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A large NCAA study published in 2001 showed that for the eight categories of substance use, smokeless tobacco was the thirdmost widely used at 22.5 percent (behind alcohol and marijuana), with wide variations according to sport

As per a recent study, during 20152019, there were 165 803 900 SLT users across SEAR, with 479 466 attributable deaths annually, of which India accounted for 79.9%, with 383 248 deaths

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doi: 10.3389/froh.2026.1761734 Received 05 December 2025 Revised 13 January 2026 Accepted 19 January 2026 Published 09 February 2026 Volume 7 - 2026 Edited by Divya Uppala, Gandhi Institute of Technology and Management (GITAM), India Reviewed by Gerhard Scherer, ABF GmbH, Germany Updates Copyright 2026 La Rosa, Samaranayake, Zaura, Chapple and Polosa

A single line is a positive result, and that means danger