Titre
Spatial, temporal, and demographic patterns in prevalence of chewing tobacco use in 204 countries and territories, 1990-2019: a systematic analysis from the Global Burden of Disease Study 2019.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Kendrick, P.J.
Auteure/Auteur
Contributrices/contributeurs
Reitsma, M.B.
Abbasi-Kangevari, M.
Abdoli, A.
Abdollahi, M.
Abedi, A.
Abhilash, E.S.
Aboyans, V.
Adebayo, O.M.
Advani, S.M.
Ahinkorah, B.O.
Ahmad, S.
Ahmadi, K.
Ahmed, H.
Aji, B.
Akalu, Y.
Akunna, C.J.
Alahdab, F.
Al-Aly, Z.
Alanezi, F.M.
Alanzi, T.M.
Alhabib, K.F.
Ali, T.
Alif, S.M.
Alipour, V.
Aljunid, S.M.
Alomari, M.A.
Amin, T.T.
Amini, S.
Amu, H.
Ancuceanu, R.
Anderson, J.A.
Andrei, C.L.
Andrei, T.
Ansari-Moghaddam, A.
Antony, B.
Anvari, D.
Arabloo, J.
Arian, N.D.
Arora, M.
Artanti, K.D.
Asmare, W.N.
Atnafu, D.D.
Ausloos, M.
Awan, A.T.
Ayano, G.
Aynalem, G.L.
Azari, S.
B, D.B.
Badiye, A.D.
Baig, A.A.
Banach, M.
Banerjee, S.K.
Barker-Collo, S.L.
Bärnighausen, T.W.
Barqawi, H.J.
Basu, S.
Bayati, M.
Bazargan-Hejazi, S.
Bekuma, T.T.
Bennett, D.A.
Bensenor, I.M.
Benzian, H.
Benziger, C.P.
Berman, A.E.
Bhagavathula, A.S.
Bhala, N.
Bhardwaj, N.
Bhardwaj, P.
Bhattacharyya, K.
Bibi, S.
Bijani, A.
Biondi, A.
Braithwaite, D.
Brenner, H.
Brunoni, A.R.
Burkart, K.
Burugina Nagaraja, S.
Butt, Z.A.
Caetano Dos Santos, F.L.
Car, J.
Carreras, G.
Castaldelli-Maia, J.M.
Cattaruzza, MSS
Chang, J.C.
Chaturvedi, P.
Chen, S.
Chido-Amajuoyi, O.G.
Chu, D.T.
Chung, S.C.
Ciobanu, L.G.
Costa, V.M.
Couto, RAS
Dagnew, B.
Dai, X.
Damasceno, AAM
Damiani, G.
Dandona, L.
Dandona, R.
Daneshpajouhnejad, P.
Darega Gela, J.
Derbew Molla, M.
Desta, A.A.
Dharmaratne, S.D.
Dhimal, M.
Eagan, A.W.
Ebrahimi Kalan, M.
Edvardsson, K.
Effiong, A.
El Tantawi, M.
Elbarazi, I.
Esmaeilnejad, S.
Fadhil, I.
Faraon, EJA
Farwati, M.
Farzadfar, F.
Fazlzadeh, M.
Feigin, V.L.
Feldman, R.
Filip, I.
Filippidis, F.
Fischer, F.
Flor, L.S.
Foigt, N.A.
Folayan, M.O.
Foroutan, M.
Gad, M.M.
Gallus, S.
Geberemariyam, B.S.
Gebregiorgis, B.G.
Getacher, L.
Getachew Obsa, A.
Ghafourifard, M.
Ghanei Gheshlagh, R.
Ghashghaee, A.
Ghith, N.
Gil, G.F.
Gill, P.S.
Ginawi, I.A.
Goharinezhad, S.
Golechha, M.
Gopalani, S.V.
Gorini, G.
Grivna, M.
Guha, A.
Guimarães, R.A.
Guo, Y.
Gupta, R.D.
Gupta, R.
Gupta, T.
Gupta, V.
