Leveraging celebrity influence for oral cancer prevention and smokeless tobacco cessation: challenges and opportunities in India

India bears the highest global burden of oral cancer, with over 83,400 cases reported in 2022. The widespread use of smokeless tobacco and areca nut, particularly in rural and underserved communities, continues to drive this public health crisis. Despite government regulations and awareness campaign...

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Main Authors: Saravanan Sekaran, Dhanraj Ganapathy, Deepavalli Arumuganainar, Harini Arumugasamy, Vimalraj Selvaraj, Saeed Alassiri, Shahabe Saquib Abullais
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1531268/full
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author Saravanan Sekaran
Dhanraj Ganapathy
Deepavalli Arumuganainar
Harini Arumugasamy
Vimalraj Selvaraj
Saeed Alassiri
Shahabe Saquib Abullais
author_facet Saravanan Sekaran
Dhanraj Ganapathy
Deepavalli Arumuganainar
Harini Arumugasamy
Vimalraj Selvaraj
Saeed Alassiri
Shahabe Saquib Abullais
author_sort Saravanan Sekaran
collection DOAJ
description India bears the highest global burden of oral cancer, with over 83,400 cases reported in 2022. The widespread use of smokeless tobacco and areca nut, particularly in rural and underserved communities, continues to drive this public health crisis. Despite government regulations and awareness campaigns, tobacco consumption remains high due to cultural acceptance, affordability, and accessibility of products like gutkha and khaini. This review examines the role of celebrity endorsements in tobacco cessation efforts, assessing their influence on public perception and behavior. Bollywood actors and sports icons, who hold immense cultural influence in India, have been leveraged in health campaigns to promote tobacco-free lifestyles. While some celebrity-driven initiatives have successfully raised awareness, surrogate marketing remains a critical challenge. Many celebrities indirectly endorse harmful products like pan masala and mouth fresheners, undermining tobacco control efforts. To counter this, stricter policies are needed to regulate celebrity endorsements, ensuring alignment with public health goals. This review highlights key strategies for maximizing the impact of celebrity-led health campaigns while minimizing the risks posed by surrogate marketing. By fostering sustained celebrity engagement and implementing robust policy measures, India can take significant steps toward reducing smokeless tobacco use and preventing oral cancer.
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spelling doaj-art-0d1eaa78715c4c8a80a575e9207bf4e52025-08-20T03:30:35ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-07-011310.3389/fpubh.2025.15312681531268Leveraging celebrity influence for oral cancer prevention and smokeless tobacco cessation: challenges and opportunities in IndiaSaravanan Sekaran0Dhanraj Ganapathy1Deepavalli Arumuganainar2Harini Arumugasamy3Vimalraj Selvaraj4Saeed Alassiri5Shahabe Saquib Abullais6Department of Prosthodontics, Saveetha Dental College and Hospitals, Saveetha Institute for Medical and Technical Sciences, Chennai, IndiaDepartment of Prosthodontics, Saveetha Dental College and Hospitals, Saveetha Institute for Medical and Technical Sciences, Chennai, IndiaDepartment of Periodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IndiaDepartment of Anatomy, Faculty of Allied Health Sciences, Dr. M.G.R Educational and Research Institute, Chennai, IndiaDepartment of Applied Mechanics and Biomedical Engineering, Indian Institute of Technology-Madras, Chennai, IndiaDepartment of Diagnostic Dental Sciences and Oral Biology, King Khalid University, Abha, Saudi ArabiaDepartment of Periodontics and Community Dental Science, College of Dentistry, King Khalid University, Abha, Saudi ArabiaIndia bears the highest global burden of oral cancer, with over 83,400 cases reported in 2022. The widespread use of smokeless tobacco and areca nut, particularly in rural and underserved communities, continues to drive this public health crisis. Despite government regulations and awareness campaigns, tobacco consumption remains high due to cultural acceptance, affordability, and accessibility of products like gutkha and khaini. This review examines the role of celebrity endorsements in tobacco cessation efforts, assessing their influence on public perception and behavior. Bollywood actors and sports icons, who hold immense cultural influence in India, have been leveraged in health campaigns to promote tobacco-free lifestyles. While some celebrity-driven initiatives have successfully raised awareness, surrogate marketing remains a critical challenge. Many celebrities indirectly endorse harmful products like pan masala and mouth fresheners, undermining tobacco control efforts. To counter this, stricter policies are needed to regulate celebrity endorsements, ensuring alignment with public health goals. This review highlights key strategies for maximizing the impact of celebrity-led health campaigns while minimizing the risks posed by surrogate marketing. By fostering sustained celebrity engagement and implementing robust policy measures, India can take significant steps toward reducing smokeless tobacco use and preventing oral cancer.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1531268/fulloral cancersmokeless tobaccocelebrity influencepublic health campaignssurrogate marketinghealth advocacy
spellingShingle Saravanan Sekaran
Dhanraj Ganapathy
Deepavalli Arumuganainar
Harini Arumugasamy
Vimalraj Selvaraj
Saeed Alassiri
Shahabe Saquib Abullais
Leveraging celebrity influence for oral cancer prevention and smokeless tobacco cessation: challenges and opportunities in India
Frontiers in Public Health
oral cancer
smokeless tobacco
celebrity influence
public health campaigns
surrogate marketing
health advocacy
title Leveraging celebrity influence for oral cancer prevention and smokeless tobacco cessation: challenges and opportunities in India
title_full Leveraging celebrity influence for oral cancer prevention and smokeless tobacco cessation: challenges and opportunities in India
title_fullStr Leveraging celebrity influence for oral cancer prevention and smokeless tobacco cessation: challenges and opportunities in India
title_full_unstemmed Leveraging celebrity influence for oral cancer prevention and smokeless tobacco cessation: challenges and opportunities in India
title_short Leveraging celebrity influence for oral cancer prevention and smokeless tobacco cessation: challenges and opportunities in India
title_sort leveraging celebrity influence for oral cancer prevention and smokeless tobacco cessation challenges and opportunities in india
topic oral cancer
smokeless tobacco
celebrity influence
public health campaigns
surrogate marketing
health advocacy
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1531268/full
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