{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T02:55:39Z","timestamp":1793501739086,"version":"4.5.0"},"reference-count":24,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,2,27]],"date-time":"2023-02-27T00:00:00Z","timestamp":1677456000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>More than two-thirds of deaths in developing countries are due to non-communicable diseases, and tobacco is a leading risk factor. There are numerous different socio-demographic factors that impact on the use of smokeless tobacco, of which occupation is one. The objectives of this study are to find out the overall prevalence of smokeless tobacco use (ever and current use), the pattern of association with various occupations and related variables (current and past workers), and the role of childhood adversity on initiation and use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study used data from the Longitudinal Aging Study in India (LASI) wave 1, a nationally representative cross-sectional study collected in 2017\u201318. Current and previous users of smokeless tobacco are taken into consideration as the target population. For the data analysis, survey-weighted tools have been applied for descriptive statistics and multivariable logistic regression model. The weighted data analysis has been done using R studio with R version 4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results and discussion<\/jats:title>\n                    <jats:p>From the sample size of 65,561, 38% have used either smoking or smokeless tobacco. Among them, 40% use tobacco in smoke form, 51% use smokeless tobacco, and 9% take both. At the population level, 22.8 and 20.4% are previous and current users of smokeless tobacco, respectively. Type of occupation, type of employer, place of work, kind of business, and workload were found to be significantly associated with smokeless tobacco use. A deaddiction and tobacco quitting policy targeting rural male informal workers should be the focus of the Government.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2023.1005103","type":"journal-article","created":{"date-parts":[[2023,2,26]],"date-time":"2023-02-26T23:57:00Z","timestamp":1677455820000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":50,"title":["Prevalence of smokeless tobacco use in India and its association with various occupations: A LASI study"],"prefix":"10.3389","volume":"11","author":[{"given":"Bhavna","family":"Bharati","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirti Sundar","family":"Sahu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanghamitra","family":"Pati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,2,27]]},"reference":[{"key":"B1","unstructured":"Global tobacco report2019"},{"key":"B2","doi-asserted-by":"publisher","first-page":"2196","DOI":"10.1093\/ntr\/ntaa033","article-title":"dual burden of smoked and smokeless tobacco Use in India, 2009\u20132017: a repeated cross-sectional analysis based on global adult tobacco survey","volume":"22","author":"Singh","year":"2020","journal-title":"Nicotine Tobacco Res."},{"key":"B3","doi-asserted-by":"publisher","first-page":"3323","DOI":"10.7314\/APJCP.2013.14.5.3323","article-title":"Burden of smoked and smokeless tobacco consumption in India\u2014Results from the global adult tobacco survey India (GATS-India) 2009\u20132010","volume":"14","author":"Bhawna","year":"2013","journal-title":"Asian Pacific J Cancer Prevent."},{"key":"B4","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1186\/s12199-020-00898-x","article-title":"Prevalence and factors associated with tobacco use among men in India: findings from a nationally representative data","volume":"25","author":"Islam","year":"2020","journal-title":"Environ Health Prev Med."},{"key":"B5","doi-asserted-by":"publisher","first-page":"4631","DOI":"10.7314\/APJCP.2012.13.9.4631","article-title":"Tobacco control law enforcement and compliance in Odisha, India\u2014Implications for tobacco control policy and practice","volume":"13","author":"Panda","year":"2012","journal-title":"Asian Pacific J Cancer Prevent."},{"key":"B6","doi-asserted-by":"publisher","first-page":"1861","DOI":"10.22034\/APJCP.2017.18.7.1861","article-title":"Tobacco use and effects of professional advice on smoking cessation among Youth in India","volume":"18","author":"Chandrupatla","year":"2017","journal-title":"Asian Pac J Cancer Prev."},{"key":"B7","unstructured":"Global Adult Tobacco Survey India 2016\u2013172019"},{"key":"B8","doi-asserted-by":"publisher","first-page":"6333","DOI":"10.7314\/APJCP.2012.13.12.6333","article-title":"Pattern and trends of cancer in Odisha, India: a retrospective study","volume":"13","author":"Hussain","year":"2012","journal-title":"Asian Pacific J Cancer Prevent."