Trends in Smokeless Tobacco Use Among Adults and Adolescents in the United States

Nelson, David E.; Mowery, Paul; Tomar, Scott L.; Marcus, Stuart G.; Giovino, Gary A.; Zhao, Luhua

doi:10.2105/ajph.2004.061580

Cited by 108 publications

(108 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Sample demographics, alcohol use, and coffee consumption are presented in the first column of Table 1. Since the county is more than 90% white (U.S. Census Bureau, 2006), and ST use is highest among whites (Nelson et al, 2006), the sample was almost exclusively white. At baseline most of the men used ST only (86.2%), however a few also used cigarettes (13.8%).…”

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Use of ST is highest among the young and those living in rural areas (Nelson et al, 2006). National Health Interview Survey estimates from 2000 indicate that that the prevalence of ST use among adult men 18-24 and 25-44 years old (5.0% and 5.8%, respectively) was greater than that among 45-64 year olds (3.1%) or those 65 and older (2.8%; Nelson et al, 2006). There is also regional variation in ST use, with higher use among adults in the South and Midwest, particularly in the tobacco-growing Appalachian region (Nelson et al, 2006;Wewers et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

“…Since the mid-1980s use of ST in the U.S. has been in decline (Nelson et al, 2006). Despite this trend, recent developments have positioned ST products to make a comeback.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Factors associated with smokeless tobacco cessation in an Appalachian population

Kauffman¹,

Ferketich²,

Wee³

et al. 2008

Addictive Behaviors

View full text Add to dashboard Cite

Identifying factors associated with successful tobacco quit attempts may help in the development and targeting of effective cessation strategies. This paper aims to describe factors associated with smokeless tobacco (ST) cessation and compares the results to findings in the smoking cessation literature. Prospective data on 116 men aged 19 to 70 and participating in a ST cessation program were used to examine correlates of successful ST cessation at 1 year post-intervention. Controlling for age, level of education (p =0.002) and daily coffee consumption (p =0.005) had significant independent associations with successful cessation. No ST use variables were significant predictors of cessation success. In a multivariable logistic regression model three factors were significantly associated with cessation: education (p = 0.010), coffee consumption (p =0.019), and age (p =0.029). Factors associated with successful ST cessation in this sample are consistent with predictors of smoking cessation reported in the literature. Based on its widespread use and the strength of its association with successful quitting, the role of caffeine consumption in ST cessation merits further study.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Since the mid-1980s use of ST in the U.S. has been in decline (Nelson et al, 2006). Despite this trend, recent developments have positioned ST products to make a comeback.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Factors associated with smokeless tobacco cessation in an Appalachian population

Kauffman¹,

Ferketich²,

Wee³

et al. 2008

Addictive Behaviors

View full text Add to dashboard Cite

show abstract

“…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).…”

Section: Introductionmentioning

confidence: 99%

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

Stepanov¹,

Yershova²,

Carmella³

et al. 2012

Nicotine & Tobacco Research

View full text Add to dashboard Cite

show abstract

Temporal Trends in Smokeless Tobacco Use Among US Middle and High School Students, 2000-2011

Agaku

Vardavas

Ayo‐Yusuf

et al. 2013

JAMA

View full text Add to dashboard Cite

In Reply: Drs Utter and Romano have made important contributions to society's ability to measure patient safety using patient safety indicators based on administrative (billing) data. But their response to our article is puzzling. Our central claim was that billing data cannot be relied on to simultaneously measure quality, publicly report quality, and pay for performance. If they are, the ability to measure true changes in quality will be lost. Our secondary claim was that there is currently no substitute for billing data as a widely available basis for measuring outcomes. We concluded that there is an urgent need to develop alternate data sources not currently used for public reporting or reimbursement that will provide timeconsistent quality measures. 1 Rather than dispute our main claim, Utter and Romano state that a consultant report finds that the 2008 decreases in patient safety indicator 5 (leaving a foreign object in the body during surgery) and patient safety indicator 7 (CLABSI) reporting were only 15% and 23% (instead of the roughly 50% we found). This report 2 uses data we cannot verify, uses annual instead of quarterly data, and shows decreases of 26% and 30% from fiscal 2008 to 2009. Utter and Romano extract lower percentages from this report by including an increase in rates from 2009 to 2010, which is likely unrelated to the reimbursement change. Even if those percentages were accurate, our main message would remain unchanged. Decreases of this magnitude offer ample evidence that if payers stop paying for hospital-acquired conditions, many hospitals will stop billing for them. Utter and Romano also do not dispute our secondary claim. We agree that the determinants of gaming are the ease of doing so and the associated incentives. We disagree, however, that performance metrics based on administrative data are less susceptible to gaming than indirect measures of performance and measures that are purposely collected for quality measurement. Moreover, not billing for events that insurers will not pay for is not even gaming, in a sense. No rule requires billing for adverse events. If there was such a rule, we cannot imagine that it would be accompanied by a serious effort to audit the events for which hospitals are not billing. The intent of hospitals is to offer safe, high-quality care; however, we contend that financial imperatives are often paramount when generating administrative data. Significant discretion exists in the documentation and coding of patient episodes. This point was underscored by a recent Inspector General report 1 that found adoption of electronic medical records has led to higher billing levels without true changes in care. Gaming reflects manipulation of

show abstract

Trends in Smokeless Tobacco Use Among Adults and Adolescents in the United States

Abstract: Smokeless tobacco use has declined sharply, especially among adolescent boys. Ongoing prevention and cessation efforts are needed to continue this trend.

Cited by 108 publications

References 46 publications

Factors associated with smokeless tobacco cessation in an Appalachian population

Factors associated with smokeless tobacco cessation in an Appalachian population

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

Temporal Trends in Smokeless Tobacco Use Among US Middle and High School Students, 2000-2011

Contact Info

Product

Resources

About