A Policy Perspective on the Global Use of Smokeless Tobacco

Overview

Journal Curr Addict Rep

Date 2017 Dec 5

PMID 29201593

Citations 18

Authors

Kamran Siddiqi

Aishwarya Lakshmi Vidyasagaran

Anne Readshaw

Ray Croucher

Affiliations

Soon will be listed here.

Abstract

Background: Globally, over 300 million people consume diverse smokeless tobacco (ST) products. They are addictive, cause cancer, increased cardiovascular mortality risks and poor pregnancy outcomes.

Purpose Of Review: To identify gaps in implementing key ST demand-reduction measures, focused literature reviews were conducted and findings synthesized according to relevant WHO Framework Convention on Tobacco Control (FCTC) Articles.

Recent Findings: The literature supports implementation of ST demand-reduction measures. For taxation, labelling and packaging, most administrations have weaker policies for ST than cigarettes. Capacity to regulate ST contents and offer cessation support is lacking. There is poor compliance with bans on ST advertising, promotion and sponsorship.

Summary: The literature on implementation of WHO FCTC for ST is limited. Although strengths of ST demand-control activities are currently identifiable from available literature, full implementation of FCTC is lacking. A wider evidence-based response to WHO FCTC is proposed, particularly for countries facing the greatest disease burdens.

Citing Articles

The invisible enemy: A systematic review and meta-analysis of maternal smokeless tobacco use as a risk factor for low birth weight.

Mahajan A, Gupta B, Tong M PLoS One. 2025; 19(12):e0312297.

PMID: 39775175 PMC: 11684629. DOI: 10.1371/journal.pone.0312297.

Conducting tobacco control surveys among schoolchildren in Bangladesh, India and Pakistan: A feasibility study.

Mishu M, Jackson C, McNeill A, Garg S, Borle A, Deshmukh C PLOS Glob Public Health. 2024; 4(10):e0003784.

PMID: 39361632 PMC: 11449278. DOI: 10.1371/journal.pgph.0003784.

Health effects associated with chewing tobacco: a Burden of Proof study.

Gil G, Anderson J, Aravkin A, Bhangdia K, Carr S, Dai X Nat Commun. 2024; 15(1):1082.

PMID: 38316758 PMC: 10844244. DOI: 10.1038/s41467-024-45074-9.

Tobacco use in Haiti: findings from demographic and health survey.

Paul B, Jean Simon D, Kondo Tokpovi V, Kiragu A, Balthazard-Accou K, Emmanuel E BMC Public Health. 2023; 23(1):2504.

PMID: 38097954 PMC: 10720190. DOI: 10.1186/s12889-023-17409-6.

Smokeless tobacco consumption and its association with tobacco control factors in the Western Pacific Region: results from the Global Youth Tobacco Survey 2015-2019.

Sreeramareddy C, Manoharan A Epidemiol Health. 2022; 44:e2022103.

PMID: 36397245 PMC: 10185971. DOI: 10.4178/epih.e2022103.

References

Croucher R, Islam S, Jarvis M, Garrett M, Rahman R, Shajahan S . Oral tobacco cessation with UK resident Bangladeshi women: a community pilot investigation. Health Educ Res. 2003; 18(2):216-23. DOI: 10.1093/her/18.2.216. View

Stanfill S, Connolly G, Zhang L, Jia L, Henningfield J, Richter P . Global surveillance of oral tobacco products: total nicotine, unionised nicotine and tobacco-specific N-nitrosamines. Tob Control. 2010; 20(3):e2. DOI: 10.1136/tc.2010.037465. View

Rutqvist L, Curvall M, Hassler T, Ringberger T, Wahlberg I . Swedish snus and the GothiaTek® standard. Harm Reduct J. 2011; 8:11. PMC: 3119032. DOI: 10.1186/1477-7517-8-11. View

Bromberg J, Augustson E, Backinger C . Portrayal of smokeless tobacco in YouTube videos. Nicotine Tob Res. 2011; 14(4):455-62. PMC: 3313788. DOI: 10.1093/ntr/ntr235. View

