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Cited by 485

The DOI matches its Crossref record; 40 of the 40 references it cites were found in a registry or an index.

Smokeless tobacco and health in India and South Asia

GUPTA, Prakash C., RAY, Cecily S.·2003·Respirology

Abstract

Abstract: South Asia is a major producer and net exporter of tobacco. Over one‐third of tobacco consumed regionally is smokeless. Traditional forms like betel quid, tobacco with lime and tobacco tooth powder are commonly used and the use of new products is increasing, not only among men but also among children, teenagers, women of reproductive age, medical and dental students and in the South Asian diaspora. Smokeless tobacco users studied prospectively in India had age‐adjusted relative risks for premature mortality of 1.2–1.96 (men) and 1.3 (women). Current male chewers of betel quid with tobacco in case‐control studies in India had relative risks of oral cancer varying between 1.8–5.8 and relative risks for oesophageal cancer of 2.1–3.2. Oral submucous fibrosis is increasing due to the use of processed areca nut products, many containing tobacco. Pregnant women in India who used smokeless tobacco have a threefold increased risk of stillbirth and a two‐ to threefold increased risk of having a low birthweight infant. In recent years, several states in India have banned the sale, manufacture and storage of gutka, a smokeless tobacco product containing areca nut. In May 2003 in India, the Tobacco Products Bill 2001 was enacted to regulate the promotion and sale of all tobacco products. In two large‐scale educational interventions in India, sizable proportions of tobacco users quit during 5–10 years of follow‐up and incidence rates of oral leukoplakia measured in one study fell in the intervention cohort. Tobacco education must be imparted through schools, existing government health programmes and hospital outreach programmes.

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Metadata

Authors
GUPTA, P. C., & RAY, C. S.
Venue
Respirology
Publisher
Wiley
Published
2003-11-04
Volume
8
Issue
4
Pages
419-431
ISSN
  • 1323-7799 (ISSN-L)
  • 1440-1843
OpenAlex
W2070090934
Cited by
485
References
40
FWCI
4.34
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Smokeless tobacco and health in India and South Asia. https://app.cochat.ai/papers/10.1046/j.1440-1843.2003.00507.x
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GUPTA, P. C., & RAY, C. S. (2003). Smokeless tobacco and health in India and South Asia. Respirology. https://doi.org/10.1046/j.1440-1843.2003.00507.x

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.