- Title
- Systematic review and meta-analysis of the prevalence of smokeless tobacco consumption among adults in Bangladesh, India and Myanmar
- Creator
- Naznin, Eva; Wynne, Olivia; George, Johnson; Hoque, Mohammad Enamul; Milton, Abul Hasnat; Bonevski, Billie
- Relation
- Tropical Medicine & International Health Vol. 25, Issue 7, p. 774-789
- Publisher Link
- http://dx.doi.org/10.1111/tmi.13410
- Publisher
- Wiley-Blackwell
- Resource Type
- journal article
- Date
- 2020
- Description
- Objective: To estimate the pooled prevalence of smokeless tobacco consumption (STC) by gender and location in Bangladesh, India and Myanmar and to identify periodic changes in STC prevalence using data extracted from published studies. Methods: We searched for a combination of keywords in electronic databases and used a standard form to extract data from each article. We undertook a meta-analysis to estimate pooled prevalence and confidence intervals within these countries. To compare periodic changes in STC prevalence, we grouped studies into five-year periods (2000–2004, 2005–2009, 2010–2014 and 2015–2019). Results: The pooled estimates of STC prevalence were 25% (95% CI: 22–28%), 22% (95% CI: 15–28%) and 21% (95% CI: 14–28%) for Bangladesh, India and Myanmar, respectively. In pooled estimates across these countries, we found higher STC prevalence for men (30%; 95% CI: 24–35%) than women (16%; 95% CI: 10–23%) and for rural dwellings (24%; 95% CI: 18–31%) than urban dwellings (17%; 95% CI: 10–24%). We found significant decrease in STC in Bangladesh and India in the period 2010–2014 and 2015–2019, respectively. In Myanmar, STC prevalence increased significantly and substantially in 2010–2014, to levels higher than in Bangladesh and India. Conclusions: The prevalence of STC in Bangladesh, India and Myanmar is highest in rural areas and among men. Public health prevention strategies are needed to maintain decrease in STC in Bangladesh and India, and to reverse the increased use in Myanmar.
- Subject
- prevalence; smokeless tobacco; spit; nasal snuf; SDG 3; SDG 11; SDG 17; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1433733
- Identifier
- uon:39340
- Identifier
- ISSN:1360-2276
- Rights
- This is the peer reviewed version of the following article: Naznin, Eva; Wynne, Olivia; George, Johnson; Hoque, Mohammad Enamul; Milton, Abul Hasnat; Bonevski, Billie. “Systematic review and meta-analysis of the prevalence of smokeless tobacco consumption among adults in Bangladesh, India and Myanmar”. Tropical Medicine & International Health Vol. 25, Issue 7, p. 774-789 (2020), which has been published in final form at http://dx.doi.org/10.1111/tmi.13410. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.
- Language
- eng
- Full Text
- Reviewed
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|---|---|---|---|---|---|---|---|
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