Role of snus (oral moist snuff ) in smoking cessation and smoking reduction in Sweden.

@article{Gilljam2003RoleOS,
  title={Role of snus (oral moist snuff ) in smoking cessation and smoking reduction in Sweden.},
  author={Hans Gilljam and Maria Rosaria Galanti},
  journal={Addiction},
  year={2003},
  volume={98 9},
  pages={
          1183-9
        }
}
AIMS To assess to what extent snus has been used as an aid to stop smoking among Swedish smokers. DESIGN A random telephone retrospective survey of Swedish smokers and ex-smokers. SETTING Survey conducted in November-December 2000. PARTICIPANTS A national sample of 1000 former and 985 current daily smokers aged 25-55 years. MEASUREMENTS Smoking status, date and method of quitting by self-report. FINDINGS Thirty-three per cent of former smokers and 27% of current smokers had ever used… 

Tables from this paper

Role of snus in initiation and cessation of tobacco smoking in Sweden

Use of snus in Sweden is associated with a reduced risk of becoming a daily smoker and an increased likelihood of stopping smoking.

Nicotine replacement therapy, professional therapy, snuff use and tobacco smoking: a study of smoking cessation strategies in southern Sweden

Snus is used commonly among men as a support for smoking cessation in Sweden, but this can probably not compensate for the much higher extent of snuff use as a cessation strategy among men.

Contrasting snus and NRT as methods to quit smoking. an observational study

Norwegian men frequently use snus as a method for quitting smoking whereas women are more likely to use NRT, while NRT was most often used among women.

The use of snus for quitting smoking compared with medicinal products

Compared with medicinal nicotine products, snus and varenicline increased the probability of quitting smoking completely, but snus seemed to maintain nicotine dependence.

The association of snus and smoking behaviour: a cohort analysis of Swedish males in the 1990s.

Snus contributed to the reduction of smoking among Swedish males in the 1990s and had different effects among non-smokers and smokers in different age groups.

Association Between Willingness to Use Snus to Quit Smoking and Perception of Relative Risk Between Snus and Cigarettes

  • K. E. Lund
  • Medicine
    Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
  • 2012
Devising a way to inform smokers about the risk continuum of tobacco products could be an important research priority in countries where snus is allowed to compete with cigarettes for market share.

Randomized, placebo-controlled, double-blind trial of Swedish snus for smoking reduction and cessation

Swedish snus could promote smoking cessation among smokers in Serbia, that is, in a cultural setting without traditional use of oral, smokeless tobacco.

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

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

Progression of oral snuff use among Finnish 13-16-year-old students and its relation to smoking behaviour.

Despite the European Union sales ban on oral snuff products since 1995, in Finland snuff use is common among boys and combined use of snuff and cigarettes is associated with higher levels of nicotine dependence among adolescent boys, the direction of causality is not known.

Patterns of Smoking and Snus Use in Sweden: Implications for Public Health

The availability and use of snus has been a major factor behind Sweden’s record-low prevalence of smoking and the lowest level of tobacco-related mortality among men in Europe, and when used subsequent to smoking, appears to facilitate smoking cessation.
...

References

SHOWING 1-10 OF 27 REFERENCES

Oral snuff, smoking habits and alcohol consumption in relation to oral cancer in a Swedish case‐control study

A multivariate analysis suggested that the most important risk factors were beer and liquor consumption, followed by smoking, followedBy smoking, which showed the strongest risk for oral cancer.

A pilot study of smokeless tobacco in smoking cessation.

Nicotine intake and dependence in Swedish snuff takers

Two studies examining nicotine intake in users of Swedish moist oral snuff are reported, which could clarify whether the cardiovascular risks of tobacco are attributable to nicotine or to other smoke components, as in their case nicotine intake is not accompanied by combustion products.

Practical experiences in smoking reduction and cessation.

There are clear differences in patient populations aiming to quit or reduce, the cessation population being more motivated, and treatment appears to be most effective if subjects are allowed to select their preferred NRT product.

Smoking cessation with and without assistance: a population-based analysis.

Tobacco and myocardial infarction: is snuff less dangerous than cigarettes?

In middle aged mensnuff dipping is associated with a lower risk of myocardial infarction than cigarette smoking, and smoking, but not snuff dipping, predicted myocardia infarctions in a multiple logistic regression model that included age and level of education.

Smokeless tobacco use and increased cardiovascular mortality among Swedish construction workers.

Although the risk of cardiovascular disease associated with the use of smokeless tobacco users and smokers face a higher risk of dying from cardiovascular disease than nonusers, the excess risk gives cause for preventive actions.

Smoking and quitting with the aid of nicotine replacement therapies in the English adult population. Results from the Health Education Monitoring Survey 1995.

The pattern of results suggests that 'willpower' is a marker for success in cessation as opposed to a determinant of giving up in its own right, and more research is needed on observational data sets in order to tease out the true impact of nicotine replacement on cessation rates in representative smoking populations.

The sociodemographic pattern of tobacco cessation in the 1980s: results from a panel study of living condition surveys in Sweden.

For both sexes, the daily consumption of cigarettes, years spent smoking, and age were the most important determinants of successful quitting.

Reduced smoking: an introduction and review of the evidence.

None of the above-cited studies indicate that reduction undermines the probability of future cessation attempts and several found reduction promotes future cessation.