Smokeless tobacco use in Sweden and other 17 European countries

Maria E. Leon, Alessandra Lugo, Paolo Boffetta, Anna Gilmore, Hana Ross, Joachim Schüz, Carlo La Vecchia, Silvano Gallus

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

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 17 other 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 with 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 similar 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 10-fold higher than the rest of Europe and more prevalent in men than in women.

Original languageEnglish
Pages (from-to)817-821
Number of pages5
JournalEuropean Journal of Public Health
Volume26
Issue number5
DOIs
Publication statusPublished - Oct 1 2016

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Smokeless Tobacco
Tobacco Use
Sweden
Tobacco Products
Albania
Latvia
Bulgaria
Romania
Croatia
Portugal
Hungary
Austria
Czech Republic
Greece
Poland
Finland
Ireland
England
Spain
Italy

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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 journalArticle

Leon, ME, Lugo, A, Boffetta, P, Gilmore, A, Ross, H, Schüz, J, La Vecchia, C & Gallus, S 2016, 'Smokeless tobacco use in Sweden and other 17 European countries', European Journal of Public Health, vol. 26, no. 5, pp. 817-821. https://doi.org/10.1093/eurpub/ckw032
Leon ME, Lugo A, Boffetta P, Gilmore A, Ross H, Schüz J et al. Smokeless tobacco use in Sweden and other 17 European countries. European Journal of Public Health. 2016 Oct 1;26(5):817-821. https://doi.org/10.1093/eurpub/ckw032
Leon, Maria E. ; Lugo, Alessandra ; Boffetta, Paolo ; Gilmore, Anna ; Ross, Hana ; Schüz, Joachim ; La Vecchia, Carlo ; Gallus, Silvano. / Smokeless tobacco use in Sweden and other 17 European countries. In: European Journal of Public Health. 2016 ; Vol. 26, No. 5. pp. 817-821.
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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 17 other 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 with 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 similar 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 10-fold higher than the rest of Europe and more prevalent in men than in women.

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