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Students aged 13–15 years surveyed in 132 countries were more likely to report using smokeless tobacco products (11.2%) than to report smoking cigarettes (8.9%). Smokeless tobacco is used in various forms, from chewing tobacco alone to a mixture of tobacco with other ingredients such as betel quid, areca nut, Naswar, paan-masala, Gutkha, snus, qiwam and Mishri. The tobacco industry misleadingly encourages smokers to switch to smokeless tobacco as an alternative in places where smoking is not legalized or as an alternative to quitting smoking, and flavoured tobacco products have also been marketed to further attract adolescents and women.

The untapped potential of a low cost evidence based smartphone application for smokeless tobacco cessation