Exploring factors associated with smokeless tobacco use among young people: A systematic scoping review

Lund, Lisbeth; Bast, Lotus Sofie; Rubæk, Mette; Andersen, Susan

doi:10.1016/j.drugalcdep.2022.109627

Cited by 10 publications

(7 citation statements)

References 118 publications

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“…This is consistent with the findings of Sharma et al (2020), who identified similar factors driving SLT initiation [21]. Additionally, our study's observation of stress relief and perceived job performance enhancement as factors contributing to SLT continuation echoes the work of Lund et al (2022), who found comparable motivations among their participants [22]. It's noteworthy that a significant proportion of participants in our study expressed an intention to quit using SLT within the next 12 months.…”

Section: Discussionsupporting

confidence: 91%

Awareness of Oral Cancer Among Users of Smokeless Tobacco: A Cross-Sectional Study

Alharbi,

Alsaedi,

Alharbi

et al. 2023

Cureus

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Introduction: Smokeless tobacco (SLT) stands out for its higher nicotine absorption and its role in preventable fatalities. The Global Adult Tobacco survey in Saudi Arabia revealed SLT usage, while past legislation restricted its use. Linking SLT consumption to oral cancer and oral mucosal ulcers, the study addresses its prevalence in head and neck malignancies.Methodology: This study is cross-sectional and includes adult users of SLT. Raosoft (Raosoft Inc., Seattle, WA) was used to calculate the sample size. The data was analyzed using SPSS software (IBM Corp., Armonk, NY).Results: The research study investigated various sociodemographic characteristics and prevalence of SLT use among participants. All participants reported using SLT, with toombak (33.2%) and shamma (36.0%) being the most prevalent. Notably, reasons for initiating SLT included influence from peer pressure (33.6%), alternatives to smoking (32.0%), and influence from relatives (19.0%). While 75.1% intended to quit within a year, awareness of SLT's harmfulness varied: 40.3% believed it was less harmful than smoking, and 57.7% recognized its link to oral cancer. Additionally, 62.2% believed SLT could lead to dependence. Sociodemographic factors generally did not significantly affect awareness of SLT causing oral cancer. Conclusion:The findings indicate a significant prevalence of SLT use, with toombak and shamma being the most common types consumed. Awareness of the potential harm of SLT use in relation to oral cancer varied among participants, with a notable proportion misunderstanding its harmfulness compared to smoking tobacco.

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Section: Discussionsupporting

confidence: 91%

Awareness of Oral Cancer Among Users of Smokeless Tobacco: A Cross-Sectional Study

Alharbi,

Alsaedi,

Alharbi

et al. 2023

Cureus

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“…Smoking cessation, appetite suppression, and pre-match psychological reassurance have been cited as motivations for Snus use. Yet anecdotally the most frequently stated reason is for recreational relaxation as shown in Figure 1 , aligning with research examining smokeless tobacco users in sporting samples [ 28 ] and Snus use in the general public [ 13 ].…”

Section: Introductionsupporting

confidence: 66%

“…It is an oral, smokeless tobacco product containing nicotine that is placed between the gum and upper lip. Player testimony alongside journalistic investigations confirm Snus is predominantly used recreationally to relax [ 8 , 10 – 12 ] and like smoking, is a substance commonly used to regulate mood [ 13 ]. However, whether Snus negatively affects player health or performance is not well established.…”

Section: Introductionmentioning

confidence: 99%

Snus use in football: the threat of a new addiction?

Read,

Carter,

Hopley

et al. 2024

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The use of Snus, an oral nicotine pouch, is becoming increasingly common in English professional football. As a nicotine product, Snus raises important questions about health and performance for practitioners. The purpose of this short communication is to explain the current regulatory status of Snus, performance relatedeffects, and associated health outcomes. Further, based on player statements and evidence from the general public, we argue that Snus is used as a coping mechanism to deal with the stressors of professional football. Accordingly, the communication concludes with guidance for club-level multidisciplinary interventions to support player welfare, aimed at reducing Snus use as well as future research recommendations.

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“…Based on prior work showing that most adults who use NPs currently use or previously used smokeless tobacco [ 5 ], we hypothesized that smokeless tobacco use would be associated with susceptibility to and use of NPs. Finally, we expected males to be more likely than females to be susceptible to NPs or to have used NPs based on research indicating that males are more likely than females to use smokeless tobacco [ 13 , 14 ] and nicotine pouches [ 5 , 6 , 15 ]. While research explaining sex differences in nicotine pouch use is lacking, cultural factors (e.g., masculinity, rurality, rebelliousness, participation in athletics) largely are thought to account for the observed sex differences in using smokeless tobacco [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Awareness, susceptibility, and use of oral nicotine pouches and comparative risk perceptions with smokeless tobacco among young adults in the United States

et al. 2023

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Background Oral nicotine pouches (NPs) that contain nicotine but no tobacco leaves are rapidly gaining popularity. However, there is limited research on NPs, including within priority populations. In the current study, we examined awareness of, susceptibility to, and use of NPs in young adults as well as comparative risk perceptions with smokeless tobacco. Methods In 2021, 609 young adults (18–25 years) completed an online survey. Participants reported on NP awareness, susceptibility, and use as well as on comparative product perceptions for NPs versus smokeless tobacco. We ran unadjusted between-groups comparisons and an adjusted multinomial logistic regression to identify relationships between product perceptions and NP susceptibility and use. Results 41.5% of participants had heard of NPs before. Participants were non-susceptible (66.2%), susceptible (23.5%), or had used NPs (10.3%). Comparative product perceptions between NPs and smokeless tobacco suggested that young adults, as a whole, expressed uncertainty about the relative risk/benefit of using NPs versus smokeless tobacco. However, as expected, unadjusted and adjusted findings indicated that favorable perceptions of NPs versus smokeless tobacco were disproportionately observed among susceptible participants and NP users compared to non-susceptible individuals. Demographic differences were also observed (e.g., NP users were more likely than non-susceptible and susceptible individuals to have used smokeless tobacco). Conclusions Young adults reported awareness of, susceptibility to, and use of NPs, with findings indicating that favorable perceptions of NPs versus smokeless tobacco may contribute to NP susceptibility and use beyond known correlates like smokeless tobacco use. However, further research is needed to understand the full range of factors that are associated with NP susceptibility and use. It will be important to disentangle factors that are associated with potential positive public health impacts (e.g., switching from smokeless tobacco to exclusive NP use) from those associated with negative public health impacts (e.g., initiation among nicotine naïve individuals).

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Exploring factors associated with smokeless tobacco use among young people: A systematic scoping review

Cited by 10 publications

References 118 publications

Awareness of Oral Cancer Among Users of Smokeless Tobacco: A Cross-Sectional Study

Awareness of Oral Cancer Among Users of Smokeless Tobacco: A Cross-Sectional Study

Snus use in football: the threat of a new addiction?

Awareness, susceptibility, and use of oral nicotine pouches and comparative risk perceptions with smokeless tobacco among young adults in the United States

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