Smokeless tobacco consumption in South Asia: a review of the health programmes and interventions to reduce consumption

Authors

  • Neha Mehta University of Leeds
  • Surabhi Sharma Independent Researcher

DOI:

https://doi.org/10.31101/jhtam.2426
Abstract views 603 times

Keywords:

Smokeless tobacco, South Asia, Interventions, Health programmes, Tobacco,

Abstract

Over 290 million smokeless tobacco (SLT) users are located in South Asia (SA), accounting for 80% of the global burden of disease. Consequences of consumption include oral cancer, ischemic heart disease and still births, leading to an increased morbidity and mortality. The lack of a global mandate has led to less regulation and greater affordability of smokeless tobacco products, causing smokers to switch to these products. The need to identify effective interventions to reduce smokeless tobacco consumption is evident. This review will appraise the effectiveness of health programmes and interventions used to reduce SLT consumption in SA and identify areas for future research. Literature was found by searching Global Health, Medline, Web of Science, Google Scholar and Pubmed, using key terms. Literature was then systematically assessed using inclusion and exclusion criteria to yield 19 pieces of literature for this review. Four broad intervention categories were identified and appraised using different criteria for effectiveness. Each intervention had varying levels of effectiveness which depended on external factors. The lack of literature evaluating SLT interventions was noted and feasibility was estimated where necessary. Although interventions had a high effectiveness in some areas, many demonstrated low effectiveness due to their complex multi-sectoral nature. Further research is required to identify effective strategies and barriers precluding implementation.

References

Burches. (2020). Efficacy, effectiveness and efficiency in the health care: the need for agreement to clarify its meaning. International Archives of Public Health and Community Medicine, 4(1). https://doi.org/doi: 10.23937/2643-4512/1710035

Cahil, Lancaster, & Green. (2010). Stage-based interventions for smoking cessation. Cochrane Database Syst Rev, 1(11), 44–92. https://doi.org/doi:10.1002/14651858.CD004492.pub4

Chaloupka, Warner, Acemoğlu, Gruber, Laux, Max, & Sindelar. (2015). An evaluation of the FDA’s analysis of the costs and benefits of the graphic warning label regulation. Tobacco Control, 24(2), 112–119. https://doi.org/doi:10.1136/tobaccocontrol-2014-052022

Communications, G. S. for M. (2019). The Mobile Gender Gap Report 2019.

Huque, & Sinha, Z. (2017). Smokeless tobacco and public health in Bangladesh. Indian Journal of Public Health, 61(5), 18–24. https://doi.org/doi: 10.4103/ijph.IJPH_233_17

Inamdar, Croucher, Chokhandre, Mashyakhy, & Marinho. (2015). Maternal Smokeless Tobacco Use in Pregnancy and Adverse Health Outcomes in Newborns: A Systematic Review. Nicotine Tobacco Research, 17(9), 1058–1066. https://doi.org/doi:10.1093/ntr/ntu255

International, & Agency for Research On Cancer. (2019). Personal Habits and Indoor Combustions.

Karim, Inam, & Zaidi. (2020). Inadequate checks on smokeless tobacco usage in Pakistan: cultural heritage or policy neglect? Journal of Pakistan Medical Association, 70(1), 134–138. https://doi.org/doi:10.5455/JPMA.6459

Khan. (2015). Gender and diaspora: the Bihari community in Bangladesh. NIDA Case Research Journal, 7(2), 84–96.

Khan, Tonnies, & Muller. (2014). Smokeless tobacco and oral cancer in South Asia: a systematic review with meta-analysis. Journal of Cancer Epidemiology, 20(14), 1–11. https://doi.org/doi: https://doi.org/10.1155/2014/394696

Leao, Kunst, & Perelman. (2018). Cost-effectiveness of tobacco control policies and programmes targeting adolescents: a systematic review. European Journal of Public Health, 28(1), 39–43. https://doi.org/doi:10.1093/eurpub/ckx215

Marquez, M. P., Kabamalan, M. M., & Laguna, E. (2018). Traditional and Modern Contraceptive Method Use in the Philippines: Trends and Determinants 2003-2013. Studies in Family Planning, 49(2), 95–113. https://doi.org/10.2307/45211091

Organisation, W. H. (2003). WHO Framework Convention on Tobacco Control.

