Snus use and rejection in the USA.


OBJECTIVE:To determine whether snus might become a strategy for reducing the harm associated with cigarette smoking in the USA as appears to be the case in Sweden, we examined receptivity to snus use in two cities with the greatest exposure to the major brands. METHODS:A dual frame, telephone survey and a brief mail survey were conducted in 2011 and 2012 in Indianapolis, Indiana and Dallas/Fort Worth Texas. Over 5000 adults completed surveys. Trial, ever use, current use and reasons for using or quitting snus after trial were measured. RESULTS:Among male smokers, 29.9% had ever tried snus (CI 22.7 to 38.1) and 4.2% were current users (CI 1.6 to 10.7). Among female smokers, 8.5% ever tried snus (CI 4.4 to 15.7) and current use was unknown. Current use was virtually absent among former smokers and never smokers. A major predictor of any level of snus use was current use of conventional smokeless tobacco. Those who tried and gave up snus cited curiosity (41.3%) and the fact that it was available at low or no cost (30%) as reasons for trial; reasons for not continuing included preferring another form of tobacco (75.1%) and disliking the mouth feel (34.6%). Almost all current snus users indicated that they were trying to cut down on cigarettes, but few (3.9%) were using it to quit smoking entirely. CONCLUSIONS:The low rate of adoption of snus suggests that neither the hopes nor the fears surrounding this new product are likely to be realised in the USA with the current marketing patterns.


Tob Control


Tobacco control


Biener L,Roman AM,Mc Inerney SA,Bolcic-Jankovic D,Hatsukami DK,Loukas A,O'Connor RJ,Romito L




Has Abstract


2016-07-01 00:00:00














  • Are quitting-related cognitions and behaviours predicted by proximal responses to plain packaging with larger health warnings? Findings from a national cohort study with Australian adult smokers.

    abstract:BACKGROUND:Implementation of tobacco plain packaging (PP) with larger graphic health warnings (GHWs) in Australia had positive effects on responses reflecting the specific objectives of the PP policy and on follow-up quitting-related cognitions and behaviours. The aim of this study was to examine predictive relationshi...

    journal_title:Tobacco control

    pub_type: 杂志文章


    authors: Brennan E,Durkin S,Coomber K,Zacher M,Scollo M,Wakefield M

    更新日期:2015-04-01 00:00:00

  • Occasional tobacco use among young adult women: a longitudinal analysis of smoking transitions.

    abstract:OBJECTIVE:To describe prospective transitions in smoking among young adult women who were occasional smokers, and the factors associated with these transitions, by comparing sociodemographic, lifestyle and psychosocial characteristics of those who changed from occasional smoking to daily smoking, non-daily smoking or n...

    journal_title:Tobacco control

    pub_type: 杂志文章


    authors: McDermott L,Dobson A,Owen N

    更新日期:2007-08-01 00:00:00

  • Cigarette smoking and smoking cessation among older adults: United States, 1965-94.

    abstract:OBJECTIVE:To characterise patterns of cigarette smoking and smoking cessation among older adults in the United States. DESIGN:Data from the National Health Interview Surveys (NHIS) 1965-94 were analysed. The NHIS is a cross-sectional survey using a representative national sample. SETTING:In most cases interviews were...

    journal_title:Tobacco control

    pub_type: 杂志文章


    authors: Husten CG,Shelton DM,Chrismon JH,Lin YC,Mowery P,Powell FA

    更新日期:1997-10-01 00:00:00

  • Public support in England for raising the price of cigarettes to fund tobacco control activities.

    abstract:OBJECTIVE:Increasing the price of cigarettes reduces consumption, with a global price elasticity of approximately -0.4. In the UK where the cost of cigarettes is already relatively high, there is an issue surrounding public acceptance of further price rises ahead of the inflation rate. Previous research suggests that p...

