ArticleInternational journal of environmental research and public health2014
How has the availability of snus influenced cigarette smoking in Norway?
Article in International journal of environmental research and public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The health impact of smokeless tobacco products: a systematic review.Harm reduction journal · 2021Pooled it
- Cross-Sectional Study on Oral Nicotine Product Sales Trends in Scandinavia From 2018 to 2025.JMIR public health and surveillance · 2026Article
- Vaping among Norwegians who smoke or formerly smoked: reasons, patterns of use, and smoking cessation activity.Harm reduction journal · 2023Article
- Establishing the Association Between Snus Use and Mental Health Problems: A Study of Norwegian College and University Students.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023Article
- High smoking and low cessation rates among patients in treatment for opioid and other substance use disorders.BMC psychiatry · 2022Article
- Smoking cessation aids and strategies: a population-based survey of former and current smokers in Norway.BMC public health · 2022Article
- Factors associated with predictors of smoking cessation from a Norwegian internet-based smoking cessation intervention study.Tobacco prevention & cessation · 2022Article
- A conceptual framework for assessing the public health effects from snus and novel non-combustible nicotine products.Nordisk alkohol- & narkotikatidskrift : NAT · 2021Article
- Smoking and snus use among Norwegian students: Demographic, personality and substance use characteristics.Nordisk alkohol- & narkotikatidskrift : NAT · 2021Article
- Swedish snus use is associated with mortality: a pooled analysis of eight prospective studies.International journal of epidemiology · 2021Article
- Patterns of tobacco use among smokers prior to hospitalization for an acute cardiac event: Use of combusted and non-combusted products.Preventive medicine · 2019Article
- Fit for fight - self-reported health in military women: a cross-sectional study.BMC women's health · 2019Article
- Impact of snus use in teenage boys on tobacco use in young adulthood; a cohort from the HUNT Study Norway.BMC public health · 2019Article
- Oral cancer and tobacco: developments in harm reduction.British dental journal · 2018Article
- Cigarette, waterpipe and e-cigarette use among an international sample of medical students. Cross-sectional multicenter study in Germany and Hungary.BMC public health · 2018Article
- The Effect of Tobacco Control Policies on US Smokeless Tobacco Use: A Structured Review.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2017Review
- Cigarette prohibition and the need for more prior testing of the WHO TobReg's global nicotine-reduction strategy.Tobacco control · 2017Article
- Do never smokers make up an increasing share of snus users as cigarette smoking declines? Changes in smoking status among male snus users in Norway 2003-15.Addiction (Abingdon, England) · 2017Article
- Patterns of Smoking and Snus Use in Sweden: Implications for Public Health.International journal of environmental research and public health · 2016Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Norway, low-nitrosamine smokeless tobacco (snus) is allowed to compete with cigarettes for market share. We aimed to study how the availability of snus influenced overall tobacco consumption, smoking initiation and smoking cessation. We discuss whether the Norwegian experience with snus can have any transfer value for e-cigarettes.
methodsWe analysed consumption data from registered and unregistered supply sources of tobacco. We calculated quit-smoking ratios across snus use status in nine datasets comprising a total of 19,269 ever-smokers. Trends in snus use and smoking were derived from time-series of annual; cross-sectional; nationally representative surveys for the period 1985-2013.
resultsThe market share for snus increased from 4% in 1985 to 28% in 2012, but overall tobacco consumption decreased by 20.3% over this same period. Snus was the most common method for smoking cessation. Compared with smokers with no experience of using snus, the quit ratio for smoking was significantly higher for daily snus users in seven of the nine datasets analysed. Among young male adults, the prevalence of smoking (daily + occasional) was reduced from 50% in 1985 to 21% in 2013. Over the same period, use of snus increased from 9% to 33%. This negative correlation (r = -0.900, p < 0.001) was also observed among young females (r = -0.811, p < 0.001), but the trend shift in tobacco preferences occurred some years later.
conclusionsThe experience with snus in Norway might indicate what will happen when alternative nicotine products--are allowed to compete with cigarettes in the nicotine market.
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