PRISMA. (2017). PRISMA Flow Diagram.

Robson. (2015). The Costs of Taxation.

Siddiqi, Gupta, Prasad, Croucher, & Sheikh. (2013). Smokeless tobacco use by south Asians. The Lancet Global Health, 1(2), 71. https://doi.org/doi:10.1016/s2214-109x(13)70021-4

Siddiqi, Husain, Vidyasagaran, Readshaw, Mishu, & Sheikh. (2020). Global burden of disease due to smokeless tobacco consumption in adults: an updated analysis of data from 127 countries. BioMedical Central Medicine, 18(1). https://doi.org/doi:10.1186/s12916-020-01677-9

Singh, Yadav, Lal, Sinha, Gupta, Swasticharan, & Mehrotra. (2020). Dual Burden of Smoked and Smokeless Tobacco Use in India, 2009–2017: A Repeated Cross-Sectional Analysis Based on Global Adult Tobacco Survey. Nicotine & Tobacco Research, 22(12), 2196–2202. https://doi.org/doi:10.1093/ntr/ntaa033

Sinha, Gupta, Ray, & Singh. (2012). Prevalence of smokeless tobacco use among adults in WHO South-East Asia. Indian Journal of Cancer, 49(4), 342–346.

Sugiyo, D., & Henshall, J. (2020). Community voices to support smoke free regulation advocacy. Journal of Health Technology Assessment in Midwifery, 3(1).

Suliankatchi, Sinha, Rath, Aryal, Zaman, Gupta, & Venugopal. (2017). Smokeless tobacco use is replacing the smoking epidemic in the South East Asia Region. Nicotine & Tobacco Research, 21(1), 95–100. https://doi.org/doi:10.1093/ntr/ntx272

Tam, Day, Rostron, & Apelberg. (2015). A systematic review of transitions between cigarette and smokeless tobacco product use in the United States. BioMedical Central Public Health, 15(1). https://doi.org/doi:10.1186/s12889-015-1594-8

Vidyasagaran, Siddiqi, & Kanaan. (2016). Use of smokeless tobacco and risk of cardiovascular disease : A systematic review and meta-analysis. European Journal of Preventive Cardiology, 2(5), 1970–1981. https://doi.org/doi: 10.1177/2047487316654026

Walley, & Wright. (2010). Public Health: An Action Guide to Improving Health (2nd ed ed.).

Warnakulasuriya, M. (2018). Oral health consequences of smokeless tobacco use. Indian Journal of Medical Research, 148(1), 35–40. https://doi.org/doi:10.4103/ijmr.IJMR_1793_17

Winarsih, W., Kusumawati, W., & Anjarwati, A. (2019). The correlation between family smoking habits and mosquito coils use with pneumonia incidences in toddlers. Journal of Health Technology Assessment in Midwifery, 2(2).

World Health Organization. (2018). WHO Cervical Cancer. https://www.who.int/cancer/prevention/diagnosis-screening/cervical-cancer/en/

Zakarija-Grkovic, & Stewart. (2020). Treatments for breast engorgement during lactation. In Cochrane Database of Systematic Reviews (p. 9). https://doi.org/10.1002/14651858.CD006946.pub4

Downloads

Published

2022-05-14

How to Cite

Mehta, N., & Sharma, S. (2022). Smokeless tobacco consumption in South Asia: a review of the health programmes and interventions to reduce consumption. Journal of Health Technology Assessment in Midwifery, 5(1), 36–47. https://doi.org/10.31101/jhtam.2426

Issue

Section

Articles

SHARE THIS