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In India, approximately 21.4% of adults use SLT products, with higher prevalence among men, rural populations, and those with lower educational attainment, as reported in the Global Adult Tobacco Survey 201617 (50)

doi:10.1161/01.ATV.0000051384.43104.FC

A survey done by the Centers for Disease Control and Prevention in 2009 found that 15 percent of high school boys were using smokeless tobacco, a 36 percent increase from 2003

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