    journal_title:Tobacco control

    pub_type: 杂志文章


    authors: Gardner B,West R

    更新日期:2010-08-01 00:00:00

  • Snus undermines quit attempts but not abstinence: a randomised clinical trial among US smokers.

    abstract:BACKGROUND:Observational studies and a few clinical trials suggest that use of low nitrosamine smokeless tobacco (snus) can facilitate smoking cessation. To better understand the real-world impact of snus on smoking behaviour, a large-scale, long-term clinical trial of naturalistic snus use among smokers is needed. ST...

    journal_title:Tobacco control

    pub_type: 杂志文章,随机对照试验


    authors: Carpenter MJ,Wahlquist AE,Burris JL,Gray KM,Garrett-Mayer E,Cummings KM,Alberg AJ

    更新日期:2017-03-01 00:00:00

  • Short term patterns of early smoking acquisition.

    abstract:OBJECTIVE:To describe short term patterns of smoking acquisition exhibited by adolescent smokers. DESIGN:Interview records from the prospective development and assessment of nicotine dependence in youth study were examined retrospectively. Interviews were conducted three times per year over 30 months. SUBJECTS:164 st...

    journal_title:Tobacco control

    pub_type: 杂志文章,多中心研究


    authors: Wellman RJ,DiFranza JR,Savageau JA,Dussault GF

    更新日期:2004-09-01 00:00:00

  • Have e-cigarettes renormalised or displaced youth smoking? Results of a segmented regression analysis of repeated cross sectional survey data in England, Scotland and Wales.

    abstract:OBJECTIVES:To examine whether during a period of limited e-cigarette regulation and rapid growth in their use, smoking began to become renormalised among young people. DESIGN:Interrupted time-series analysis of repeated cross-sectional time-series data. SETTING:Great Britain PARTICIPANTS: 248 324 young people aged ap...

    journal_title:Tobacco control

    pub_type: 杂志文章


    authors: Hallingberg B,Maynard OM,Bauld L,Brown R,Gray L,Lowthian E,MacKintosh AM,Moore L,Munafo MR,Moore G

    更新日期:2020-03-01 00:00:00

  • Do smokers support smoke-free laws to help themselves quit smoking? Findings from a longitudinal study.

    abstract:BACKGROUND:A growing number of smokers support smoke-free laws. The theory of self-control provides one possible explanation for why smokers support laws that would restrict their own behaviour: the laws could serve as a self-control device for smokers who are trying to quit. OBJECTIVE:To test the hypothesis that supp...

    journal_title:Tobacco control

    pub_type: 杂志文章


    authors: Nagelhout GE,Zhuang YL,Gamst A,Zhu SH

    更新日期:2015-05-01 00:00:00

  • Long-term impact of plain packaging of cigarettes with larger graphic health warnings: findings from cross-sectional surveys of Australian adolescents between 2011 and 2017.

    abstract:OBJECTIVE:To assess the long-term impact of plain packaging (PP) of cigarettes with larger graphic health warnings (HW) introduced in December 2012 on adolescents' relevant tobacco-related perceptions. METHODS:Cross-sectional school-based surveys of 12 to 17 year olds in 2011 (n=4413), 2013 (n=4423), 2014 (n=4576) and...

    journal_title:Tobacco control

    pub_type: 杂志文章


    authors: White VM,Guerin N,Williams T,Wakefield MA

    更新日期:2019-08-01 00:00:00

  • Illicit cigarettes and hand-rolled tobacco in 18 European countries: a cross-sectional survey.

    abstract:OBJECTIVE:Little evidence, other than that commissioned by the tobacco industry, exists on the size of the illicit tobacco trade. This study addresses this gap by examining the level and nature of illicit cigarettes and hand-rolled tobacco in 18 European countries. DESIGN:Face-to-face cross-sectional survey on smoking...

    journal_title:Tobacco control

    pub_type: 杂志文章


    authors: Joossens L,Lugo A,La Vecchia C,Gilmore AB,Clancy L,Gallus S

    更新日期:2014-05-01 00:00:00

  • The case for Ofsmoke: the potential for price cap regulation of tobacco to raise £500 million per year in the UK.

