Abstract
Methods: In 2010, a face-to-face survey including information on current smokeless tobacco use was conducted in a representative sample of around 1000 individuals aged ≥15 years per country in Albania, Austria, Bulgaria, Czech Republic, Croatia, England, Finland, France, Greece, Hungary, Ireland, Italy, Latvia, Poland, Portugal, Romania, Spain and Sweden.
Results: In Sweden, the overall prevalence of smokeless tobacco use was 12.3% (20.7% in men, 3.5% in women). The corresponding estimate for other European countries combined was 1.1% (1.2% in men, 1.1% in women). Compared to never smokers, former smokers in Sweden were significantly more likely to use smokeless tobacco (odds ratio, OR: 2.67), whereas no difference in use was observed in other countries (OR: 1.04). Use of smokeless tobacco was similarly likely among current smokers in Sweden (OR: 1.96) and in other countries (OR: 2.40) when contrasted to never smokers. In Sweden there were no differences in the number of cigarettes/day between smokers who also use smokeless tobacco (13.3 cigarettes/day) and exclusive cigarette smokers (12.9 cigarettes/day; p=0.785).
Conclusions: Excluding Sweden, current oral tobacco use was not commonly reported in the European countries surveyed and was similarly rare both in men and in women. In Sweden, however, use of smokeless tobacco was about ten-fold higher than the rest of Europe and more prevalent in men than in women.
| Original language | English |
|---|---|
| Pages (from-to) | 817-821 |
| Journal | European Journal of Public Health |
| Volume | 26 |
| Issue number | 5 |
| Early online date | 5 Apr 2016 |
| DOIs | |
| Publication status | Published - 1 Oct 2016 |
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Keywords
- snus; smokeless tobacco; Europe; Sweden; cross-sectional survey
Cite this
Smokeless tobacco use in Sweden and other 17 European countries. / Leon, Maria E.; Lugo, Alessandra; Boffetta, Paolo; Gilmore, Anna; Ross, Hana; Schüz, Joachim; La Vecchia, Carlo; Gallus, Silvano.
In: European Journal of Public Health, Vol. 26, No. 5, 01.10.2016, p. 817-821.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Smokeless tobacco use in Sweden and other 17 European countries
AU - Leon, Maria E.
AU - Lugo, Alessandra
AU - Boffetta, Paolo
AU - Gilmore, Anna
AU - Ross, Hana
AU - Schüz, Joachim
AU - La Vecchia, Carlo
AU - Gallus, Silvano
PY - 2016/10/1
Y1 - 2016/10/1
N2 - Introduction: The purpose of this study is to report prevalence and determinants of use of smokeless tobacco in a representative sample of men and women from Sweden, where Swedish snus sales are legal, and from 17other European countries, where sales of smokeless tobacco are restricted.Methods: In 2010, a face-to-face survey including information on current smokeless tobacco use was conducted in a representative sample of around 1000 individuals aged ≥15 years per country in Albania, Austria, Bulgaria, Czech Republic, Croatia, England, Finland, France, Greece, Hungary, Ireland, Italy, Latvia, Poland, Portugal, Romania, Spain and Sweden. Results: In Sweden, the overall prevalence of smokeless tobacco use was 12.3% (20.7% in men, 3.5% in women). The corresponding estimate for other European countries combined was 1.1% (1.2% in men, 1.1% in women). Compared to never smokers, former smokers in Sweden were significantly more likely to use smokeless tobacco (odds ratio, OR: 2.67), whereas no difference in use was observed in other countries (OR: 1.04). Use of smokeless tobacco was similarly likely among current smokers in Sweden (OR: 1.96) and in other countries (OR: 2.40) when contrasted to never smokers. In Sweden there were no differences in the number of cigarettes/day between smokers who also use smokeless tobacco (13.3 cigarettes/day) and exclusive cigarette smokers (12.9 cigarettes/day; p=0.785).Conclusions: Excluding Sweden, current oral tobacco use was not commonly reported in the European countries surveyed and was similarly rare both in men and in women. In Sweden, however, use of smokeless tobacco was about ten-fold higher than the rest of Europe and more prevalent in men than in women.
AB - Introduction: The purpose of this study is to report prevalence and determinants of use of smokeless tobacco in a representative sample of men and women from Sweden, where Swedish snus sales are legal, and from 17other European countries, where sales of smokeless tobacco are restricted.Methods: In 2010, a face-to-face survey including information on current smokeless tobacco use was conducted in a representative sample of around 1000 individuals aged ≥15 years per country in Albania, Austria, Bulgaria, Czech Republic, Croatia, England, Finland, France, Greece, Hungary, Ireland, Italy, Latvia, Poland, Portugal, Romania, Spain and Sweden. Results: In Sweden, the overall prevalence of smokeless tobacco use was 12.3% (20.7% in men, 3.5% in women). The corresponding estimate for other European countries combined was 1.1% (1.2% in men, 1.1% in women). Compared to never smokers, former smokers in Sweden were significantly more likely to use smokeless tobacco (odds ratio, OR: 2.67), whereas no difference in use was observed in other countries (OR: 1.04). Use of smokeless tobacco was similarly likely among current smokers in Sweden (OR: 1.96) and in other countries (OR: 2.40) when contrasted to never smokers. In Sweden there were no differences in the number of cigarettes/day between smokers who also use smokeless tobacco (13.3 cigarettes/day) and exclusive cigarette smokers (12.9 cigarettes/day; p=0.785).Conclusions: Excluding Sweden, current oral tobacco use was not commonly reported in the European countries surveyed and was similarly rare both in men and in women. In Sweden, however, use of smokeless tobacco was about ten-fold higher than the rest of Europe and more prevalent in men than in women.
KW - snus; smokeless tobacco; Europe; Sweden; cross-sectional survey
UR - http://dx.doi.org/10.1093/eurpub/ckw032
U2 - 10.1093/eurpub/ckw032
DO - 10.1093/eurpub/ckw032
M3 - Article
VL - 26
SP - 817
EP - 821
JO - European Journal of Public Health
JF - European Journal of Public Health
SN - 1101-1262
IS - 5
ER -