Evidence map›Paper›PMID 41626280›Full record

ArticleTobacco prevention & cessation2026

A secondary multivariate decomposition analysis of factors influencing smokeless tobacco cessation across two Global Adult Tobacco Survey waves in India and Bangladesh.

Shalini Bassi, Manu Raj Mathur, Monika Arora, Tina Rawal, Rajmohan Panda, Ali Golkari

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Article in Tobacco prevention & cessation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Shalini Bassi *Public Health Foundation of India, New Delhi, India.
Manu Raj Mathur *Public Health Foundation of India, New Delhi, India.
Monika Arora *Public Health Foundation of India, New Delhi, India.
Tina RawalPublic Health Foundation of India, New Delhi, India.
Rajmohan PandaPublic Health Foundation of India, New Delhi, India.
Ali GolkariCentre for Dental Public Health and Primary Care, Institute of Dentistry, Queen Mary University of London, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study explores patterns and determinants of attempted quitting of smokeless tobacco (AQSLT) in India and Bangladesh, using data from two waves of the Global Adult Tobacco Survey (GATS).

methodsA secondary analysis was conducted using nationally representative data from GATS Wave 1 (2009-2010) and Wave 2 (2016-2017) in India and Bangladesh. Adults who reported using SLT currently or within 12 months at the time of each wave were included. Changes in AQSLT prevalence, associated factors, and contribution of independent variables were assessed using descriptive statistics, logistic regression, and multivariate decomposition analysis.

resultsWhile smokeless tobacco (SLT) use declined from Wave 1 to Wave 2 in both countries, changes in AQSLT prevalence were not statistically significant. In India, multivariate decomposition revealed that increases in the proportion of individuals who received quitting advice from a doctor or healthcare professional, noticed health warnings on SLT products, saw SLT warnings in print media, and were exposed to pro-SLT advertisements, had positive endowment effects on AQSLT. Behavioral changes among those exposed to SLT product warnings had the strongest negative composition effect. In Bangladesh, increased exposure to warnings in print media had positive, while decreased exposure to pro-SLT advertisements had a negative endowment effect on AQSLT. No significant composition effects were observed in Bangladesh.

conclusionsInterventions such as providing advice and health warnings show inconsistent effects on quit behavior. Findings warrant further evaluation of effectiveness of interventions and exploring tested culturally sensitive cessation strategies, that effectively motivate quit attempts among SLT users.

Indexed as

attitudescessationhealth knowledgemedia exposuresmokeless tobacco

Identifiers

PMID41626280
PMCPMC12853378

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