Snus use and rejection in the USA

Lois Biener, Anthony M. Roman, Scott A. Mc Inerney, Dragana Bolcic-Jankovic, Dororthy K. Hatsukami, Alexandra Loukas, Richard J. O'Connor, Laura Romito

Research output: Contribution to journalArticle

21 Citations (Scopus)

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.

Original languageEnglish (US)
JournalTobacco Control
DOIs
StateAccepted/In press - Feb 25 2014

Fingerprint

nicotine
smoking
Hope
Smoking
Smokeless Tobacco
Exploratory Behavior
mail survey
Postal Service
Marketing
Telephone
Sweden
Tobacco Products
Fear
Tobacco
telephone
Mouth
marketing
anxiety
Costs and Cost Analysis
costs

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

Cite this

Biener, L., Roman, A. M., Mc Inerney, S. A., Bolcic-Jankovic, D., Hatsukami, D. K., Loukas, A., ... Romito, L. (Accepted/In press). Snus use and rejection in the USA. Tobacco Control. https://doi.org/10.1136/tobaccocontrol-2013-051342

Snus use and rejection in the USA. / Biener, Lois; Roman, Anthony M.; Mc Inerney, Scott A.; Bolcic-Jankovic, Dragana; Hatsukami, Dororthy K.; Loukas, Alexandra; O'Connor, Richard J.; Romito, Laura.

In: Tobacco Control, 25.02.2014.

Research output: Contribution to journalArticle

Biener, L, Roman, AM, Mc Inerney, SA, Bolcic-Jankovic, D, Hatsukami, DK, Loukas, A, O'Connor, RJ & Romito, L 2014, 'Snus use and rejection in the USA', Tobacco Control. https://doi.org/10.1136/tobaccocontrol-2013-051342
Biener L, Roman AM, Mc Inerney SA, Bolcic-Jankovic D, Hatsukami DK, Loukas A et al. Snus use and rejection in the USA. Tobacco Control. 2014 Feb 25. https://doi.org/10.1136/tobaccocontrol-2013-051342
Biener, Lois ; Roman, Anthony M. ; Mc Inerney, Scott A. ; Bolcic-Jankovic, Dragana ; Hatsukami, Dororthy K. ; Loukas, Alexandra ; O'Connor, Richard J. ; Romito, Laura. / Snus use and rejection in the USA. In: Tobacco Control. 2014.
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