Department of Community Medicine, School of Public Health, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Indian J Med Res. 2018 Jul;148(1):41-45. doi: 10.4103/ijmr.IJMR_27_18.
Non-communicable diseases (NCDs) contributes to more than 50 per cent disability adjusted life years (DALYs) in India; and tobacco contributes to 7·4 per cent of DALYs which is next to diet and high blood pressure. According to Global Burden of Disease (GBD) 2015, tobacco use contributed to 5.9 per cent out of total DALYs in India. Smokeless tobacco (SLT) consumption is a multifactorial process influenced by varied range of contextual factors i.e., social, environmental, psychological and the genetic factors which are linked to the tobacco use. The determinants associated with the SLT use are gender, educational level, wealth index (inverse association), urban-rural residence, socio-economic status and low tax. Taking the view from tobacco control programmes, there is a need to address determinants of SLT use with State level monitoring and socio-economic inequalities, progress and review of the taxation of the SLT use in India.
在印度，非传染性疾病（NCDs）导致超过 50%的伤残调整生命年（DALYs）；而烟草导致 7.4%的 DALYs，仅次于饮食和高血压。根据全球疾病负担（GBD）2015 年数据，烟草使用在印度的总 DALYs 中占 5.9%。无烟烟草（SLT）的消费是一个多因素的过程，受到各种不同的社会、环境、心理和遗传因素的影响，这些因素与烟草使用有关。与 SLT 使用相关的决定因素包括性别、教育水平、财富指数（负相关）、城乡居住、社会经济地位和低税收。从烟草控制计划的角度来看，需要对 SLT 使用的决定因素进行国家层面的监测和社会经济不平等、进展和审查，以评估印度 SLT 使用的税收情况。
