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Spatial, temporal, and demographic patterns in prevalence of chewing tobacco use in 204 countries and territories, 1990–2019: a systematic analysis from the Global Burden of Disease Study 2019

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Title: Spatial, temporal, and demographic patterns in prevalence of chewing tobacco use in 204 countries and territories, 1990–2019: a systematic analysis from the Global Burden of Disease Study 2019
Authors: Kendrick, PJ
Reitsma, MB
Abbasi-Kangevari, M
Abdoli, A
Abdollahi, M
Abedi, A
Abhilash, ES
Aboyans, V
Adebayo, OM
Advani, SM
Ahinkorah, BO
Mokdad, AH
Molokhia, M
Monasta, L
Moni, MA
Moradzadeh, R
Alomari, MA
Morrison, SD
Mossie, TB
Mubarik, S
Effiong, A
Jain, V
Mullany, EC
Murray, CJL
Nagaraju, SP
Naghavi, M
Naik, N
Nalini, M
Nangia, V
Amin, TT
Naqvi, AA
Narasimha Swamy, S
Jakovljevic, M
El Tantawi, M
Naveed, M
Nazari, J
Nduaguba, SO
Negoi, RI
Neupane Kandel, S
Nguyen, HLT
Nigatu, YT
Nixon, MR
Amini, S
Jang, S-I
Nnaji, CA
Ahmad, S
Noubiap, JJ
Nowak, C
Nuñez-Samudio, V
Ogbo, FA
Oguntade, AS
Oh, I-H
Olagunju, AT
Owolabi, MO
Jayaram, S
P A, M
Amu, H
Elbarazi, I
Pakshir, K
Pana, A
Panagiotakos, D
Panda-Jonas, S
Pandey, A
Parekh, U
Park, E-C
Jeemon, P
Park, E-K
Pashazadeh Kan, F
Pathak, M
Esmaeilnejad, S
Ancuceanu, R
Pawar, S
Pestell, RG
Pham, HQ
Pinheiro, M
Pokhrel, KN
Jha, RP
Pourshams, A
Prashant, A
Radfar, A
Rahimi-Movaghar, V
Fadhil, I
Rahman, MHU
Anderson, JA
Rahman, MA
Rahmani, AM
Ram, P
Jonas, JB
Rana, J
Ranabhat, CL
Rathi, P
Rawaf, DL
Rawaf, S
Faraon, EJA
Rawassizadeh, R
Renzaho, AMN
Andrei, CL
Rezapour, A
Jürisson, M
Riaz, MA
Roever, L
Ronfani, L
Roshandel, G
Roy, A
Roy, B
Farwati, M
Saddik, B
Sahebkar, A
Salehi, S
Kabir, A
Andrei, T
Salimzadeh, H
Samy, AM
Sanabria, J
Santric-Milicevic, MM
Sao Jose, BP
Sathian, B
Farzadfar, F
Sawhney, M
Saya, GK
Alanezi, FM
Schwendicke, F
Seidu, A-A
Ansari-Moghaddam, A
Senthil Kumar, N
Sepanlou, SG
Shafaat, O
Shah, SM
Shaikh, MA
Fazlzadeh, M
Shannawaz, M
Darega Gela, J
Sharafi, K
Sheikh, A
Sheikhbahaei, S
Shigematsu, M
Antony, B
Shiri, R
Shishani, K
Shivakumar, KM
Shivalli, S
Feigin, VL
Kabir, Z
Shrestha, R
Siabani, S
Sidemo, NB
Sigfusdottir, ID
Sigurvinsdottir, R
Silva, JP
Anvari, D
Singh, A
Singh, JA
Singh, V
Kalankesh, LR
Feldman, R
Sinha, DN
Skryabin, VY
Skryabina, AA
Soroush, A
Soyiri, IN
Sreeramareddy, CT
Stein, DJ
Arabloo, J
Steiropoulos, P
Kanchan, T
Stortecky, S
Filip, I
Straif, K
Suliankatchi Abdulkader, R
Sulo, G
Sundström, J
Tabuchi, T
Tadesse, EG
Tamiru, AT
Tareke, M
Kandel, H
Arian, ND
Tareque, MI
Ahmadi, K
Tarigan, IU
Thakur, B
Thankappan, KR
Thapar, R
Tolani, MA
Tovani-Palone, MR
Tran, BX
Kapoor, N
Tripathy, JP
Tsegaye, GW
Arora, M
Filippidis, F
Tymeson, HD
Ullah, S
Unim, B
Updike, RL
Uthman, OA
Vacante, M
Karch, A
Vardavas, C
Venketasubramanian, N
Verma, M
Vidale, S
Fischer, F
Artanti, KD
Vo, B
Vu, GT
Waheed, Y
Wang, Y
Karimi, SE
Welding, K
Werdecker, A
Whisnant, JL
Wickramasinghe, ND
Wubishet, BL
Flor, LS
Yamagishi, K
