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The only study evaluating existing SLT dependence scales, Oklahoma Scale for Smokeless Tobacco (OSSTD), Tobacco Dependence Screener (TDS) and Fagerstrm Test for Nicotine Dependence-Smokeless Tobacco (FTND-ST) in South-Asia (Bangladesh) found the OSSTD lacked construct validity due to differences in the tobacco products, usage behaviors and sociocultural factors in Bangladesh and highlighted the need to develop new SLT scales relevant for the South-Asian population 17

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Tobacco, alcohol use and risk of hepatocellular carcinoma and intrahepatic cholangiocarcinoma: the liver Cancer pooling project