Evidence map›Paper›PMID 40809626›Full record

ReviewCureus2025

Tobacco Use Among Tribal Communities in India: A Systematic Review and Meta-Analysis of Prevalence Studies.

Santanu Nath, Venkata Lakshmi Narasimha, Bijit Biswas, Ujjwal Kumar, G Jahnavi, Arshad Ayub, Benazir Alam, Niwedita Jha, Vinayagamoorthy Venugopal, Sudip Bhattacharya and 2 more

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Santanu NathPsychiatry, All India Institute of Medical Sciences, Deoghar, IND.
Venkata Lakshmi NarasimhaPsychiatry, Centre for Addiction Medicine, National Institute of Mental Health and Neurosciences, Bengaluru, IND.
Bijit BiswasCommunity and Family Medicine, All India Institute of Medical Sciences, Deoghar, IND.
Ujjwal KumarVital Strategies Tobacco Control Project, All India Institute of Medical Sciences, Deoghar, IND.
G JahnaviCommunity and Family Medicine, All India Institute of Medical Sciences, Deoghar, IND.
Arshad AyubCommunity and Family Medicine, All India Institute of Medical Sciences, Deoghar, IND.
Benazir AlamVital Strategies Tobacco Control Project, All India Institute of Medical Sciences, Deoghar, IND.
Niwedita JhaVital Strategies Tobacco Control Project, All India Institute of Medical Sciences, Deoghar, IND.
Vinayagamoorthy VenugopalCommunity and Family Medicine, All India Institute of Medical Sciences, Deoghar, IND.
Sudip BhattacharyaCommunity and Family Medicine, All India Institute of Medical Sciences, Deoghar, IND.
Rana Jugdeep SinghTobacco Control, Vital Strategies, New Delhi, IND.
Saurabh VarshneyOtolaryngology, All India Institute of Medical Sciences, Deoghar, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tribal populations in India face multiple health challenges, including high tobacco use. However, national-level estimates specific to tribal communities are lacking. This systematic review and meta-analysis assessed the prevalence of tobacco use among tribal populations in India, disaggregated by gender and type of tobacco product. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines, four databases, PubMed, Embase, Scopus, and Web of Science, were searched up to 31 January 2024. Studies reporting tobacco use among tribal populations in India were included. Meta-analysis was performed using a random-effects model. Subgroup analyses were conducted by gender and tobacco type. Heterogeneity was assessed using the I-squared (I²) statistic. Publication bias was assessed using the deviation from ordinary least squares (OLS) regression line (DOI) plots and the Luis Furuya-Kanamori (LFK) index. Thirty-nine studies involving 56,883 tribal individuals were included. The pooled prevalence of tobacco use was 60% (95% confidence interval (CI): 49%-70%; I² = 99.6%). Among male individuals, prevalence was 66% (95% CI: 42%-83%; I² = 99.2%), and among female individuals, it was 42% (95% CI: 22%-66%; I² = 99.6%). The prevalence of smokeless tobacco use was 45% (95% CI: 30%-62%) versus 20% for smoked tobacco (95% CI: 14%-27%). Nine studies lacked separate data on smoked and smokeless forms. The LFK index score of 0 indicated no asymmetry in the DOI plot, suggesting an absence of publication bias among the included studies. The majority of studies demonstrated a low risk of selection bias (78.5%), whereas fewer studies showed a low risk of information bias (57.1%) and reporting bias (53.5%). Tobacco use among tribal populations in India is alarmingly high, especially among men and for smokeless products. These findings warrant urgent, culturally appropriate public health interventions.

Indexed as

indiaprevalencesmokeless tobaccosmoking tobaccosystematic review and meta analysistobaccotribal communities

Identifiers

PMID40809626
PMCPMC12344541

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.