ArticleBMJ open2021
Awareness regarding the adverse effect of tobacco among adults in India: findings from secondary data analysis of Global Adult Tobacco Survey.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 34 citations in OpenAlex.
- Prevalence of Oral Potentially Malignant Lesions, Tobacco use, and Effect of Cessation Strategies among Solid Waste Management workers in Northern India: a pre-post intervention study.BMC oral health · 2024Trial
- Smoking cessation among middle-aged and older adults in India.Scientific reports · 2025Article
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- Clinico-epidemiological profile and barriers to cessation among tobacco users attending a tobacco cessation clinic in Goa.Journal of family medicine and primary care · 2025Article
- Smokeless tobacco: knowledge, attitudes and usage in Pakistan.Journal of health, population, and nutrition · 2025Article
- Protocol for a Cluster Randomized Controlled Trial to Reduce Susceptibility to Tobacco Use Among School Going Adolescents in a South-Indian District-(Project TEACH).Indian journal of psychological medicine · 2025Article
- Reducible burden of laryngeal cancer in men aged 50 and older attributable to smoking and alcohol use: insights from the global burden of disease study 2021.Frontiers in public health · 2025Article
- Intention to Quit Tobacco due to Media Advertisements in India: Findings from Global Adult Tobacco Survey 2016-17.Asian Pacific journal of cancer prevention : APJCP · 2024Article
- Socioeconomic and behavioral factors of hypertension among Indian tribal population: Evidence from national family health survey 5.PloS one · 2024Article
- Trends and determinants of tobacco use initiation in India: analysis of two rounds of the Global Adult Tobacco Survey.BMJ open · 2023Article
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- Variations in the patterns of tobacco usage among indian females - findings from the global adult tobacco survey India.BMC women's health · 2022Article
- Socioeconomic inequalities in tobacco cessation among Indians above 15 years of age from 2009 to 2017: evidence from the Global Adult Tobacco Survey (GATS).BMC public health · 2022Article
- Interest in Online Tobacco Cessation Services During the COVID-19 Pandemic in India- insights from Google Trends.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
- Behavioral Patterns Behind Tobacco Smoking among Patients Admitted to a Tertiary Care Hospital of a Developing Nation.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
- Complementary and Alternative Medicine/Therapy for Tobacco Cessation in India: A Secondary Analysis of GATS-1 and 2.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo quantify the extent of awareness regarding the harmful effects of tobacco among the users (both smoked and smokeless) and non-users in India, and explore the determinants of comprehensive knowledge among the participants of the Global Adult Tobacco Survey (GATS), India.
designCross-sectional study. SETTING AND
participantsThe nationally representative GATS I (2009-2010) included 69 296 participants using a multistage sampling method, while GATS II (2015-2016) interviewed 74 037 respondents aged >15 years using a similar sampling method from all the states and union territories in India. PRIMARY AND SECONDARY OUTCOME MEASURES: Comprehensive score were derived from nine items that explored awareness regarding the adverse effects of tobacco use among both users and non-users of tobacco in GATS II. Secondary outcome included predictors of awareness regarding adverse effects of tobacco and changes in the awareness compared with the previous round of the survey.
resultsAbout 60.2%, 57.5% and 66.5% of the smokers, smokeless tobacco (SLT) users and non-users were aware of the adverse effects of tobacco, respectively. The awareness depicted significant age, gender, marital status, education status, urban-rural, wealth and regional disparities (p<0.05). Intention to quit tobacco use also varied significantly with awareness. Among smokers, awareness was high in those residing in eastern India and the poorest participants. Among SLT users, awareness was more among male participants, those who were poorest and lived in western India. Among non-users, awareness was more among middle-aged, more educated, rich participants of west India. Compared with GATS I, an increase in awareness was observed in GATS II across gender, age groups, residential areas and geographical regions in India.
conclusionsComprehensive awareness of tobacco's harmful effects is far from desirable among Indian users. We recommend further customised health promotion campaigns to counter the regional disparities, adopt a gender-neutral approach and target adolescents.
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