{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T10:53:48Z","timestamp":1788778428526,"version":"build-2803163510"},"reference-count":41,"publisher":"Public Library of Science (PLoS)","issue":"3","license":[{"start":{"date-parts":[[2023,3,2]],"date-time":"2023-03-02T00:00:00Z","timestamp":1677715200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\"><jats:title>Background<\/jats:title><jats:p>Evidence on tobacco use among indigenous communities is scarce with available literature based either on a specific region or a particular tribe. Considering the large tribal population in India, it is pertinent to generate evidence on tobacco use among this community. Using nationally representative data, we aimed to estimate the prevalence of tobacco use and assess its determinants and regional variations among older tribal adults in India.<\/jats:p><\/jats:sec><jats:sec id=\"sec002\"><jats:title>Methods<\/jats:title><jats:p>We analysed data from Longitudinal Ageing Study in India (LASI), wave-1 conducted in 2017\u201318. A sample of 11,365 tribal individuals aged \u2265 45 years was included in this study. Descriptive statistics was used to assess the prevalence of smokeless tobacco (SLT), smoking, and any form of tobacco use. Separate multivariable regression models were executed to assess the association of various socio-demographic variables with different forms of tobacco use, reported as adjusted odds ratio (AOR) with 95% confidence interval.<\/jats:p><\/jats:sec><jats:sec id=\"sec003\"><jats:title>Results<\/jats:title><jats:p>The overall prevalence of tobacco use was around 46%, with 19% of smokers and nearly 32% smokeless tobacco (SLT) users. Participants from the lowest MPCE quintile group had a significantly higher risk of consuming (SLT) [AOR: 1.41 (95% CI: 1.04\u20131.92)]. Alcohol was found to be associated with both smoking [AOR: 2.09 (95% CI: 1.69\u20132.58)] and (SLT) [AOR: 3.05 (95% CI: 2.54\u20133.66)]. Relatively higher odds of consuming (SLT) were associated with the eastern region [AOR: 6.21 (95% CI: 3.91\u20139.88)].<\/jats:p><\/jats:sec><jats:sec id=\"sec004\"><jats:title>Conclusion<\/jats:title><jats:p>This study highlights the high burden of tobacco use and its social determinants among the tribal population in India, which can help tailor anti-tobacco messages for this vulnerable population to make tobacco control programs more effective.<\/jats:p><\/jats:sec>","DOI":"10.1371\/journal.pone.0282487","type":"journal-article","created":{"date-parts":[[2023,3,2]],"date-time":"2023-03-02T18:38:20Z","timestamp":1677782300000},"page":"e0282487","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":35,"title":["Social determinants of tobacco use among tribal communities in India: Evidence from the first wave of Longitudinal Ageing Study in India"],"prefix":"10.1371","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9428-9113","authenticated-orcid":true,"given":"Jogesh","family":"Murmu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5345-1559","authenticated-orcid":true,"given":"Ritik","family":"Agrawal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9093-1172","authenticated-orcid":true,"given":"Sayantani","family":"Manna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6888-9980","authenticated-orcid":true,"given":"Sweta","family":"Pattnaik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1833-3703","authenticated-orcid":true,"given":"Shishirendu","family":"Ghosal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7702-3671","authenticated-orcid":true,"given":"Abhinav","family":"Sinha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ardhendu Sekhar","family":"Acharya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5647-0122","authenticated-orcid":true,"given":"Srikanta","family":"Kanungo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7717-5592","authenticated-orcid":true,"given":"Sanghamitra","family":"Pati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2023,3,2]]},"reference":[{"key":"pone.0282487.ref001","unstructured":"World health organization, \u201cTobacco\u201d fact sheet (Accessed on November 20, 2021) Available from: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/tobacco."},{"key":"pone.0282487.ref002","doi-asserted-by":"crossref","first-page":"1179916118759289","DOI":"10.1177\/1179916118759289","article-title":"Assessment of tobacco consumption and control in India","volume":"9","author":"P Mohan","year":"2018","journal-title":"Indian Journal of Clinical Medicine"},{"issue":"03","key":"pone.0282487.ref003","doi-asserted-by":"crossref","first-page":"139","DOI":"10.4103\/0971-5851.103139","article-title":"An overview of the tobacco problem in India","volume":"33","author":"GA Mishra","year":"2012","journal-title":"Indian Journal of Medical and Paediatric Oncology"},{"key":"pone.0282487.ref004","first-page":"43","volume-title":"Tobacco control in India","author":"KS Reddy","year":"2004"},{"key":"pone.0282487.ref005","unstructured":"GATS. 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