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BMJ 2004;328:1498 (19 June), doi:10.1136/bmj.328.7454.1498-a
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EDITORThe article by Subramanian et al on patterns and distribution of tobacco consumption in India is interesting and informative but raises issues.1
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The second national family health survey collected data from more than 90 000 ever married women aged 15-49 years in India, covering all states. The data on the consumption pattern of paan masala, tobacco, smoking, and alcohol among household members aged 15 years and above were collected. However, no direct interviews were conducted of the adult men in the household (the information was collected by the women interviewed). In view of the above, under-reporting is a strong possibility as the women interviewed might not be aware of the consumption of tobacco outside the household. Also, because of the social stigma attached with the consumption of tobacco women might
Preeti Singh, research scientist
itispreeti@hotmail.com
Umesh Kapil, professor
Department of Human Nutrition, All India Institute of Medical Sciences, New Delhi-110029, India