ArticlePloS one2016
Determinants of Salivary Cotinine among Smokeless Tobacco Users: A Cross-Sectional Survey in Bangladesh.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 12 citations in OpenAlex.
- Impact of nicotine replacement therapy as an adjunct to anti-tuberculosis treatment and behaviour change counselling in newly diagnosed pulmonary tuberculosis patients: an open-label, randomised controlled trial.Scientific reports · 2018Trial
- Is smokeless tobacco use associated with lower health-related quality of life? A cross-sectional survey among women in Bangladesh.Tobacco induced diseases · 2024Article
- Co-producing an intervention for tobacco cessation and improvement of oral health among diabetic patients in Bangladesh.BMC oral health · 2021Article
- Smokeless Tobacco Initiation, Use, and Cessation in South Asia: A Qualitative Assessment.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2021Article
- The Determinants of Salivary Cotinine Concentration in Smokeless Tobacco Users.Open access Macedonian journal of medical sciences · 2019Article
- Possible role of nicotine and cotinine on nitroxidative stress and antioxidant content in saliva of smokeless tobacco consumers.Practical laboratory medicine · 2018Article
- Comparison of Salivary Cotinine Concentrations in Male Smokers and Smokeless Tobacco UsersAsian Pacific journal of cancer prevention : APJCP · 2018Article
- Smokeless tobacco and public health in Bangladesh.Indian journal of public health · 2017Review
- A Policy Perspective on the Global Use of Smokeless Tobacco.Current addiction reports · 2017Review
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionMore than 80% of all smokeless tobacco (ST) products in the world are consumed in South Asia; yet little is known about their consumption behaviour, addictiveness, and toxic properties. This paper, for the first time, describes associations between salivary cotinine concentrations among ST users in Bangladesh and their socio-demographic characteristics and tobacco use behaviours.
methodsIn a survey of ST users in Dhaka, Bangladesh, we purposively recruited 200 adults who were non-smokers but consumed ST on a regular basis. In-person interviews were conducted to obtain information about socio-demographic and ST use behaviours, and saliva samples were collected to measure cotinine concentration. Simple and multiple linear regression analyses were conducted to test associations between the log transformed salivary cotinine concentration and other study variables.
resultsThe geometric mean of cotinine concentration among ST users was 380ng/ml (GSD:2). Total duration of daily ST use in months had a statistically significant association with cotinine concentration. Other ST use characteristics including type and quantity of ST use, swallowing of tobacco juice, urges and strength of urges and attempts to cut down on tobacco use were not found to be associated with cotinine concentration in a multivariable model.
conclusionThis is the first report from Bangladesh studying cotinine concentration among ST users and it points towards high levels of addiction. This warrants effective tobacco control policies to help ST cessation and prevention.
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