Changing Smokeless Tobacco Products

A pilot randomized study of smokeless tobacco use among smokers not interested in quitting: Changes in smoking behavior and readiness to quit

“…It is marketed (www.dissolvabletobacco.com) as having "no smoke or tar" and having "the lowest level of TSNAs [tobacco-specific nitrosamines] of any smokeless tobacco product marketed in the US," a finding based on independent evaluation (Hatsukami, Ebbert, Feuer, Stepanov, & Hecht, 2007;Stepanov, Jensen, Hatsukami, & Hecht, 2006). It was developed to "give adult smokers a smoke/tar free alternative that is effective and satisfying" and to "create a tobacco product with the lowest levels of the leading toxins."…”

Levels of (S)-N'-Nitrosonornicotine in U.S. Tobacco Products

“…The information on (S)-NNN content in smokeless tobacco products is of particular interest due to the recently discovered oral carcinogenicity of this enantiomer, as well as the increasing sales of moist snuff in the United States (Balbo et al, 2012;Nelson et al, 2006;U.S. Federal Trade Commission, 2007), and the introduction of novel smokeless tobacco products that are marketed to smokers as a temporary or permanent substitute for smoking (Hatsukami, Ebbert, Feuer, Stepanov, & Hecht, 2007;Rogers, Biener, & Clark, 2010). Moreover, there is no information available on the enantiomeric composition of NNN in cigarette smoke.…”

Cigarette Smokers’ Use of Unconventional Tobacco Products and Associations With Quitting Activity: Findings From the ITC-4 U.S. Cohort

“…On the other hand, the Institute of Medicine (IOM) warns that availability of other tobacco products may have a net negative impact on public health since smokers might delay or refrain from quitting, former smokers may be drawn back to tobacco use, and nonsmokers might be encouraged to start using tobacco (IOM, 2012). Therefore, evaluating the net impact of these other tobacco products (hereafter referred to as unconventional tobacco products) on public health is an important and complex question (Bombard, Rock, Pederson, & Asman, 2008;Hatsukami et al, 2002;Hatsukami, Ebbert, Feuer, Stepanov, & Hecht, 2007;O'Connor, 2012;Shiffman et al, 2002).…”