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The trend has resulted in the emergence of a flourishing black-market industry linked to organized crime

This study fills this gap by, (i) exploring demographic, socio-economic and geographic correlates of current tobacco use using a nationally representative sample of 1549-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 1549-year adults drawn from three consecutive Demographic Health Surveys (DHS) between 2006 and 2016.Among males, the prevalence of smokeless tobacco use was higher than that of smoking (40.1% and 27.4% respectively), whereas among females smoking was more common than smokeless tobacco use (prevalence of 5.5% and 3.8% respectively)

Proceedings of the National Academy of Sciences of the United States of America, 116 (43), 2172721731