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Type: Journal article
Title: Socioeconomic gradients in different types of tobacco use in India: evidence from Global Adult Tobacco Survey 2009-10
Author: Singh, A.
Arora, M.
English, D.
Mathur, M.
Citation: BioMed Research International, 2015; 2015:837804-1-837804-9
Publisher: Hindawi Publishing Corporation
Issue Date: 2015
ISSN: 2314-6133
Statement of
Ankur Singh, Monika Arora, Dallas R. English and Manu R. Mathur
Abstract: Socioeconomic differences in tobacco use have been reported, but there is a lack of evidence on how they vary according to types of tobacco use. This study explored socioeconomic differences associated with cigarette, bidi, smokeless tobacco (SLT), and dual use (smoking and smokeless tobacco use) in India and tested whether these differences vary by gender and residential area. Secondary analysis of Global Adult Tobacco Survey (GATS) 2009-10 (69,296) was conducted. The primary outcomes were self-reported cigarette, bidi smoking, SLT, and dual use. The main explanatory variables were wealth, education, and occupation. Associations were assessed using multinomial logistic regressions. 69,030 adults participated in the study. Positive association was observed between wealth and prevalence of cigarette smoking while inverse associations were observed for bidi smoking, SLT, and dual use after adjustment for potential confounders. Inverse associations with education were observed for all four types after adjusting for confounders. Significant interactions were observed for gender and area in the association between cigarette, bidi, and smokeless tobacco use with wealth and education. The probability of cigarette smoking was higher for wealthier individuals while the probability of bidi smoking, smokeless tobacco use, and dual use was higher for those with lesser wealth and education.
Keywords: Humans
Tobacco Use Cessation
Evidence-Based Medicine
Sex Distribution
Socioeconomic Factors
Aged, 80 and over
Middle Aged
Educational Status
Young Adult
Tobacco Products
Tobacco Use
Surveys and Questionnaires
Tobacco Use Cessation Devices
Rights: © 2015 Ankur Singh et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: 10.1155/2015/837804
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