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SOCIO-ECONOMIC INEQUALITY IN THE PREVALENCE OF SMOKELESS-TOBACCO CONSUMPTION AMONG THE MALES OF BIHAR: EVIDENCES FROM NFHS-4

Jyoti Das, Mukesh Kumar, K C Das, Adarsh Tripathi


Tobacco kills more than 1 million people each year in India which is the 9.5% of all causes of death according to the data released by GYTS in 2018. Tobacco consumption includes both smoked and smokeless. smokeless tobacco, which is the most dominant form of tobacco consumption in India, has been inadequately addressed in Indian studies. This study tries to explore the pattern of smokeless-tobacco consumption with the help of socio-economic background of smokeless tobacco users such as how much they are educated, in strata of the wealth quantile they fall in, in what occupation they are involved, etc. This study is based on secondary data provided by the National Family Health Survey-4, Ministry of Health and Family welfare, India. The study shows that the prevalence of smokeless tobacco consumption among men is higher than smoked tobacco consumption. While studying the pattern of smokeless tobacco consumption in Bihar, it is found that men involved in agricultural occupation have the highest prevalence of smokeless tobacco consumption, therefore, it is obvious that the prevalence is higher in rural areas than urban areas. Out of 2774 male smokeless-tobacco consumers in Bihar, highest proportion is found in Patna district whereas least is in Sheohar. Policy makers should consider socio-economic patterning of smokeless-tobacco use when designing, implementing and evaluating tobacco control interventions in different states of India.