    abstract:OBJECTIVE:A system of price-cap regulation has previously been suggested to address the market failure inherent to the tobacco industry. This would benefit public health directly (eg, by making it extremely difficult for the industry to sell cut-price cigarettes, or use price as a marketing strategy) and indirectly (eg...

    journal_title:Tobacco control

    pub_type: 杂志文章


    authors: Branston JR,Gilmore AB

    更新日期:2014-01-01 00:00:00

  • The 'common knowledge' of Quebecers: quantifying the evidence of historians testifying for defendant tobacco companies.

    abstract::The 'common knowledge' defence is a legal strategy which has been successfully used by defendant tobacco companies to avoid legal responsibility for the harms caused by smoking. Tobacco companies have hired professional historians to try to persuade courts about a longstanding high level of public awareness regarding ...

    journal_title:Tobacco control

    pub_type: 历史文章,杂志文章


    authors: Callard C

    更新日期:2016-09-01 00:00:00

  • Trends in the use of premium and discount cigarette brands: findings from the ITC US Surveys (2002-2011).

    abstract:OBJECTIVE:The purpose of this paper was to examine trends in the use of premium and discount cigarette brands and determine correlates of type of brand used and brand switching. METHODS:Data from the International Tobacco Control (ITC) US adult smoker cohort survey were analysed. The total study sample included 6669 a...

    journal_title:Tobacco control

    pub_type: 杂志文章


    authors: Cornelius ME,Driezen P,Fong GT,Chaloupka FJ,Hyland A,Bansal-Travers M,Carpenter MJ,Cummings KM

    更新日期:2014-03-01 00:00:00

  • The role of tobacco control policies in reducing smoking and deaths in a middle income nation: results from the Thailand SimSmoke simulation model.

    abstract:OBJECTIVES:With the male smoking prevalence near 60% in 1991, Thailand was one of the first Asian nations to implement strict tobacco control policies. However, the success of their efforts has not been well documented. METHODS:The role of tobacco control policies are examined using the "SimSmoke" tobacco control mode...

    journal_title:Tobacco control

    pub_type: 杂志文章


    authors: Levy DT,Benjakul S,Ross H,Ritthiphakdee B

    更新日期:2008-02-01 00:00:00

  • An examination of the smoking identities and taxonomies of smoking behaviour of youth.

    abstract:OBJECTIVE:To address observations that the smoking identities of youth are valid descriptors of their smoking behaviour, we examined the relationships between self-reported smoking identities, perceived levels of addiction, and established taxonomies of smoking behaviour of youth. METHOD:Cross-sectional data were coll...

    journal_title:Tobacco control

    pub_type: 杂志文章


    authors: Okoli CT,Richardson CG,Ratner PA,Johnson JL

    更新日期:2008-06-01 00:00:00

  • Changes in smoking cessation assistance in the European Union between 2012 and 2017: pharmacotherapy versus counselling versus e-cigarettes.

    abstract:BACKGROUND:The landscape of smoking cessation may have changed in Europe recently. OBJECTIVES:To identify changes in use of smoking cessation assistance in the European Union (EU) and factors associated with use of cessation assistance. METHODS:Data from the 2012 (n=9921) and 2017 (n=9489) waves of the Eurobarometer ...

    journal_title:Tobacco control

    pub_type: 杂志文章


    authors: Filippidis FT,Laverty AA,Mons U,Jimenez-Ruiz C,Vardavas CI

    更新日期:2019-01-01 00:00:00

  • Smoke-free college campuses: no ifs, ands or toxic butts.

    abstract:OBJECTIVE:To better estimate the burden of toxic cigarette butt waste and create awareness of the hazardous nature of cigarette butts on two large university campuses in San Diego by organizing and conducting student cigarette butt clean-up activities. METHODS:Two separate campus-wide clean-ups were conducted by stude...