Widome R, Brock B, Klein E, Forster J . Smokeless tobacco advertising at the point of sale: prevalence, placement, and demographic correlates. Nicotine Tob Res. 2011; 14(2):217-23. DOI: 10.1093/ntr/ntr188. View

Mushtaq N, Beebe L, Vesely S . Determinants of salivary cotinine concentrations among smokeless tobacco users. Nicotine Tob Res. 2011; 14(10):1229-34. DOI: 10.1093/ntr/ntr279. View

Frick R, Klein E, Ferketich A, Wewers M . Tobacco advertising and sales practices in licensed retail outlets after the Food and Drug Administration regulations. J Community Health. 2011; 37(5):963-7. DOI: 10.1007/s10900-011-9532-x. View

Croucher R, Shanbhag S, Dahiya M, Kassim S, McNeill A . Predictors of successful short-term tobacco cessation in UK resident female Bangladeshi tobacco chewers. Addiction. 2012; 107(7):1354-8. DOI: 10.1111/j.1360-0443.2012.03819.x. View

Peeters S, Gilmore A . How online sales and promotion of snus contravenes current European Union legislation. Tob Control. 2012; 22(4):266-73. DOI: 10.1136/tobaccocontrol-2011-050209. View

10.

Klein E, Ferketich A, Abdel-Rasoul M, Kwan M, Kenda L, Wewers M . Smokeless tobacco marketing and sales practices in Appalachian Ohio following federal regulations. Nicotine Tob Res. 2012; 14(7):880-4. PMC: 3390545. DOI: 10.1093/ntr/ntr243. View

11.

Seidenberg A, Rodgers E, Rees V, Connolly G . Youth access, creation, and content of smokeless tobacco ("dip") videos in social media. J Adolesc Health. 2012; 50(4):334-8. DOI: 10.1016/j.jadohealth.2011.09.003. View

12.

Scheffels J, Lavik R . Out of sight, out of mind? Removal of point-of-sale tobacco displays in Norway. Tob Control. 2012; 22(e1):e37-42. PMC: 3731079. DOI: 10.1136/tobaccocontrol-2011-050341. View

13.

Doku D, Koivusilta L, Raisamo S, Rimpela A . Tobacco use and exposure to tobacco promoting and restraining factors among adolescents in a developing country. Public Health. 2012; 126(8):668-74. DOI: 10.1016/j.puhe.2012.05.003. View

14.

Singh V, Sharma B, Saxena P, Meena H, Mangal D . Price and consumption of tobacco. Lung India. 2012; 29(3):212-6. PMC: 3424857. DOI: 10.4103/0970-2113.99101. View

15.

Timberlake D, Pechmann C . Trends in the use and advertising of discount versus premium snuff. Nicotine Tob Res. 2012; 15(2):474-81. DOI: 10.1093/ntr/nts160. View

16.

Liu S, Nemeth J, Klein E, Ferketich A, Kwan M, Wewers M . Adolescent and adult perceptions of traditional and novel smokeless tobacco products and packaging in rural Ohio. Tob Control. 2012; 23(3):209-14. PMC: 4491921. DOI: 10.1136/tobaccocontrol-2012-050470. View

17.

Croucher R, Shanbhag S, Dahiya M, Kassim S, Csikar J, Ross L . Smokeless tobacco cessation in South Asian communities: a multi-centre prospective cohort study. Addiction. 2012; 107 Suppl 2:45-52. DOI: 10.1111/j.1360-0443.2012.04085.x. View

18.

Sinha D, Gupta P, Ray C, Singh P . Prevalence of smokeless tobacco use among adults in WHO South-East Asia. Indian J Cancer. 2013; 49(4):342-6. DOI: 10.4103/0019-509X.107726. View

19.

Dave D, Saffer H . Demand for smokeless tobacco: role of advertising. J Health Econ. 2013; 32(4):682-97. PMC: 3700524. DOI: 10.1016/j.jhealeco.2013.03.007. View

20.

Joseph R, Chaloupka F . The influence of prices on youth tobacco use in India. Nicotine Tob Res. 2013; 16 Suppl 1:S24-9. DOI: 10.1093/ntr/ntt041. View