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- Title
Evolving patterns of tobacco use in northern Sweden.
- Authors
Rodu, B.; Stegmayr, B.; Nasic, S.; Cole, P.; Asplund, K.
- Abstract
<bold>Background and Objectives: </bold>Cross-sectional data from northern Sweden suggest that the increased use of Swedish moist snuff (snus) may have contributed to a decline in the prevalence of smoking, especially amongst men. This study describes the evolving patterns of tobacco use in this population over the period 1986-1999.<bold>Design: </bold>This is a prospective follow-up study of 1651 men and 1756 women, aged 25-64 years, who were enrolled in the northern Sweden MONICA project (entry in 1986, 1990, 1994) and who were followed-up in 1999. Information on tobacco use at entry and at follow-up was used to describe the stability of tobacco use over a period of 5-13 years ending in 1999.<bold>Results: </bold>Snus was the most stable form of tobacco use amongst men (75%); only 2% of users switched to cigarettes and 20% quit tobacco altogether. Smoking was less stable (54%); 27% of smokers were tobacco-free and 12% used snus at follow-up. Combined use (smoking and snus) was the least stable (39%), as 43% switched to snus and 6% switched to cigarettes. Former users of both products were much less stable than former users of either cigarettes or snus. The stability of smoking amongst women was 69%, which was higher than that amongst men (P < 0.05).<bold>Conclusions: </bold>The use of snus played a major role in the decline of smoking rates amongst men in northern Sweden. The evolution from smoking to snus use occurred in the absence of a specific public health policy encouraging such a transition and probably resulted from historical and societal influences.
- Subjects
SWEDEN; TOBACCO use; SNUFF
- Publication
Journal of Internal Medicine, 2003, Vol 253, Issue 6, p660
- ISSN
0954-6820
- Publication type
journal article
- DOI
10.1046/j.1365-2796.2003.01143.x