Use of Traditional Smokeless, Snus, and Dissolvable Tobacco among U.S. Youth.
Friday, March 17, 2023
Posted by: Natalia Gromov
Dai
HD, Leventhal AM.
Use of Traditional
Smokeless, Snus, and Dissolvable Tobacco among U.S. Youth.
Am J Prev Med. 2023 Feb;64(2):204-212. doi: 10.1016/j.amepre.2022.09.011. Epub
2022 Nov 3. PMID: 36335080.
Introduction. Snus,
dissolvable, and traditional smokeless tobacco product use is often amalgamated
in youth epidemiologic research despite differences across these products.
Prevalence, trends, and correlates of U.S. youth use across different classes
of oral tobacco products are unknown.
Methods. Using
2011-2020 National Youth Tobacco Survey (N=193,933) data, the authors tested
for cross-year linear and quadratic trends in the weighted prevalence of ever
and current use of traditional smokeless tobacco, snus, and dissolvable
tobacco. Multivariable logistic regressions estimated the demographic and
tobacco use factors associated with the use of different oral tobacco products
in 2020. Analyses were conducted in 2022.
Results. During
2011-2020, there were declines in the prevalence of ever use of traditional
smokeless tobacco (11.0% to 5.6%; linear trend, p<0.0001) and snus (5.2% to
2.4%; p<0.0001) but no change in ever dissolvable tobacco use (0.8%-1.2%).
In 2020, an estimated 1,546,000 U.S. youth ever used traditional smokeless
tobacco (7.7% high school, 3.0% middle school), 662,000 ever used snus (high
school: 3.5%, middle school: 1.0%), and 326,000 ever used dissolvables (high
school: 1.5%, middle school: 0.8%). In 2020, females and non-Hispanic Blacks
and Hispanics had lower smokeless or snus ever use odds than males and
non-Hispanic Whites, respectively, whereas sexual minorities (than
heterosexuals) or those speaking a language other than English at home were
more likely to report ever use of dissolvable tobacco. Flavored tobacco use was
common, particularly for dissolvable current users (72.8% used any flavor).
Conclusions. Differences
in the epidemiology of oral tobacco use across product types among U.S. youth
suggest that oral tobacco products should be disaggregated in future research
and policy strategies.
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