},{"key":"B9","first-page":"69","article-title":"Putting Tobacco cessation and prevention into undergraduate medical education","volume":"5","author":"Pati","year":"2014","journal-title":"Int J Prev Med."},{"key":"B10","doi-asserted-by":"publisher","first-page":"e033178","DOI":"10.1136\/bmjopen-2019-033178","article-title":"Geographic variation in tobacco use in India: a population-based multilevel cross-sectional study","volume":"10","author":"Singh","year":"2020","journal-title":"BMJ Open."},{"key":"B11","unstructured":"Tata Institute of Social Sciences (TISS), Mumbai and Ministry of Health and Family Welfare, Government of India2016"},{"key":"B12","doi-asserted-by":"publisher","first-page":"419","DOI":"10.1046\/j.1440-1843.2003.00507.x","article-title":"Smokeless tobacco and health in India and South Asia","volume":"8","author":"Gupta","year":"2003","journal-title":"Respirology."},{"key":"B13","doi-asserted-by":"publisher","first-page":"41","DOI":"10.4103\/ijmr.IJMR_27_18","article-title":"Determinants of smokeless tobacco use in India","volume":"148","author":"Thakur","year":"2018","journal-title":"Indian J Med Res."},{"key":"B14","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1080\/10911359.2015.1083507","article-title":"Smokeless tobacco use among adult males in India and selected states: assessment of education and occupation linkages","volume":"26","author":"Rawat","year":"2016","journal-title":"J Hum Behav Soc Environ."},{"key":"B15","doi-asserted-by":"publisher","first-page":"e002367","DOI":"10.1136\/bmjgh-2020-002367","article-title":"Smokeless tobacco control in India: policy review and lessons for high-burden countries","volume":"5","author":"Yadav","year":"2020","journal-title":"BMJ Glob Health."},{"key":"B16","unstructured":"2020"},{"key":"B17","unstructured":"Schwemmle with some assistance from AT and some code modified from R -core; A contributions by GC and M. weights: Weighting and Weighted Statistics\n            PasekJ\n          2021"},{"key":"B18","doi-asserted-by":"publisher","first-page":"e0247226","DOI":"10.1371\/journal.pone.0247226","article-title":"Declining trend of smoking and smokeless tobacco in India: a decomposition analysis","volume":"16","author":"Lahoti","year":"2021","journal-title":"PLoS ONE."},{"key":"B19","unstructured":"Annual Report Periodic Labour Force Survey (PLFS) 2017\u2013182019"},{"key":"B20","doi-asserted-by":"publisher","first-page":"401","DOI":"10.4103\/0019-509X.107747","article-title":"Social disparities in tobacco use in India: the roles of occupation, education, and gender","volume":"49","author":"Prabhakar","year":"2012","journal-title":"Indian J Cancer."},{"key":"B21","doi-asserted-by":"publisher","first-page":"789","DOI":"10.4103\/0971-5916.160704","article-title":"Widespread inequalities in smoking and smokeless tobacco consumption across wealth quintiles in States of India: Need for targeted interventions","volume":"141","author":"Thakur","year":"2015","journal-title":"Indian J Med Res."},{"key":"B22","doi-asserted-by":"publisher","first-page":"205031211769717","DOI":"10.1177\/2050312117697173","article-title":"A quasi-experimental intervention to assess the effectiveness of a physician-delivered tobacco cessation intervention in India: a detailed study protocol","volume":"5","author":"Panda","year":"2017","journal-title":"SAGE Open Med."},{"key":"B23","doi-asserted-by":"publisher","first-page":"210","DOI":"10.1136\/tobaccocontrol-2015-052671","article-title":"Effects of a worksite tobacco control intervention in India: the Mumbai worksite tobacco control study, a cluster randomized trial","volume":"26","author":"Sorensen","year":"2017","journal-title":"Tob Control."},{"key":"B24","doi-asserted-by":"publisher","first-page":"952","DOI":"10.1093\/ntr\/ntr313","article-title":"Reliability of adult self-reported smoking history: data from the tobacco use supplement to the current population survey 2002\u20132003 cohort","volume":"14","author":"Souvlakia","year":"2012","journal-title":"Nicotine Tob Res"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2023.1005103\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,26]],"date-time":"2023-02-26T23:57:07Z","timestamp":1677455827000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2023.1005103\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,27]]},"references-count":24,"alternative-id":["10.3389\/fpubh.2023.1005103"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2023.1005103","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,27]]},"article-number":"1005103"}}