Nicotine quantity and packaging disclosure in smoked and smokeless tobacco products in India

Sharma, Priyamvada; Murthy, Pratima; Shivhare, Parul

doi:10.4103/0253-7613.161273

Cited by 26 publications

(22 citation statements)

References 11 publications

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“…There is no compliance in the policy and regulation for bringing resolution of nicotine content. Nicotine content in the tobacco products plays a major role in the addiction which persistently regulates access to any form of tobacco products, effectiveness of the tobacco controlling interventions and policies face hardships in taking the measure of cessation 35 . Factors connected to SLT consumption in day to day lives are literacy rate, work related practice and acceptance of the SLT product/ users among society/ work environment.…”

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confidence: 99%

Smokeless Tobacco dependence and cessation measures in India

Venkatesan

Jhamtani²,

Gupta³

et al. 2020

IJOAR

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Review Article IJOAR (2020) 3:68 Smokeless Tobacco dependence and cessation measures in India India being the largest smokeless tobacco (SLT) producer and consumer in the South East Asia Region (SEAR) entitled with a range of products. SLT consumption is very common because it is associated with socioeconomic and cultural perspectives in the India. After the implementation of the first treaty of the World Health Organization Framework Convention on Tobacco Control (WHO-FCTC), public health standards were reaffirmed and improvised through successful implementation of articles since 2007 as reported in the global progress factsheet. Many measures have been implemented for achieving the success of WHO-FCTC in India and to control the huge disease burden induced by tobacco use. The objective of the present study was to understand and explore the factors involved in the SLT demand reduction by revealing the dependence and cessation implementation in India in the context of strategies and policies. For this study, we searched for SLT dependence and SLT cessation literature survey in PubMed and obtained 102 literatures consisting of studies and reviews, which were further scrutinized by excluding the reviews, studies conducted abroad and studies conducted within the last 5 years (after 2015). No statistical significance was observed in comparison of National to International SLT dependence and an attempt to quit SLT following the tenure of a year. This is in-line with GATS-2 and international data. We have also discussed a diverse approach in the control of SLT at different levels-such as SLT users, healthcare professional, policy advocates supplier, labeling, legal policies, and educating at various platforms. Effective strategies for the cessation of SLT is mandatory with proper guidance for the manufacturer, users and sellers in controlling SLT products.

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confidence: 99%

Smokeless Tobacco dependence and cessation measures in India

Venkatesan

Jhamtani²,

Gupta³

et al. 2020

IJOAR

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“…[ 11 ] The nicotine content of brands used in the current study are: Brand 1-5.7 mg/rod; brand 2-1.01 mg/rod; brand 3-8.8 mg/rod; brand 4-2.7 mg/rod; brand 5-1.3 mg/rod and brand 6-4.8 mg/rod. [ 10 ] For this, we analyzed the FTND of three hypothetical patients (named X, Y, and Z), one each in the cigarette smoker and bidi smoker categories. We also presumed that the three patients used different tobacco products in each of the categories.…”

Section: Methodsmentioning

confidence: 99%

“…1% methanolic potassium hydroxide[ 1 ] was applied for extracting nicotine from products and quantification was done using high-performance thin-layer chromatography. [ 10 ] In the present, we applied the nicotine quantitation scores to Fagerstrom test for nicotine dependence (FTND) which may have important implications for NRT dosage.…”

Section: Introductionmentioning

confidence: 99%

Need for validation of Fagerstrom Test for Nicotine Dependence in Indian context: Implications for Nicotine Replacement Therapy

Sharma¹,

Sharma

2016

Indian Journal of Psychological Medicine

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Background:Variety of smokeable and chewable tobacco products with diverse nicotine content are used in India. Nicotine quantity in tobacco products has a direct bearing on developing tobacco dependence. The present work used this information to derive scores on the Fagerstrom test for nicotine dependence (FTND). It was used to determine the dosing of nicotine replacement treatment (NRT).Materials and Methods:Nicotine score quantitation was taken from the previous study. This data was applied to FTND to determine the relationship of nicotine content to the potential degree of dependence.Results:Application of nicotine quantitation to FTND in a hypothetical experiment significantly altered the scores from medium to high depending on the brand the used.Conclusion:Application of qunatitation of nicotine content in FTND score has implications for the assessment of tobacco dependence and NRT dose. The study implies validation of FTND using nicotine quantity in the consumed tobacco product as a scorable parameter in the FTND.

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“…19 Smoked and smokeless are the two forms of tobacco mainly used. 17 Smoked tobacco mainly includes bidis, cigarettes, hookah, cigar, chillum, etc., while the smokeless form includes gutkha, paan masala, mishri, betel nut, snuff, jarda, mawa, gul, dentobac, tapkir, gudaku, timbur, etc. 18 Both these forms are easily available, as the government has permitted to sell them.…”

Section: Graph 1: Reason For Tobacco Usementioning

confidence: 99%

Tobacco Consumption and Premalignant Lesions among Police Personnel in Mumbai, Maharashtra, India.

Rajani¹,

Rao²,

Oswal³

et al. 2018

IJOCRWEB

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Aims and objectives: Indian judiciary plays an important part in the community both as law enforcers and as role model for appropriate behavior. Despite this, investigation reveals that they consume a higher level of tobacco. The health hazards of tobacco consumption among police officers of Mumbai and the strength of its association with premalignant lesions with regard to frequency of consumption were intended to be studied. Settings and design: Clinical oral examination was performed by the experts and a questionnaire was filled by the police personnel. After the screening procedure, findings of habit mongers were recorded. Materials and methods: A cross-sectional camp approach with multiphasic screening of the police officers was adopted in the study. Two random police units with 200 police personnel were selected for the study. Structured closed-ended questionnaire was filled by them. It was followed by clinical oral examination by expert for screening and identification of precancerous lesions. Statistical analysis: Mean percentage proportion was used for data analysis. Results: Remarkable cause for tobacco consumption is occupational stress and the fact that policemen are burdened with mental stress beyond imagination. Among the study of total chewing population, the association between tobacco chewers and the ones who are not with regard to development of premalignant lesions was significant. Conclusion: A significant association was found between the factors causing premalignant lesions and the frequency of tobacco consumption. Periodic health consultations and promotion of hazards of tobacco consumption play an important role in restraining these policemen from such "flavored addictive carcinogens."

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Nicotine quantity and packaging disclosure in smoked and smokeless tobacco products in India

Cited by 26 publications

References 11 publications

Smokeless Tobacco dependence and cessation measures in India

Smokeless Tobacco dependence and cessation measures in India

Need for validation of Fagerstrom Test for Nicotine Dependence in Indian context: Implications for Nicotine Replacement Therapy

Tobacco Consumption and Premalignant Lesions among Police Personnel in Mumbai, Maharashtra, India.

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