Snus use and rejection in the USA.

Abstract:

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.

journal_name

Tob Control

journal_title

Tobacco control

authors

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

doi

10.1136/tobaccocontrol-2013-051342

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

386-92

issue

4

eissn

0964-4563

issn

1468-3318

pii

tobaccocontrol-2013-051342

journal_volume

25

pub_type

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