Evidence map›Paper›PMID 34521671›Full record

ArticleBMJ open2021

Prevalence, duration of exposure and predicting factors for snus use among young Finnish men: a cross-sectional study.

Maria Danielsson, Tarja Tanner, Pertti Patinen, Dowen Birkhed, Vuokko Anttonen, Anelma Lammi, Simo Siitonen, Jukka Ollgren, Liisa Pylkkänen, Tuula Vasankari

Abstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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 · 2023
    Article
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

10 authors.

Maria Danielsson *Center for Military Medicine, Finnish Defence Forces, Helsinki, Uusimaa, Finland maria.danielsson@helsinki.fi.ORCID 0000-0002-1555-3332
Tarja Tanner *Research Unit of Oral Health Sciences, University of Oulu, Oulu, Finland.
Pertti PatinenCenter for Military Medicine, Finnish Defence Forces, Helsinki, Uusimaa, Finland.
Dowen BirkhedFormer: Department of Cariology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Vuokko AnttonenResearch Unit of Oral Health Sciences, University of Oulu, Oulu, Finland.
Anelma LammiFinnish Lung Health Association, Helsinki, Uusimaa, Finland.
Simo SiitonenThe Defence Command, Finnish Defence Forces, Helsinki, Uusimaa, Finland.
Jukka OllgrenDepartment of Infectious Disease Surveillance and Control, Finnish Institute for Health and Welfare, Helsinki, Uusimaa, Finland.
Liisa PylkkänenFinnish Medicines Agency Fimea, Helsinki, Uusimaa, Finland.
Tuula VasankariFinnish Lung Health Association, Helsinki, Uusimaa, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe health hazards of tobacco products depend on the level of exposure, but little is known about the characteristics of snus use. The aim of this study was to investigate the duration of daily exposure to snus among occasional and daily users and its associated predictive factors among young Finnish men.

designCross-sectional questionnaire study.

settingThree out of 16 Finnish Defence Forces units.

participants1280 young Finnish male conscripts starting their military service in 2016 chosen by simple random sampling. PRIMARY AND SECONDARY MEASURES: The prevalence, duration of use and the amount of daily usage of snus and cigarettes were investigated. The attitudes towards perceived harmfulness of snus and the predictive factors affecting the total time of snus consumption were examined.

resultsAlmost a fifth (19.5%) of the conscripts reported daily snus use, and a further 16% reported occasional use. Daily snus use was associated with an earlier starting age, longer duration of use and higher daily exposure time compared with occasional use. On average, daily snus users consumed 10 portions and occasional users three portions per day (p<0.001). The daily total exposure time for daily users was 372 min (95% CI 344 to 401) and for occasional users 139 min (95% CI 106 to 171). Respondents with an upper secondary education had significantly less daily total exposure than those with basic comprehensive education (p=0.036). Perceptions of snus as a harmful substance resulted in a significantly lower duration of exposure.

conclusionSnus use was very common among young Finnish men. High snus exposure duration was associated with an earlier starting age, a longer history of use and a careless attitude to its health hazards. A higher education level was a protective factor for total exposure time. Studies of the long-term health effects and dependency profile of snus use are needed.

Indexed as

Smoking CessationTobacco, SmokelessCross-Sectional StudiesFinlandHumansMalePrevalenceepidemiologyoral medicinepreventive medicinepublic healthsubstance misuse

Identifiers

PMID34521671
PMCPMC8442068

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.