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Historically, most of the smoked tobacco in India has been in the form of bidis, because they are cheap and locally manufactured. Evidence suggests that tobacco use rates are increasing in India, with a clear shift in consumption away from bidis to cigarettes among adults, particularly young adults aged 15–29 years.1 However, there is no such evidence for a consumption shift in adolescents aged 13–15 years despite high bidi smoking rates in this population. We appreciate Mrinal Barua and colleagues’ interest in our paper,2 and for proposing social class-specific strategies to reduce adolescent smoking in India.
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