Author(s): Rodu B, Stegmayr B, Nasic S, Cole P, Asplund K
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Abstract BACKGROUND AND OBJECTIVES: Cross-sectional data from northern Sweden suggest that the increased use of Swedish moist snuff (snus) may have contributed to a decline in the prevalence of smoking, especially amongst men. This study describes the evolving patterns of tobacco use in this population over the period 1986-1999. DESIGN: This is a prospective follow-up study of 1651 men and 1756 women, aged 25-64 years, who were enrolled in the northern Sweden MONICA project (entry in 1986, 1990, 1994) and who were followed-up in 1999. Information on tobacco use at entry and at follow-up was used to describe the stability of tobacco use over a period of 5-13 years ending in 1999. RESULTS: Snus was the most stable form of tobacco use amongst men (75\%); only 2\% of users switched to cigarettes and 20\% quit tobacco altogether. Smoking was less stable (54\%); 27\% of smokers were tobacco-free and 12\% used snus at follow-up. Combined use (smoking and snus) was the least stable (39\%), as 43\% switched to snus and 6\% switched to cigarettes. Former users of both products were much less stable than former users of either cigarettes or snus. The stability of smoking amongst women was 69\%, which was higher than that amongst men (P < 0.05). CONCLUSIONS: The use of snus played a major role in the decline of smoking rates amongst men in northern Sweden. The evolution from smoking to snus use occurred in the absence of a specific public health policy encouraging such a transition and probably resulted from historical and societal influences.
This article was published in J Intern Med
and referenced in Journal of Addiction Research & Therapy