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Article Synopsis
  • Smokeless tobacco (SLT) consumption involves chewing and spitting tobacco, which can lead to serious oral health issues, including malignant and pre-malignant lesions.
  • A study in Jodhpur revealed that older adults and long-term users are more likely to develop oral lesions, with oral submucous fibrosis being the most common issue found.
  • The findings emphasize the importance of raising awareness about the dangers of SLT, as well as the need for early diagnosis and management to prevent severe health consequences.
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Tobacco control still poses an immense challenge for the government of Nepal. Updated knowledge on the current pattern of tobacco use and its associated factors will be helpful for policy makers to curb the tobacco epidemic. This study fills this gap by, (i) exploring demographic, socio-economic and geographic correlates of current tobacco use using a nationally representative sample of 15-49-year adults from Nepal Demographic Health survey 2016, and (ii) examining the prevalence and trends of both smoking and non-smoking forms of tobacco use in a nationally representative sample of 15-49-year adults drawn from three consecutive Demographic Health Surveys (DHS) between 2006 and 2016.

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Head and neck cancer (HNC) consists of a group of malignancies affecting closely related anatomical regions of the upper aerodigestive tract (UADT), including the oral cavity, salivary glands, upper and lower jaw bones and facial skin; the nasal cavity, paranasal sinuses, pharynx, larynx and thyroid gland (although the latter is often excluded and considered as part of endocrine neoplasms). Of these, 90% of HNCs are histologically squamous cell carcinomas originating from the mucosal lining. These malignancies are strongly associated with certain environmental and life-style risk factors, principally tobacco in both smoked and smokeless forms, excessive alcohol consumption, diets poor in antioxidants and essential micronutrients, UV light, chemicals used in certain workplaces, and viruses, principally certain strains of human papillomavirus (HPV) and Epstein-Barr virus (EBV).

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Nicotine is so desirable to many people that when they are given only the options of consuming nicotine by smoking, with its high health costs, and not consuming nicotine at all, many opt for the former. Few smokers realize that there is a third choice: non-combustion nicotine sources, such as smokeless tobacco, electronic cigarettes, or pharmaceutical nicotine, which eliminate almost all the risk while still allowing consumption of nicotine. Widespread dissemination of misleading health claims is used to prevent smokers from learning about this lifesaving option, and to discourage opinion leaders from telling smokers the truth.

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