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01-07-2019 | Original article

Trends in tobacco consumption in India 1987–2016: impact of the World Health Organization Framework Convention on Tobacco Control

Authors: Rizwan Suliankatchi Abdulkader, Dhirendra N. Sinha, Kathiresan Jeyashree, Ramashankar Rath, Prakash C. Gupta, Senthamarai Kannan, Naveen Agarwal, Deneshkumar Venugopal

Published in: International Journal of Public Health | Issue 6/2019

Abstract

Objectives

We describe national and subnational trends in tobacco use over three decades in India, assess the impact of the World Health Organization’s Framework Convention on Tobacco Control (FCTC) on them and draw inferences for regional tobacco control policy.

Methods

Data from nine cross-sectional surveys conducted between 1987 and 2016 were analysed. Time trends in gender- and state-wise prevalence were derived for different forms of tobacco. To assess Framework Convention’s impact, relative changes in tobacco prevalence before and after its implementation were estimated. Progress towards global noncommunicable diseases target was also measured.

Results

Post-implementation of the FCTC, smoking and smokeless tobacco use declined by 52.9% and 17.6%, respectively. The tobacco product mix (exclusive smokeless/exclusive smoked/dual) underwent a reversal from 37:52:11 in 1987 to 65:22:13 in 2016. Having achieved 20.5% relative reduction since 2009, India is en route to achieving the global noncommunicable diseases target.

Conclusions

Steep declines in tobacco use have followed the implementation of FCTC in India. However, the impact has been unequal on smokeless and smoked forms. Tobacco-control policies in high smokeless burden countries should take cognizance of this pattern and design comprehensive and flexible policies.

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Title: Trends in tobacco consumption in India 1987–2016: impact of the World Health Organization Framework Convention on Tobacco Control
Authors: Rizwan Suliankatchi Abdulkader
Dhirendra N. Sinha
Kathiresan Jeyashree
Ramashankar Rath
Prakash C. Gupta
Senthamarai Kannan
Naveen Agarwal
Deneshkumar Venugopal
Publication date: 01-07-2019
Publisher: Springer International Publishing
Published in: International Journal of Public Health / Issue 6/2019
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-019-01252-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Trends in tobacco consumption in India 1987–2016: impact of the World Health Organization Framework Convention on Tobacco Control

Abstract

Objectives

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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