ArticleInternational journal of epidemiology2021
Swedish snus use is associated with mortality: a pooled analysis of eight prospective studies.
Article in International journal of epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Exploring the perceived socio-cultural factors in the initiation of smokeless tobacco among adolescents: a qualitative systematic review.BMC public health · 2026Pooled it
- Swedish smokeless tobacco and its impact on oral health: a systematic review.Acta odontologica Scandinavica · 2026Pooled it
- Comparative disease risks associated with cigarette smoking and use of moist smokeless tobacco and snus: an umbrella review of epidemiological evidence from the United States and Western Europe.BMC public health · 2025Pooled it
- Cardiovascular and metabolic changes following 12 weeks of tobacco and nicotine pouch cessation: a Swedish cohort study.Harm reduction journal · 2025Trial
- Snus, nicotine pouches and cardiovascular disease: Evidence, mechanisms, and the challenge of novel nicotine products.Journal of internal medicine · 2026Review
- Nicotine-containing products and the cardiovascular system: mechanisms and global health implications.Nature reviews. Cardiology · 2026Review
- Nicotine as a cardiovascular drug: haemodynamic stress, oxidative injury, and the regulatory failure to protect the heart.European heart journal open · 2026Article
- Paternal snus use in puberty and increased risk for asthma and allergies in offspring: a RHINE/RHINESSA two-generation study.International journal of epidemiology · 2026Article
- Nicotine: evolution, dependence, and the path to total quit: redefining cessation in a changing nicotine landscape.Frontiers in public health · 2026Review
- Nicotine and the cardiovascular system: unmasking a global public health threat.European heart journal · 2025Article
- Decreasing aortic diameter and decreasing prevalence of infrarenal aortic aneurysms in a population-based screening programme.The British journal of surgery · 2025Article
- Snus and Cardiometabolic Health Markers Among Swedish Young Adults.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- The more smoking the more cataract: A study on smoking, snus use and cataract in a Swedish population.Acta ophthalmologica · 2025Article
- Vascular Stress Markers Following Inhalation of Heated Tobacco Products: A Study on Extracellular Vesicles.Cardiovascular toxicology · 2025Observational
- Thirty-six-year trends (1986-2022) in cigarette smoking and snus use in northern Sweden: a cross-sectional study.BMJ open · 2024Article
- Beyond smoking: Risk assessment of nicotine in pouches.Toxicology reports · 2024Article
- Use of oral moist tobacco (snus) in puberty and its association with asthma in the population-based RHINESSA study.BMJ open respiratory research · 2024Article
- Factors predicting willingness to quit snus and cigarette use among young males.Scientific reports · 2023Article
- Tobacco impact on quality of life, a cross-sectional study of smokers, snuff-users and non-users of tobacco.BMC public health · 2023Article
- Dietary habits among snus users: a population-based cross-sectional study.Food & nutrition research · 2023Article
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16 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe health consequences of the use of Swedish snus, including its relationship with mortality, have not been fully established. We investigated the relationship between snus use and all-cause and cause-specific mortality (death due to cardiovascular diseases, cancer diseases and all other reasons, respectively) in a nationwide collaborative pooling project.
methodsWe followed 169 103 never-smoking men from eight Swedish cohort studies, recruited in 1978-2010. Shared frailty models with random effects at the study level were used in order to estimate adjusted hazard ratios (aHRs) and 95% confidence intervals (CIs) of mortality associated with snus use.
resultsExclusive current snus users had an increased risk of all-cause mortality (aHR 1.28, 95% CI 1.20-1.35), cardiovascular mortality (aHR 1.27, 95% CI 1.15-1.41) and other cause mortality (aHR 1.37, 95% CI 1.24-1.52) compared with never-users of tobacco. The risk of cancer mortality was also increased (aHR 1.12, 95% CI 1.00-1.26). These mortality risks increased with duration of snus use, but not with weekly amount.
conclusionsSnus use among men is associated with increased all-cause mortality, cardiovascular mortality, with death from other causes and possibly with increased cancer mortality.
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