Alarming development of dual snus and cigarette usage among young Finnish males

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Danielsson , M , Lammi , A , Siitonen , S , Ollgren , J , Pylkkanen , L & Vasankari , T 2019 , ' Alarming development of dual snus and cigarette usage among young Finnish males ' , BMC Public Health , vol. 19 , no. 1 , 1249 . https://doi.org/10.1186/s12889-019-7519-1

Title: Alarming development of dual snus and cigarette usage among young Finnish males
Author: Danielsson, Maria; Lammi, Anelma; Siitonen, Simo; Ollgren, Jukka; Pylkkanen, Liisa; Vasankari, Tuula
Contributor: University of Helsinki, Doctoral Programme in Population Health
Date: 2019-09-11
Language: eng
Number of pages: 7
Belongs to series: BMC Public Health
ISSN: 1471-2458
URI: http://hdl.handle.net/10138/305659
Abstract: Background The consumption of tobacco products has evolved to include more complex combinations of different products. We investigated the tobacco habits of a representative population of young Finnish male conscripts in order to evaluate the prevalence of dual use of cigarettes and snus as well as the transition from one tobacco product to another. In addition, we evaluated the correlation between the level of education and the use of cigarettes and snus. Methods A questionnaire-based survey was carried out in three out of 17 garrisons among conscripts during their first week of service in 2014. A total of 1971 male conscripts were selected by simple random sampling of the 9013 males in the selected garrisons. Of them 1916 participated and filled in the questionnaire. The response rate was 97.2%. The questionnaire consisted of 25 questions including age, gender, basic education, use of tobacco products as well as questions assessing nicotine dependency. Results The amount of dual users of cigarettes and snus was 21%. There was a higher probability of dual use of cigarettes and snus among smokers compared to snus users (p <0.001). One third (35%) of former smokers reported daily snus use and over 40% of the former snus users smoked daily. One third (34%) of the participants reported snus usage and 14% of the study subjects used snus daily. 40% of the study population were smokers and over 25% smoked daily. Of the participants with basic educational background 57% smoked daily (p <0.001), however, no association between snus and level of education was found (p = 0.69). Conclusions This study provides better understanding of the complex tobacco habits of young adult males. The simultaneous usage of multiple tobacco products as well as the high tendency to transition from one tobacco product to another should be taken into consideration when planning cessation interventions in health care settings and tobacco control policies at societal levels.
Subject: Tobacco
Cigarettes
Smokeless tobacco
Snus
Dual use
Transition
Education
SMOKELESS TOBACCO USE
POLYTOBACCO USE
SMOKING
PATTERNS
SMOKERS
ADULTS
PERCEPTIONS
INITIATION
PRODUCTS
BEHAVIOR
3142 Public health care science, environmental and occupational health
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