Snus Use and Smoking Behaviors: Preliminary Findings From a Prospective Cohort Study Among US Midwest Young Adults

Taylor, Naomi; Choi, Kelvin; Forster, Jean L.

doi:10.2105/ajph.2014.302536

Cited by 7 publications

(13 citation statements)

References 8 publications

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“…Though the uptake of snus products among U.S. adult cigarette smokers is relatively low (38), concerns remain over their use by novices (39, 40). For instance, snus use among never-smokers may predict cigarette-smoking initiation (7, 41). Such findings highlight the need for further assessment of abuse liability of snus products.…”

Section: Discussionmentioning

confidence: 99%

Acute effects of snus in never-tobacco users: a pilot study

Ozga

Felicione

Elswick

et al. 2016

The American Journal of Drug and Alcohol Abuse

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Section: Discussionmentioning

confidence: 99%

Acute effects of snus in never-tobacco users: a pilot study

Ozga

Felicione

Elswick

et al. 2016

The American Journal of Drug and Alcohol Abuse

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“…20 Additionally, while a study in Sweden found that snus use is not associated with smoking initiation, 21 our previous research showed that snus use predicted subsequent combustible cigarette smoking in a cohort of US Midwest young adult nonsmokers. 22 Snus sold in the United States also seems to be different from that in Sweden. Previous studies found that Swedish snus and US snus are different in their pH, moisture content, tobacco-specific nitrosamines, and other chemical compositions.…”

Section: Trends In Awareness Use Of and Beliefs About Electronic CImentioning

confidence: 91%

Trends in Awareness, Use of, and Beliefs About Electronic Cigarette and Snus Among a Longitudinal Cohort of US Midwest Young Adults

Choi

Bestrashniy

Forster

2017

Nicotine &Amp; Tobacco Research

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Introduction: Few longitudinal studies have examined how awareness, use of, and beliefs about electronic cigarettes (e-cigarettes) and snus change over time. We assessed these trends in a cohort of young adults from the US Midwest. Methods: Data were from the Minnesota Adolescent Community Cohort (MACC) Study, collected annually during 2010-2013 when participants were 21-29 years old (n = 2622). Participants were asked if they had heard of and ever used e-cigarettes and snus, and the number of days they used these products in the past 30 days. Beliefs about whether these products are less harmful than cigarettes, less addictive than cigarettes, and could help people quit smoking were assessed. Repeated measures multiple linear and logistic regression models, adjusting for demographics, peer smoking and smoking status, were used to assess trends. Results: Compared to 2010Compared to -2011Compared to , participants in 2012Compared to -2013 were five times more likely to be aware of e-cigarettes, report ever used them, and report using them in the past 30-days. Increases in e-cigarette use were observed in all smoking status. Participants were also increasingly likely to believe that e-cigarettes are less harmful than combustible cigarettes and could help people quit smoking. There was only a modest increase in awareness of and ever using snus, as well as believing snus is less harmful than combustible cigarettes. These trends did not differ by smoking status. Conclusions: The increasingly favorable beliefs about e-cigarettes may explain the increasing prevalence of their use particularly among young adults, both among smokers and nonsmokers. Implications: Awareness and use of e-cigarettes have increased substantially over the past few years, and positive beliefs of e-cigarettes have also become more prevalent among young adults. Meanwhile, little changes in awareness, use of, and beliefs about snus among young adults. Given the potential of these products to have both positive and negative impact on public health depending on who use them and how they are used, strategically communicating the risks associated with e-cigarettes and snus use may help minimize the burden of tobacco use at the population level.

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“…While some evidence supports this hypothesis [15,16], others studies do not [17,18]. In the case of snus, longitudinal studies investigating this association among adolescents have found mixed results in diverse cultural settings [19][20][21][22][23]. A review on studies investigating the association between use of snus and later cigarette smoking reported that research designs in this field have been often inadequate [24].…”

Section: Introductionmentioning

confidence: 99%

Association of snus experimentation in late adolescence with daily cigarette smoking in early adulthood: A longitudinal study among Finnish men

Araneda

Korhonen

Laatikainen

et al. 2019

Scand J Public Health

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Aims: Swedish smokeless tobacco (snus) is a lower-risk tobacco product than cigarette smoking for individuals. However, the public health impact of snus use is less well studied. Critically, it is uncertain whether use of snus leads to the onset of smoking. This study aimed to investigate prospectively the association between snus experimentation in late adolescence and daily cigarette smoking in early adulthood among Finnish young men. Methods: Data were obtained from 1090 young men within the population-based FinnTwin12 cohort. At baseline (mean age 17 years), we assessed lifetime use of cigarettes and snus, plus other potential predictors of cigarette smoking. At follow-up (mean age 24 years), participants were categorized according to their current smoking status. The final analyses were conducted among 375 young men who were never smokers at baseline with adequate data on follow-up smoking status and other potential predictors of cigarette smoking. Results: Age-adjusted logistic regressions showed an increased risk of becoming a daily smoker at follow-up among those participants who had at least tried snus but had never smoked cigarettes at baseline (odds ratio (OR) 6.48, 95% confidence interval (CI) 2.02–20.7), compared with those who had never used snus. When additionally adjusted for monthly alcohol intoxication, maternal smoking, and peer drug use, the association between snus experimentation and later daily cigarette smoking was attenuated, but remained significant (OR 3.94, 95% CI 1.22–12.7). Conclusions: Our data support the proposition that snus experimentation during late adolescence is longitudinally associated with daily cigarette smoking in early adulthood. Although a causal association cannot be inferred with certainty, snus experimentation might constitute an indicator of the propensity to proceed to regular snus use and initiation of use of other tobacco or nicotine products.

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Snus Use and Smoking Behaviors: Preliminary Findings From a Prospective Cohort Study Among US Midwest Young Adults

Cited by 7 publications

References 8 publications

Acute effects of snus in never-tobacco users: a pilot study

Acute effects of snus in never-tobacco users: a pilot study

Trends in Awareness, Use of, and Beliefs About Electronic Cigarette and Snus Among a Longitudinal Cohort of US Midwest Young Adults

Association of snus experimentation in late adolescence with daily cigarette smoking in early adulthood: A longitudinal study among Finnish men

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