Evidence map›Paper›PMID 16998174›Full record

ArticleTobacco control2006

Adolescent snus use in Finland in 1981-2003: trend, total sales ban and acquisition.

Heini S A Huhtala, Susanna U Rainio, Arja H Rimpelä

Abstract read
In one paragraph

Article in Tobacco control, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Comparison of Nicotine and Selected Flavoring Contents Between Tobacco-Free and Tobacco-Containing Oral Pouches.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Article
  2. Newspaper Coverage of Snus in an Emerging Norwegian Snus Market 2002-2011: A Content Analysis.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Heini S A HuhtalaSchool of Public Health, 33014 University of Tampere, Tampere, Finland. Heini.Huhtala@uta.fi
Susanna U Rainio
Arja H Rimpelä

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study changes in adolescent snus use from 1981 to 2003, the effects of the total snus sales ban (1995) and snus acquisition.

designBiennial postal surveys in 1981-2003. SETTING AND

participantsEntire Finland; 12-, 14-, 16-, and 18-year-olds (n = 73,946; 3105-8390 per year).

main outcome measuresSnus use (experimental, daily/occasionally), snus acquisition (2001, 2003).

resultsSnus experimentation grew in popularity before the total sales ban in 16- and 18-year-old boys and after the ban in all age and sex groups. A decrease was seen between 2001 and 2003, except for 18-year-old boys. Daily/occasional use mainly followed the same pattern in boys while in girls the daily/occasional use was rare and no significant changes were observed. In 2003, boys experimented with snus more often than girls (12-year-olds 1% v 0%, 14-year-olds 9% v 4%, 16-year-olds 30% v 12%, 18-year-olds 44% v 18%). Hardly any girls used snus daily/occasionally, but 1% of 14-year-old boys, 7% of 16-year-olds, and 9% of 18-year-olds did. Of daily/occasional users, 84% acquired snus from friends or acquaintances, 55% from tourist trips to neighbouring countries (Estonia, Sweden), and 7% through sport teams; 24% obtained it from under-the-counter sources. For experimenters, the corresponding figures were 79%, 18%, 0.3%, and 5%.

conclusionsThe total sales ban did not stop snus use; instead, the increase continued after the ban. Friends who travel to neighbouring countries act as go-betweens reselling snus. Snus is used even by the youngest adolescents, thus contributing to the nicotine dependence process.

Indexed as

Adolescent BehaviorTobacco, SmokelessAdolescentChildFemaleFinlandHumansMaleTobacco Industry

Identifiers

PMID16998174
PMCPMC2563665

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.