Bidi and the Burden of Tobacco Labor: Human Rights and Health Injustices among Women and Children in South Asia

Bidi, a hand-rolled tobacco product widely used in South Asia, significantly contributes to tobacco-related diseases and serves as a vector for labor exploitation and systematic human rights violations. This perspective essay explains how the bidi industry employs women and children to create hazardous occupational conditions, reinforces gender and educational inequities, and perpetuates intergenerational cycles of poverty and labor dependency. We highlight neglected global tobacco policy and controls on labor and safety. We advocate for integrating informal bidi labor into existing health and labor protections and call for greater recognition of these production-side injustices within the global tobacco control discourse.

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Publication Details

Journal
International Journal of Social Determinants of Health and Health Services
Published
2026-06-16
DOI
https://doi.org/10.1177/27551938261458721
Primary Topic
Global trade, sustainability, and social impact
Type
article
Field-Weighted Citation Impact
0.00
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article

Bidi and the Burden of Tobacco Labor: Human Rights and Health Injustices among Women and Children in South Asia

Theodore A. Walls, Nathan DeSalvo, Mariyam Abbas, Joyce London et al.
International Journal of Social Determinants of Health and Health Services
Global trade, sustainability, and social impact
article

Bidi and the Burden of Tobacco Labor: Human Rights and Health Injustices among Women and Children in South Asia

Theodore A. Walls, Nathan DeSalvo, Mariyam Abbas, Joyce London, Sofia Dopman
article en

Abstract

Bidi, a hand-rolled tobacco product widely used in South Asia, significantly contributes to tobacco-related diseases and serves as a vector for labor exploitation and systematic human rights violations. This perspective essay explains how the bidi industry employs women and children to create hazardous occupational conditions, reinforces gender and educational inequities, and perpetuates intergenerational cycles of poverty and labor dependency. We highlight neglected global tobacco policy and controls on labor and safety. We advocate for integrating informal bidi labor into existing health and labor protections and call for greater recognition of these production-side injustices within the global tobacco control discourse.

International Journal of Social Determinants of Health and Health Services
University of Rhode Island (US)
Gender equality
Openalex Percentile: Top 6%
Global trade, sustainability, and social impact
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Bidi and the Burden of Tobacco Labor: Human Rights and Health Injustices among Women and Children in South Asia — Theodore A. Walls, Nathan DeSalvo, et al. · International Journal of Social Determinants of Health and Health Services (2026) | TGRS Research Map | TGRS