    journal_title:Tobacco control

    pub_type: 杂志文章


    authors: Sawdey M,Lindsay RP,Novotny TE

    更新日期:2011-05-01 00:00:00

  • Smoking epidemic in Europe in the 21st century.

    abstract:OBJECTIVE:To estimate smoking-attributable mortality in the long-term future in 29 European countries using a novel data-driven forecasting approach that integrates the wave pattern of the smoking epidemic and the cohort dimension. METHODS:We estimated and forecasted age-specific and age-standardised smoking-attributa...

    journal_title:Tobacco control

    pub_type: 杂志文章


    authors: Janssen F,El Gewily S,Bardoutsos A

    更新日期:2020-08-07 00:00:00

  • Survivors of tobacco-related diseases and advocacy for tobacco control.

    abstract::Survivors and victims of tobacco-related diseases can and should play significant roles in tobacco control advocacy efforts. This article describes one example of how to successfully incorporate their talents into a statewide programme. ...

    journal_title:Tobacco control

    pub_type: 杂志文章


    authors: Mathew M,Goldstein AO,Hampton K

    更新日期:2008-02-01 00:00:00

  • Modelling the impact of a new tobacco product: review of Philip Morris International's Population Health Impact Model as applied to the IQOS heated tobacco product.

    abstract:OBJECTIVES:We review the Population Health Impact Model (PHIM) developed by Philip Morris International and used in its application to the US Food and Drug Administration (FDA) to market its heated tobacco product (HTP), IQOS, as a modified-risk tobacco product (MRTP). We assess the model against FDA guidelines for MRT...

    journal_title:Tobacco control

    pub_type: 杂志文章


    authors: Max WB,Sung HY,Lightwood J,Wang Y,Yao T

    更新日期:2018-11-01 00:00:00

  • Building the evidence base for effective tobacco control policies: the International Tobacco Control Policy Evaluation Project (the ITC Project).

    abstract::The Framework Convention on Tobacco Control (FCTC) is a seminal event in tobacco control and in global health. Scientific evidence guided the creation of the FCTC, and as the treaty moves into its implementation phase, scientific evidence can be used to guide the formulation of evidence-based tobacco control policies....

    journal_title:Tobacco control

    pub_type: 杂志文章,评审


    authors: Fong GT,Cummings KM,Shopland DR,ITC Collaboration.

    更新日期:2006-06-01 00:00:00

  • Vatican beats Italy 1-0 in the tobacco endgame.

    abstract::'The Holy See cannot be cooperating with a practice that is clearly harming the health of people'. This is the reason behind Pope Francis banning the sale of tobacco products inside the Vatican in January 2018. Just outside the Holy See, in Italy, cigarette sales produce around €13 billion of fiscal revenues every yea...

    journal_title:Tobacco control

    pub_type: 杂志文章


    authors: Gallus S,Cattaruzza MS,Gorini G,Faggiano F,Italian Tobacco Endgame Group.

    更新日期:2019-03-01 00:00:00

  • Impact of flavoured tobacco restriction policies on flavoured product availability in Massachusetts.

    abstract:OBJECTIVE:This study aimed to evaluate the effectiveness of flavoured tobacco product restriction policies in reducing availability of flavoured products in Massachusetts communities. METHODS:Data were obtained from surveys of tobacco retailers conducted from July 2015 to March 2017. On a community level, flavoured pr...

    journal_title:Tobacco control

    pub_type: 杂志文章


    authors: Kingsley M,Song G,Robertson J,Henley P,Ursprung WWS

    更新日期:2020-03-01 00:00:00

  • Effects of hookah smoking on indoor air quality in homes.

    abstract:INTRODUCTION:Hookahs (water pipes) are rapidly increasing in popularity worldwide. Evidence suggests that although perceived as safer than cigarette smoke, hookah smoke may be as, or even more, dangerous as cigarette smoke. METHODS:Air samples from 33 homes-11 where only hookah-smoking occurred, 12 with only cigarette...

