{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T03:43:43Z","timestamp":1779335023171,"version":"3.51.4"},"reference-count":59,"publisher":"Public Library of Science (PLoS)","issue":"3","license":[{"start":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T00:00:00Z","timestamp":1710460800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003513","name":"University of Surrey","doi-asserted-by":"crossref","award":["AE2000"],"award-info":[{"award-number":["AE2000"]}],"id":[{"id":"10.13039\/501100003513","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100003513","name":"University of Surrey","doi-asserted-by":"crossref","award":["AE2000"],"award-info":[{"award-number":["AE2000"]}],"id":[{"id":"10.13039\/501100003513","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100003513","name":"University of Surrey","doi-asserted-by":"crossref","award":["AE2000"],"award-info":[{"award-number":["AE2000"]}],"id":[{"id":"10.13039\/501100003513","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100003513","name":"University of Surrey","doi-asserted-by":"crossref","award":["AE2000"],"award-info":[{"award-number":["AE2000"]}],"id":[{"id":"10.13039\/501100003513","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["www.plosglobalpublichealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Glob Public Health"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Tobacco use is associated with early, intermediate and long-term complications throughout the life course. With an influx of newer products containing nicotine, poly-tobacco use is slowly emerging as a public health concern, that is defined as existing tobacco users currently using two or more tobacco or nicotine products. While many studies have investigated single use tobacco, there is a paucity of research on regional patterns and socio-demographic factors associated with poly-tobacco use in India.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Objectives<\/jats:title>\n<jats:p>To assess prevalence of poly-tobacco use and determine the socio-demographic factors associated with poly-tobacco use in India.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Methods<\/jats:title>\n<jats:p>Data from the Global Adult Tobacco Survey 2 (GATS, 2016\u201317) was analysed, which included information on tobacco use among people aged &gt;15 years. The pattern of current tobacco status was described using descriptive statistics. Multiple logistic regression models were estimated to determine factors associated with poly-tobacco use.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Results<\/jats:title>\n<jats:p>The prevalence of poly-tobacco use in India was found to be 9.8%. Among the current tobacco users, the prevalence was 33%. Significant socio-demographic factors associated with poly-tobacco use included younger age, male gender, religion and backward caste. North-eastern region reported highest prevalence of poly-tobacco use in the country, followed by the central region.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec005\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>The number of poly-tobacco users in India is considerably high and a matter of concern, more so in north east and central regions of the country. There is a need to create awareness about dangerous effects of all types of tobacco products and strengthen implementation of tobacco control policies with special focus on regions with high burden.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pgph.0002999","type":"journal-article","created":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T17:38:40Z","timestamp":1710524320000},"page":"e0002999","update-policy":"https:\/\/doi.org\/10.1371\/journal.pgph.corrections_policy","source":"Crossref","is-referenced-by-count":7,"title":["Prevalence, regional patterns and socio-demographic factors associated with poly-tobacco use in India: A secondary data analysis"],"prefix":"10.1371","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-7710-5233","authenticated-orcid":true,"given":"Priyanka","family":"Bantwal","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3588-2165","authenticated-orcid":true,"given":"Muralidhar M.","family":"Kulkarni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3319-3075","authenticated-orcid":true,"given":"Veena G.","family":"Kamath","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2443-4092","authenticated-orcid":true,"given":"Ashwath K.","family":"Naik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9426-977X","authenticated-orcid":true,"given":"Andrew W.","family":"Fogarty","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8836-2433","authenticated-orcid":true,"given":"Murali","family":"Dhar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anand S.","family":"Ahankari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2024,3,15]]},"reference":[{"key":"pgph.0002999.ref001","unstructured":"Fast Facts and Fact Sheets | Smoking and Tobacco Use | CDC. https:\/\/www.cdc.gov\/tobacco\/data_statistics\/fact_sheets\/fast_facts\/index.htm. 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