Asmare, WN
Yano, Y
Yazdi-Feyzabadi, V
Kebede, KM
Yeshaw, Y
Yimmer, MZ
Yonemoto, N
Yousefi, Z
Yu, C
Yunusa, I
Foigt, NA
Yusefzadeh, H
Zaman, MS
Atnafu, DD
Kelkay, B
Zamani, M
Zamanian, M
Zastrozhin, MS
Zastrozhina, A
Zhang, J
Zhang, Z-J
Zhong, C
Folayan, MO
Zuniga, YMH
Gakidou, E
Kennedy, RD
Ausloos, M
Awan, AT
Ayano, G
Aynalem, GL
Azari, S
B, DB
Badiye, AD
Baig, AA
Foroutan, M
Banach, M
Derbew Molla, M
Banerjee, SK
Barker-Collo, SL
Bärnighausen, TW
Barqawi, HJ
Basu, S
Bayati, M
Bazargan-Hejazi, S
Bekuma, TT
Bennett, DA
Gad, MM
Alanzi, TM
Bensenor, IM
Benzian, H
Benziger, CP
Berman, AE
Bhagavathula, AS
Bhala, N
Bhardwaj, N
Bhardwaj, P
Bhattacharyya, K
Bibi, S
Khader, YS
Gallus, S
Bijani, A
Biondi, A
Braithwaite, D
Brenner, H
Brunoni, AR
Burkart, K
Burugina Nagaraja, S
Butt, ZA
Caetano dos Santos, FL
Khan, EA
Car, J
Geberemariyam, BS
Carreras, G
Castaldelli-Maia, JM
Cattaruzza, MSS
Chang, J-C
Chaturvedi, P
Chen, S
Chido-Amajuoyi, OG
Chu, D-T
Khayamzadeh, M
Chung, S-C
Ciobanu, LG
Gebregiorgis, BG
Costa, VM
Couto, RAS
Dagnew, B
Dai, X
Damasceno, AAM
Damiani, G
Dandona, L
Kim, GR
Dandona, R
Daneshpajouhnejad, P
Ahmed, H
Getacher, L
Getachew Obsa, A
Ghafourifard, M
Ghanei Gheshlagh, R
Ghashghaee, A
Ghith, N
Gil, GF
Kimokoti, RW
Gill, PS
Ginawi, IA
Goharinezhad, S
Aji, B
Golechha, M
Gopalani, SV
Gorini, G
Grivna, M
Guha, A
Guimarães, RA
Kivimäki, M
Guo, Y
Gupta, RD
Gupta, R
Gupta, T
Akalu, Y
Gupta, V
Hafezi-Nejad, N
Haider, MR
Hamadeh, RR
Hankey, GJ
Kosen, S
Hargono, A
Hay, SI
Heidari, G
Herteliu, C
Hezam, K
Akunna, CJ
Hird, TR
Holla, R
Hosseinzadeh, M
Hostiuc, M
Koulmane Laxminarayana, SL
Hostiuc, S
Househ, M
Hsiao, T
Huang, J
Ibeneme, CU
Ibitoye, SE
Alahdab, F
Ilic, IM
Ilic, MD
Inbaraj, LR
Koyanagi, A
Irvani, SSN
Islam, JY
Islam, RM
Islam, SMS
Islami, F
Iso, H
Itumalla, R
Al-Aly, Z
Jaafari, J
Desta, AA
Krishan, K
Alhabib, KF
Kugbey, N
Kumar, GA
Kumar, N
Kurmi, OP
Kusuma, D
Lacey, B
Landires, I
Lasrado, S
Dharmaratne, SD
Lauriola, P
Lee, DW
Ali, T
Lee, YH
Leung, J
Li, S
Lin, H
Liu, W
Lugo, A
Madhava Kunjathur, S
Dhimal, M
Majeed, A
Maleki, A
Malekzadeh, R
Alif, SM
Malta, DC
Mamun, AA
Manjunatha, N
Mansouri, B
Mansournia, MA
Martini, S
Eagan, AW
Mathur, MR
Mathur, P
Mazidi, M
McKee, M
Alipour, V
Medina-Solís, CE
Mehata, S
Mendoza, W
Menezes, RG
Miazgowski, B
Ebrahimi Kalan, M
Michalek, IM
Miller, TR
Mini, GK
Mirica, A
Mirrakhimov, EM
Aljunid, SM
Mirzaei, H
Misra, S
Mohammad, Y
Mohammadian-Hafshejani, A
Edvardsson, K
Mohammed, S
Item Type: Journal Article
Abstract: Background Chewing tobacco and other types of smokeless tobacco use have had less attention from the global health community than smoked tobacco use. However, the practice is popular in many parts of the world and has been linked to several adverse health outcomes. Understanding trends in prevalence with age, over time, and by location and sex is important for policy setting and in relation to monitoring and assessing commitment to the WHO Framework Convention on Tobacco Control. Methods We estimated prevalence