The Tobacco epidemic poses a growing threat to health, economy and environmental stability worldwide. One of the major preventable causes of death is tobacco use. Smokeless tobacco use has shown to be associated with oral and pharyngeal cancer. A questionnaire based cross sectional study was conducted in Sijulata village, of Jharkhand to assess prevalence and knowledge attitude and practice of smokeless tobacco use. Questions regarding use of smokeless tobacco use in the form of gul (powdered

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... rm of pyrolysed tobacco), khaini (tobacco-lime mixtures), ghutka (industrially manufactured and marketed tobacco product), and betel quid (consisting of fresh betel leaf, lime, catechu, areca nut and tobacco) was asked. The prevalence of smokeless tobacco use in males was 76.41% and in females were 63.70%. The study shows that khaini was the commonest form of smokeless tobacco used by all the groups. Ghutka was the second most commonly used tobacco among all the groups except business and service class where betel quid was more common.