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For instance, in Delhi, the prevalence among women fell sharply, and similar declines were recorded in Rajasthan, Uttarakhand, and Himachal Pradesh, however, increasing use of tobacco was observed in certain states [32]

Previous research [33] also notes that smokeless tobacco consumption is more common among men overall, but in women, its use may be underreported due to lower perceived harm compared to smoking (Table 1)