limits

What it doesn't show

Cross-sectional LASI cannot prove occupation causes SLT use; self-report and healthy-survivor older adults may bias prevalence, and causality of childhood adversity is not established.

Key terms

Smokeless tobacco (SLT)
Chewed/applied products (khaini, gutka, betel quid with tobacco, mishri, etc.), not smoked cigarettes.
LASI wave 1
Longitudinal Aging Study in India, 2017–18 nationally representative baseline used here as a cross-section.
Survey-weighted analysis
Descriptive stats and logistic regression using LASI sampling weights.
Informal/rural work
Occupational pattern the authors flag as a policy target for SLT cessation.
Schedule tribe (ST)
Caste category with the highest SLT shares in this sample.

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LASI N was about:

Common questions

How large is LASI here?

65,561 adults in wave 1 (2017–18).

What share currently use SLT?

20.4% current; 22.8% previous users at population level.

Among any tobacco users, how many use SLT?

51% smokeless, 40% smoked, 9% both.

Who uses most?

Rural males, poorer households, ST groups, and informal/agricultural workers more than professionals.

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