of chewing tobacco use as part of the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 using a modelling strategy that used information on multiple types of smokeless tobacco products. We generated a time series of prevalence of chewing tobacco use among individuals aged 15 years and older from 1990 to 2019 in 204 countries and territories, including age-sex specific estimates. We also compared these trends to those of smoked tobacco over the same time period. Findings In 2019, 273·9 million (95% uncertainty interval 258·5 to 290·9) people aged 15 years and older used chewing tobacco, and the global age-standardised prevalence of chewing tobacco use was 4·72% (4·46 to 5·01). 228·2 million (213·6 to 244·7; 83·29% [82·15 to 84·42]) chewing tobacco users lived in the south Asia region. Prevalence among young people aged 15–19 years was over 10% in seven locations in 2019. Although global age-standardised prevalence of smoking tobacco use decreased significantly between 1990 and 2019 (annualised rate of change: –1·21% [–1·26 to –1·16]), similar progress was not observed for chewing tobacco (0·46% [0·13 to 0·79]). Among the 12 highest prevalence countries (Bangladesh, Bhutan, Cambodia, India, Madagascar, Marshall Islands, Myanmar, Nepal, Pakistan, Palau, Sri Lanka, and Yemen), only Yemen had a significant decrease in the prevalence of chewing tobacco use, which was among males between 1990 and 2019 (−0·94% [–1·72 to –0·14]), compared with nine of 12 countries that had significant decreases in the prevalence of smoking tobacco. Among females, none of these 12 countries had significant decreases in prevalence of chewing tobacco use, whereas seven of 12 countries had a significant decrease in the prevalence of tobacco smoking use for the period. Interpretation Chewing tobacco remains a substantial public health problem in several regions of the world, and predominantly in south Asia. We found little change in the prevalence of chewing tobacco use between 1990 and 2019, and that control efforts have had much larger effects on the prevalence of smoking tobacco use than on chewing tobacco use in some countries. Mitigating the health effects of chewing tobacco requires stronger regulations and policies that specifically target use of chewing tobacco, especially in countries with high prevalence. Funding Bloomberg Philanthropies and the Bill & Melinda Gates Foundation.
Issue Date: Jul-2021
Date of Acceptance: 1-May-2021
URI: http://hdl.handle.net/10044/1/89323
DOI: 10.1016/s2468-2667(21)00065-7
ISSN: 2468-2667
Publisher: Elsevier BV
Start Page: e482
End Page: e499
Journal / Book Title: The Lancet Public Health
Volume: 6
Issue: 7
Copyright Statement: © 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license.
Publication Status: Published
Open Access location: https://www.sciencedirect.com/science/article/pii/S2468266721000657
Online Publication Date: 2021-05-28
Appears in Collections:Imperial College Business School



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