The use of smokeless tobacco among UK South Asian communities

Janice Constance, Joanne M. Lusher, Esther Murray

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More than two million people in the UK consume chewing tobacco products, of which the majority are from South Asian communities. The use of chewing tobacco products needs to be investigated due to the association with adverse health effects amongst its users.


The purpose of this research was to investigate the opinions and attitudes towards the use of smokeless tobacco amongst South Asian people in England.


Twelve semi-structured interviews were conducted and transcribed verbatim. Data were analysed using a deductive thematic analysis using the layers of
influence model as a framework: Individual characteristics, Lifestyle factors, Social and Community networks, and Environmental and Cultural conditions.

The themes identified confirmed the layers of determinants can be used to understand an
individual’s use of chewing tobacco products.

This research provides a starting point for the development of interventions for the cessation of smokeless tobacco, which is currently lacking within
the UK. It has been identified through this research, that a multifaceted approach is needed in order to address the use of chewing tobacco and the resulting health disparities. This includes education and training for health professionals to understand
the cultural context of chewing tobacco; campaigns to raise awareness of the dangers and harm related to chewing tobacco at a community level and a reconsideration of national control policies.
Original languageEnglish
Pages (from-to)49-53
Number of pages5
JournalMOJ Addiction Medicine and Therapy
Issue number1
Publication statusPublished - 13 Feb 2019


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