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Snuff use and smoking in U.S. men: implications for harm reduction.

Scott L Tomar1

  • 1University of Florida College of Dentistry, Division of Public Health Services and Research, Gainesville, Florida 32610, USA. stomar@dental.ufl.edu

American Journal of Preventive Medicine
|September 28, 2002
PubMed
Summary

While some men use snuff to quit smoking, more commonly men switch from snuff to smoking. Smokers using snuff are more likely to attempt quitting but less likely to succeed.

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Area of Science:

  • Public Health
  • Tobacco Use Research
  • Behavioral Science

Background:

  • Public health concerns exist regarding smokers switching to smokeless tobacco products like snuff.
  • This study investigates the relationship between snuff use and smoking behaviors in a U.S. male population.

Purpose of the Study:

  • To examine the association between using snuff and smoking cessation among U.S. men.
  • To understand the patterns of switching between smoking and snuff use.

Main Methods:

  • Analysis of data from the National Health Interview Survey (N=13,865) for males aged 18 years and older.
  • Utilized multiple logistic regression modeling to assess the link between snuff consumption and smoking cessation.
  • Data analysis conducted between August 2001 and April 2002.

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Main Results:

  • In 1998, 26.4% of U.S. men smoked, 3.6% used snuff, and 1.1% used both.
  • Current smoking was highest among occasional snuff users (38.9%) and lowest among daily snuff users (19.2%).
  • Daily snuff users were more likely to have quit smoking (OR=4.23), but men were more likely to transition from snuff to smoking than vice versa.

Conclusions:

  • Snuff may be used by some men as a smoking cessation aid.
  • However, a more common pattern observed is U.S. men switching from snuff use to smoking.
  • Smokers using snuff may supplement nicotine intake and are more prone to attempt quitting but with lower success rates.