Hafezi-Nejad, N.
Haider, M.R.
Hamadeh, R.R.
Hankey, G.J.
Hargono, A.
Hay, S.I.
Heidari, G.
Herteliu, C.
Hezam, K.
Hird, T.R.
Holla, R.
Hosseinzadeh, M.
Hostiuc, M.
Hostiuc, S.
Househ, M.
Hsiao, T.
Huang, J.
Ibeneme, C.U.
Ibitoye, S.E.
Ilic, I.M.
Ilic, M.D.
Inbaraj, L.R.
Irvani, SSN
Islam, J.Y.
Islam, R.M.
Islam, SMS
Islami, F.
Iso, H.
Itumalla, R.
Jaafari, J.
Jain, V.
Jakovljevic, M.
Jang, S.I.
Jayaram, S.
Jeemon, P.
Jha, R.P.
Jonas, J.B.
Jürisson, M.
Kabir, A.
Kabir, Z.
Kalankesh, L.R.
Kanchan, T.
Kandel, H.
Kapoor, N.
Karch, A.
Karimi, S.E.
Kebede, K.M.
Kelkay, B.
Kennedy, R.D.
Khader, Y.S.
Khan, E.A.
Khayamzadeh, M.
Kim, G.R.
Kimokoti, R.W.
Kivimäki, M.
Kosen, S.
Koulmane Laxminarayana, S.L.
Koyanagi, A.
Krishan, K.
Kugbey, N.
Kumar, G.A.
Kumar, N.
Kurmi, O.P.
Kusuma, D.
Lacey, B.
Landires, I.
Lasrado, S.
Lauriola, P.
Lee, D.W.
Lee, Y.H.
Leung, J.
Li, S.
Lin, H.
Liu, W.
Lugo, A.
Madhava Kunjathur, S.
Majeed, A.
Maleki, A.
Malekzadeh, R.
Malta, D.C.
Mamun, A.A.
Manjunatha, N.
Mansouri, B.
Mansournia, M.A.
Martini, S.
Mathur, M.R.
Mathur, P.
Mazidi, M.
McKee, M.
Medina-Solís, C.E.
Mehata, S.
Mendoza, W.
Menezes, R.G.
Miazgowski, B.
Michalek, I.M.
Miller, T.R.
Mini, G.K.
Mirica, A.
Mirrakhimov, E.M.
Mirzaei, H.
Misra, S.
Mohammad, Y.
Mohammadian-Hafshejani, A.
Mohammed, S.
Mokdad, A.H.
Molokhia, M.
Monasta, L.
Moni, M.A.
Moradzadeh, R.
Morrison, S.D.
Mossie, T.B.
Mubarik, S.
Mullany, E.C.
Murray, CJL
Nagaraju, S.P.
Naghavi, M.
Naik, N.
Nalini, M.
Nangia, V.
Naqvi, A.A.
Narasimha Swamy, S.
Naveed, M.
Nazari, J.
Nduaguba, S.O.
Negoi, R.I.
Neupane Kandel, S.
Nguyen, HLT
Nigatu, Y.T.
Nixon, M.R.
Nnaji, C.A.
Noubiap, J.J.
Nowak, C.
Nuñez-Samudio, V.
Ogbo, F.A.
Oguntade, A.S.
Oh, I.H.
Olagunju, A.T.
Owolabi, M.O.
P A, M.
Pakshir, K.
Pana, A.
Panagiotakos, D.
Panda-Jonas, S.
Pandey, A.
Parekh, U.
Park, E.C.
Park, E.K.
Pashazadeh Kan, F.
Pathak, M.
Pawar, S.
Pestell, R.G.
Pham, H.Q.
Pinheiro, M.
Pokhrel, K.N.
Pourshams, A.
Prashant, A.
Radfar, A.
Rahimi-Movaghar, V.
Rahman, MHU
Rahman, M.A.
Rahmani, A.M.
Ram, P.
Rana, J.
Ranabhat, C.L.
Rathi, P.
Rawaf, D.L.
