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. 2018 Jul-Sep;43(3):153-156.
doi: 10.4103/ijcm.IJCM_213_17.

India has Reached on the Descending Limb of Tobacco Epidemic

Rohini Ruhil  1
Affiliations

India has Reached on the Descending Limb of Tobacco Epidemic

Rohini Ruhil. Indian J Community Med. 2018 Jul-Sep.

Abstract

Introduction: Till 2016, India was the second largest consumer of tobacco in the world, second only to China. However, in June 2017, the factsheet release of Global Adult Tobacco Survey-2 showed a 6% point decline in the prevalence of tobacco use among adults (>15 years) in the country.

Materials and methods: This is a form of ecological study where trends in aggregate prevalence of tobacco use at country level (using secondary data) were studied in relation to corresponding policy actions over a period of two decades.

Results: The results have shown that initial policy actions since the cigarettes act of 1975 till prevention of food adulteration Amendment act of 1995 were largely targeting cigarettes, and so smoking prevalence among men was constantly declining. On the other hand, smokeless tobacco use was increasing among both men and women and reached a peak in 2009-2010. After that, the government took strict policy actions including Food Safety and Standards Authority of India Gutka ban in 2011. There were other persistent efforts, which are discussed in this paper. As a result, a transition has occurred in relation to tobacco epidemic in India.

Conclusion: The paper has been concluded with a note that there is no room for complacence and we have a noncommunicable disease action goal to further decline the prevalence of tobacco use in the country to <24.22% by the year 2025.

Keywords: Global adult tobacco survey; global adult tobacco survey-2; smokeless tobacco; smoking; tobacco use.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Trends in the prevalence of tobacco use (smoking and smokeless) in India by men and women over a period of two decades, that is, from 1995 to 2017. Sources of data: 1995-96 (NSSO 52nd round); 1998-99 (NFHS 2); 2009-10 (GATS 1); 2016-17 (GATS 2)
See this image and copyright information in PMC

References

    1. GBD 2015 Risk Factors Collaborators. Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2015: A systematic analysis for the global burden of disease study 2015. Lancet. 2016;388:1659–724. - PMC - PubMed
    1. GATS – 2 (Global Adult Tobacco Survey – 2) Factsheet. India 2016-17. Ministry of Health and Family Welfare, Govt. of India. World Health Organisation; Tata Institute of Social Sciences. [Last accessed on 2017 Jun 14]. Available from: http://www.searo.who.int/india/mediacentre/events/2017/gats2_india.pdf?ua=1 .
    1. Lopez AD, Collishaw NE, Piha T. A descriptive model of the cigarette epidemic in developed countries. Tob Control. 1994;3:242.
    1. Government of India. The Cigarettes Act (Regulation of Production, Supply and Distribution) 1975. [Last accessed on 2017 Jun 15]. Available from: http://www.indianrailways.gov.in/railwayboard/uploads/directorate/securi... .
    1. Kaur J, Jain DC. Tobacco control policies in India: Implementation and challenges. Indian J Public Health. 2011;55:220–7. - PubMed