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Trends in smokeless tobacco use among men in four states, 1988 through 1993
D E Nelson1, S L Tomar, P Mowery
1Division of Adult and Community Health, Centers for Disease Control and Prevention, Atlanta, Ga. 30341-3724, USA.
Objectives:
Trends in smokeless tobacco use were examined for men in Indiana, Iowa, Montana, and West Virginia from 1988 through 1993.
Methods:
State survey data from the Behavioral Risk Factor Surveillance System (BRFSS) were analyzed.
Results:
Demographic characteristics associated with smokeless tobacco use included age less than 35 years, a high school education or less, and rural residence. Overall, there was little change in smokeless tobacco use among men in these states (range = -0.4-0.4 percentage points annually); only West Virginia had a significant decline.
Conclusions:
Reasons for the overall lack of decline may include increased advertising and promotional expenditures or substitution of smokeless tobacco for cigarettes. Increased prevention and cessation efforts are needed.