Rawaf, S.
Rawassizadeh, R.
Renzaho, AMN
Rezapour, A.
Riaz, M.A.
Roever, L.
Ronfani, L.
Roshandel, G.
Roy, A.
Roy, B.
Saddik, B.
Sahebkar, A.
Salehi, S.
Salimzadeh, H.
Samy, A.M.
Sanabria, J.
Santric-Milicevic, M.M.
Sao Jose, B.P.
Sathian, B.
Sawhney, M.
Saya, G.K.
Schwendicke, F.
Seidu, A.A.
Senthil Kumar, N.
Sepanlou, S.G.
Shafaat, O.
Shah, S.M.
Shaikh, M.A.
Shannawaz, M.
Sharafi, K.
Sheikh, A.
Sheikhbahaei, S.
Shigematsu, M.
Shiri, R.
Shishani, K.
Shivakumar, K.M.
Shivalli, S.
Shrestha, R.
Siabani, S.
Sidemo, N.B.
Sigfusdottir, I.D.
Sigurvinsdottir, R.
Silva, J.P.
Singh, A.
Singh, J.A.
Singh, V.
Sinha, D.N.
Skryabin, V.Y.
Skryabina, A.A.
Soroush, A.
Soyiri, I.N.
Sreeramareddy, C.T.
Stein, D.J.
Steiropoulos, P.
Stortecky, S.
Straif, K.
Suliankatchi Abdulkader, R.
Sulo, G.
Sundström, J.
Tabuchi, T.
Tadesse, E.G.
Tamiru, A.T.
Tareke, M.
Tareque, M.I.
Tarigan, I.U.
Thakur, B.
Thankappan, K.R.
Thapar, R.
Tolani, M.A.
Tovani-Palone, M.R.
Tran, B.X.
Tripathy, J.P.
Tsegaye, G.W.
Tymeson, H.D.
Ullah, S.
Unim, B.
Updike, R.L.
Uthman, O.A.
Vacante, M.
Vardavas, C.
Venketasubramanian, N.
Verma, M.
Vidale, S.
Vo, B.
Vu, G.T.
Waheed, Y.
Wang, Y.
Welding, K.
Werdecker, A.
Whisnant, J.L.
Wickramasinghe, N.D.
Wubishet, B.L.
Yamagishi, K.
Yano, Y.
Yazdi-Feyzabadi, V.
Yeshaw, Y.
Yimmer, M.Z.
Yonemoto, N.
Yousefi, Z.
Yu, C.
Yunusa, I.
Yusefzadeh, H.
Zaman, M.S.
Zamani, M.
Zamanian, M.
Zastrozhin, M.S.
Zastrozhina, A.
Zhang, J.
Zhang, Z.J.
Zhong, C.
Zuniga, YMH
Gakidou, E.
Groupes de travail
GBD 2019 Chewing Tobacco Collaborators
Liens vers les personnes
Liens vers les unités
ISSN
2468-2667
Statut éditorial
Publié
Date de publication
2021-07
Volume
6
Numéro
7
Première page
e482
Dernière page/numéro d’article
e499
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Publication Status: ppublish
Résumé
Chewing tobacco and other types of smokeless tobacco use have had less attention from the global health community than smoked tobacco use. However, the practice is popular in many parts of the world and has been linked to several adverse health outcomes. Understanding trends in prevalence with age, over time, and by location and sex is important for policy setting and in relation to monitoring and assessing commitment to the WHO Framework Convention on Tobacco Control.
We estimated prevalence of chewing tobacco use as part of the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 using a modelling strategy that used information on multiple types of smokeless tobacco products. We generated a time series of prevalence of chewing tobacco use among individuals aged 15 years and older from 1990 to 2019 in 204 countries and territories, including age-sex specific estimates. We also compared these trends to those of smoked tobacco over the same time period.
