August 18, 2025BMC Public HealthOpen Access

Rural-urban disparities in tobacco use among middle aged and elderly Indian adults: a multivariate decomposition analysis

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Discussion

Multivariate analysis reveals significant rural-urban disparities in tobacco consumption, highlighting socio-economic factors' impact.

Tobacco use is significantly more prevalent in rural areas, particularly among the poorer population.
In India, the prevalence of smoked tobacco use is 13.10% with a rural-urban difference of 7.32%, while smokeless tobacco is at 20.43%, differing by 10.79%.
Decomposition analysis indicates that educational status and gender are major contributors to disparities in smoked tobacco use, while region and occupational status are significant for smokeless tobacco.
Findings suggest that differences in socio-economic and cultural factors largely account for tobacco consumption disparities between rural and urban populations.

Halder et al. (2025) studied this question.

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