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Conclusions This study provides the first analyses of excess mortality among male ST users and smokers at ages when smoking-related deaths occur

Bangladesh, Bhutan, India, Myanmar, Nepal, Sri Lanka, and Timor-Leste are among the countries in the South-East Asian Region (SEAR) with the highest prevalence of SLT use 11

The attributable burden (AB) due to ST was then estimated in deaths and DALYs lost for these conditions for both men and women using the following equation

Save the money that you would have spent on smokeless tobacco and use it for something special

Instead of using spit tobacco, carry substitutes like gum, hard candy, and sunflower seeds

Nationally, in 2021, the highest ASDR and ASDALYR were mainly observed in South Asia countries (Supplementary Table S6