Background: use of smokeless tobacco in rural Uttar Pradesh. Aims and Objectives: to find the prevalence and pattern of use of tobacco and its association with knowledge attitude and practice Material and Method: A random selection of a total of 1331 subjects in the study from villages of Lucknow, Kanpur area. A structured questionnaire was used as a survey tool. Results: tobacco was the most common chewing habit (36.1%). A stong association between oral habits and knowledge attitude practice scores was observed (p<0.001). Duration of tobacco use was also associated with knowledge attitude practice scores (p<0.001). Conclusion: there is a need for implementation of awareness and mass screening programmes to not only educate people about the ill effects of tobacco but also discourage its use because of its oral and systemic health implications.