    journal_title:Tobacco control

    pub_type: 杂志文章


    authors: Weitzman M,Yusufali AH,Bali F,Vilcassim MJR,Gandhi S,Peltier R,Nadas A,Sherman S,Lee L,Hong Z,Shearston J,Park SH,Gordon T

    更新日期:2016-09-01 00:00:00

  • Is the socioeconomic gap in childhood exposure to secondhand smoke widening or narrowing?

    abstract:OBJECTIVE:The social gradient in smoking contributes substantially to the health gap between the rich and poor. Passive smoking by children is associated with increased risk of more severe asthma, respiratory diseases and infections, middle ear disease and Sudden Infant Death Syndrome. This study examined trends in the...

    journal_title:Tobacco control

    pub_type: 杂志文章


    authors: Gartner CE,Hall WD

    更新日期:2013-09-01 00:00:00

  • Variations in treatment benefits influence smoking cessation: results of a randomised controlled trial.

    abstract:OBJECTIVE:To assess the impact and costs of coverage for tobacco dependence treatment benefits with no patient cost sharing for smokers with employer sponsored coverage in two large independent practice association (IPA) model health maintenance organisations (HMOs) in California, USA. METHODS:A randomised experimenta...

    journal_title:Tobacco control

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验


    authors: Schauffler HH,McMenamin S,Olson K,Boyce-Smith G,Rideout JA,Kamil J

    更新日期:2001-06-01 00:00:00

  • Effect of local youth-access regulations on progression to established smoking among youths in Massachusetts.

    abstract:OBJECTIVE:To test whether community-level restrictions on youth access to tobacco (including both ordinances and enforcement) are associated with less smoking initiation or less progression to established smoking among adolescents. DESIGN:Prospective cohort study of a random sample of adolescents in Massachusetts whos...

    journal_title:Tobacco control

    pub_type: 杂志文章


    authors: Thomson CC,Hamilton WL,Siegel MB,Biener L,Rigotti NA

    更新日期:2007-04-01 00:00:00

  • Educational inequalities in smoking cessation trends in Italy, 1982-2002.

    abstract:BACKGROUND/AIM:Smoking prevalence rates are declining in most industrialised countries, partly because of growing cessation rates. However, little is known on recent time-trends in smoking cessation by socioeconomic position. This study aims to estimate educational inequalities in smoking cessation trends in Italy betw...

    journal_title:Tobacco control

    pub_type: 杂志文章


    authors: Federico B,Costa G,Ricciardi W,Kunst AE

    更新日期:2009-10-01 00:00:00

  • Motor racing, tobacco company sponsorship, barcodes and alibi marketing.

    abstract:BACKGROUND:Sponsorship of Formula One (F1) motor racing, which has been used as an indirect medium of tobacco advertising for several decades, was prohibited by the 2005 European Union Tobacco Advertising Directive. Most F1 tobacco sponsorship of motor racing in the EU has since ceased, with the exception of the Scuder...

    journal_title:Tobacco control

    pub_type: 杂志文章


    authors: Grant-Braham B,Britton J

    更新日期:2012-11-01 00:00:00

  • Perceived effectiveness of text and pictorial health warnings for smokeless tobacco packages in Navi Mumbai, India, and Dhaka, Bangladesh: findings from an experimental study.

    abstract:OBJECTIVE:To examine the perceived effectiveness of text and pictorial smokeless tobacco health warnings in India and Bangladesh, including different types of message content. METHODS:An experimental study was conducted in Navi Mumbai, India (n=1002), and Dhaka, Bangladesh (n=1081). Face-to-face interviews were conduc...

    journal_title:Tobacco control

    pub_type: 杂志文章,随机对照试验


    authors: Mutti S,Reid JL,Gupta PC,Pednekar MS,Dhumal G,Nargis N,Hussain AG,Hammond D

    更新日期:2016-07-01 00:00:00