Chewing Tobacco Caused 251,000 Deaths Globally in 2023
New research shows the health impact of smokeless tobacco, which claimed hundreds of thousands of lives last year.
Updated on Oct. 1, 2026 in Diseases — General
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In 2023, chewing tobacco contributed to 251,000 deaths and 6.48 million disability-adjusted life-years worldwide. The findings highlight the persistent health burden among the 241 million people aged 15 and older who use the product globally.
Why it matters
Understanding these global figures helps identify specific regions where tobacco-related health loss is most severe and rising. This data provides a clearer picture of the mortality risks associated with chewing tobacco, beyond better-known concerns regarding cigarettes.
Researchers analyzed 204 countries from 1990 to 2023 using the Burden of Proof framework, recording 251,000 deaths and 6.48 million DALYs. While stroke and oral cancers were significant drivers, the impact remains heavily concentrated in South Asia.
The details
Chewing tobacco usage causes significant systemic harm, including cardiovascular events like stroke and various oral malignancies. The study found that stroke accounted for 55.9 disability-adjusted life-years per 100,000 people, while lip and oral cavity cancers contributed 17.4. These conditions significantly reduce quality of life and contribute to 6.17 million years of life lost to premature death annually.
Timeline
The study period for global chewing tobacco use spanned from 1990 to 2023.
Data regarding recorded mortality and usage counts were finalized for the year 2023.
Health Landscape
This research utilizes the Burden of Proof framework to quantify the health consequences of smokeless tobacco across 204 countries. It clarifies the scale of the global burden, which has seen DALYs increase by 116% since 1990.
If you currently use chewing tobacco, discussing the specific health risks—such as stroke and oral cancer—with your physician is a vital step toward prevention. Health professionals can provide evidence-based strategies for cessation tailored to your personal health history.
The takeaway
Chewing tobacco is a significant contributor to global mortality and disability, particularly through stroke and oral cancer risks. If you are concerned about your own health, consult a clinician to evaluate your risk factors and discuss professional support for tobacco cessation.
Further reading
For broader trends on substance use and dietary health, visit our Nutrition section.
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Should governments increase regulatory efforts for chewing tobacco products to match other tobacco control measures?