In 2019, 273·9 million (95% uncertainty interval 258·5 to 290·9) people aged 15 years and older used chewing tobacco, and the global age-standardised prevalence of chewing tobacco use was 4·72% (4·46 to 5·01). 228·2 million (213·6 to 244·7; 83·29% [82·15 to 84·42]) chewing tobacco users lived in the south Asia region. Prevalence among young people aged 15-19 years was over 10% in seven locations in 2019. Although global age-standardised prevalence of smoking tobacco use decreased significantly between 1990 and 2019 (annualised rate of change: -1·21% [-1·26 to -1·16]), similar progress was not observed for chewing tobacco (0·46% [0·13 to 0·79]). Among the 12 highest prevalence countries (Bangladesh, Bhutan, Cambodia, India, Madagascar, Marshall Islands, Myanmar, Nepal, Pakistan, Palau, Sri Lanka, and Yemen), only Yemen had a significant decrease in the prevalence of chewing tobacco use, which was among males between 1990 and 2019 (-0·94% [-1·72 to -0·14]), compared with nine of 12 countries that had significant decreases in the prevalence of smoking tobacco. Among females, none of these 12 countries had significant decreases in prevalence of chewing tobacco use, whereas seven of 12 countries had a significant decrease in the prevalence of tobacco smoking use for the period.
Chewing tobacco remains a substantial public health problem in several regions of the world, and predominantly in south Asia. We found little change in the prevalence of chewing tobacco use between 1990 and 2019, and that control efforts have had much larger effects on the prevalence of smoking tobacco use than on chewing tobacco use in some countries. Mitigating the health effects of chewing tobacco requires stronger regulations and policies that specifically target use of chewing tobacco, especially in countries with high prevalence.
Bloomberg Philanthropies and the Bill & Melinda Gates Foundation.
We estimated prevalence of chewing tobacco use as part of the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 using a modelling strategy that used information on multiple types of smokeless tobacco products. We generated a time series of prevalence of chewing tobacco use among individuals aged 15 years and older from 1990 to 2019 in 204 countries and territories, including age-sex specific estimates. We also compared these trends to those of smoked tobacco over the same time period.
In 2019, 273·9 million (95% uncertainty interval 258·5 to 290·9) people aged 15 years and older used chewing tobacco, and the global age-standardised prevalence of chewing tobacco use was 4·72% (4·46 to 5·01). 228·2 million (213·6 to 244·7; 83·29% [82·15 to 84·42]) chewing tobacco users lived in the south Asia region. Prevalence among young people aged 15-19 years was over 10% in seven locations in 2019. Although global age-standardised prevalence of smoking tobacco use decreased significantly between 1990 and 2019 (annualised rate of change: -1·21% [-1·26 to -1·16]), similar progress was not observed for chewing tobacco (0·46% [0·13 to 0·79]). Among the 12 highest prevalence countries (Bangladesh, Bhutan, Cambodia, India, Madagascar, Marshall Islands, Myanmar, Nepal, Pakistan, Palau, Sri Lanka, and Yemen), only Yemen had a significant decrease in the prevalence of chewing tobacco use, which was among males between 1990 and 2019 (-0·94% [-1·72 to -0·14]), compared with nine of 12 countries that had significant decreases in the prevalence of smoking tobacco. Among females, none of these 12 countries had significant decreases in prevalence of chewing tobacco use, whereas seven of 12 countries had a significant decrease in the prevalence of tobacco smoking use for the period.
Chewing tobacco remains a substantial public health problem in several regions of the world, and predominantly in south Asia. We found little change in the prevalence of chewing tobacco use between 1990 and 2019, and that control efforts have had much larger effects on the prevalence of smoking tobacco use than on chewing tobacco use in some countries. Mitigating the health effects of chewing tobacco requires stronger regulations and policies that specifically target use of chewing tobacco, especially in countries with high prevalence.
Bloomberg Philanthropies and the Bill & Melinda Gates Foundation.
Sujets
PID Serval
serval:BIB_1805B7D0932F
PMID
Open Access
Oui
Date de création
2021-07-23T15:15:11.662Z
Date de création dans IRIS
2025-05-20T19:32:52Z
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