Impact of ban on commercial smokeless tobacco products among users and vendors in West Bengal and Kerala states, India

Introduction: Since 2011, sale of commercially available smokeless tobacco products for chewing such as gutkha has been prohibited in many states in India. The current study attempts to understand the effectiveness and perception towards ban on gutkha sales in West Bengal and Kerala. Methods: Total...

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Main Authors: Nirmalya Mukherjee, Radhakrishnan Jayakrishnan, Paramita Bhattacharya, Raju Sarkar, Denny John, Arpita Mitra, Biswajit Pal, Pranay Lal
Format: Article
Language:English
Published: Elsevier 2022-11-01
Series:Clinical Epidemiology and Global Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213398422002020
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author Nirmalya Mukherjee
Radhakrishnan Jayakrishnan
Paramita Bhattacharya
Raju Sarkar
Denny John
Arpita Mitra
Biswajit Pal
Pranay Lal
author_facet Nirmalya Mukherjee
Radhakrishnan Jayakrishnan
Paramita Bhattacharya
Raju Sarkar
Denny John
Arpita Mitra
Biswajit Pal
Pranay Lal
author_sort Nirmalya Mukherjee
collection DOAJ
description Introduction: Since 2011, sale of commercially available smokeless tobacco products for chewing such as gutkha has been prohibited in many states in India. The current study attempts to understand the effectiveness and perception towards ban on gutkha sales in West Bengal and Kerala. Methods: Total six districts from both the states (three districts from each state). From each district, 1 Municipality and 2 Community Development Blocks were selected randomly, representing each cluster. From each cluster, line transect survey was used to identify Point of Sale (POS) of tobacco products. Tobacco consumers and vendors were interviewed from POS. Results: 865 tobacco users (West Bengal = 450, Kerala = 415) and 173 vendors (West Bengal = 90, Kerala = 83) were interviewed for the study. 16.1% of the total users from Kerala were using gutkha alone or in combination with other tobacco chewing products while in West Bengal the corresponding figure was 17.3%. Knowledge on ban was high among the consumers (95.7%) and vendors (100%) in Kerala while in West Bengal it was 64% and 62.2% respectively. Gutkha was available in 68% of the shops in West Bengal, while in Kerala no sale was reported in shops, though half of the vendors interviewed, admitted its sales in black market. Conclusion: The ban had little impact in West Bengal in the open market, while it had moderate impact in Kerala. However, the black market sales in Kerala are a matter of concern. Strict legislative measures are essential to cut the supply route for effective implementation of the ban.
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spelling doaj.art-d80c1e2c016241e2910291591082e4402022-12-22T04:42:08ZengElsevierClinical Epidemiology and Global Health2213-39842022-11-0118101160Impact of ban on commercial smokeless tobacco products among users and vendors in West Bengal and Kerala states, IndiaNirmalya Mukherjee0Radhakrishnan Jayakrishnan1Paramita Bhattacharya2Raju Sarkar3Denny John4Arpita Mitra5Biswajit Pal6Pranay Lal7CPHR, MANT (Manbhum Ananda Ashram Nityananda Trust), Kolkata, 700078, India; Corresponding author.MANT (Manbhum Ananda Ashram Nityananda Trust), Swapananeer, Flat No-A-2, 2nd Floor; 164 P Majumder Road, North Purbachal, Kolkata, 700078, West Bengal, India.Division of Community Oncology, Regional Cancer Centre, Thiruvananthapuram, Kerala, IndiaCPHR, MANT (Manbhum Ananda Ashram Nityananda Trust), Kolkata, 700078, IndiaCPHR, MANT (Manbhum Ananda Ashram Nityananda Trust), Kolkata, 700078, IndiaRamaiah University of Applied Sciences, Bengaluru, Karnataka, 560054, IndiaCPHR, MANT (Manbhum Ananda Ashram Nityananda Trust), Kolkata, 700078, IndiaRural Studies, West Bengal State University, West Bengal, 700126, IndiaThe International Union Against Tuberculosis and Lung Disease (The Union), South-East Asia Office, New Delhi, IndiaIntroduction: Since 2011, sale of commercially available smokeless tobacco products for chewing such as gutkha has been prohibited in many states in India. The current study attempts to understand the effectiveness and perception towards ban on gutkha sales in West Bengal and Kerala. Methods: Total six districts from both the states (three districts from each state). From each district, 1 Municipality and 2 Community Development Blocks were selected randomly, representing each cluster. From each cluster, line transect survey was used to identify Point of Sale (POS) of tobacco products. Tobacco consumers and vendors were interviewed from POS. Results: 865 tobacco users (West Bengal = 450, Kerala = 415) and 173 vendors (West Bengal = 90, Kerala = 83) were interviewed for the study. 16.1% of the total users from Kerala were using gutkha alone or in combination with other tobacco chewing products while in West Bengal the corresponding figure was 17.3%. Knowledge on ban was high among the consumers (95.7%) and vendors (100%) in Kerala while in West Bengal it was 64% and 62.2% respectively. Gutkha was available in 68% of the shops in West Bengal, while in Kerala no sale was reported in shops, though half of the vendors interviewed, admitted its sales in black market. Conclusion: The ban had little impact in West Bengal in the open market, while it had moderate impact in Kerala. However, the black market sales in Kerala are a matter of concern. Strict legislative measures are essential to cut the supply route for effective implementation of the ban.http://www.sciencedirect.com/science/article/pii/S2213398422002020Chewing tobaccoGutkhaGutkha banWest BengalKerala
spellingShingle Nirmalya Mukherjee
Radhakrishnan Jayakrishnan
Paramita Bhattacharya
Raju Sarkar
Denny John
Arpita Mitra
Biswajit Pal
Pranay Lal
Impact of ban on commercial smokeless tobacco products among users and vendors in West Bengal and Kerala states, India
Clinical Epidemiology and Global Health
Chewing tobacco
Gutkha
Gutkha ban
West Bengal
Kerala
title Impact of ban on commercial smokeless tobacco products among users and vendors in West Bengal and Kerala states, India
title_full Impact of ban on commercial smokeless tobacco products among users and vendors in West Bengal and Kerala states, India
title_fullStr Impact of ban on commercial smokeless tobacco products among users and vendors in West Bengal and Kerala states, India
title_full_unstemmed Impact of ban on commercial smokeless tobacco products among users and vendors in West Bengal and Kerala states, India
title_short Impact of ban on commercial smokeless tobacco products among users and vendors in West Bengal and Kerala states, India
title_sort impact of ban on commercial smokeless tobacco products among users and vendors in west bengal and kerala states india
topic Chewing tobacco
Gutkha
Gutkha ban
West Bengal
Kerala
url http://www.sciencedirect.com/science/article/pii/S2213398422002020
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