Document Detail

Cigarettes and oral snuff use in Sweden: Prevalence and transitions.
MedLine Citation:
PMID:  16968353     Owner:  NLM     Status:  MEDLINE    
AIMS: To investigate the prevalence and patterns of transitions between cigarette and snus use.
DESIGN: Cross-sectional study within the population-based Swedish Twin Registry.
SETTING AND PARTICIPANTS: A total of 31 213 male and female twins 42-64 years old.
MEASUREMENTS: Age-adjusted prevalence odds ratios (POR) and 95% confidence intervals (CIs) described the association between gender and tobacco use, while Kaplan-Meier survival methods produced cumulative incidence curves of age at onset of tobacco use. Life-time tobacco use histories were constructed using ages at onset of tobacco use and current tobacco use status.
FINDINGS: Although more males reported ever smoking (64.4%) than females (61.7%), more males were former smokers (POR: 1.33, 95% CI: 1.27-1.39). Males were far more likely to use snus than females (POR: 18.0, 95% CI: 16.17-20.04). Age at onset of cigarette smoking occurred almost entirely before age 25, while the age at onset of snus use among males occurred over a longer time period. Most men began using cigarettes first, nearly one-third of whom switched to using cigarettes and snus in combination. While 30.6% of these combined users quit tobacco completely, only 7.4% quit snus and currently use cigarettes, while 47.7% quit cigarettes and currently use snus.
CONCLUSIONS: Current cigarette smoking is more prevalent among Swedish women than men, while snus use is more prevalent among men. Among men who reported using both cigarettes and snus during their life-time, it was more common to quit cigarettes and currently use snus than to quit snus and currently use cigarettes. Once snus use was initiated, more men continued using snus rather than quit tobacco completely.
Helena Furberg; Paul Lichtenstein; Nancy L Pedersen; Cynthia Bulik; Patrick F Sullivan
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Twin Study    
Journal Detail:
Title:  Addiction (Abingdon, England)     Volume:  101     ISSN:  0965-2140     ISO Abbreviation:  Addiction     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-09-13     Completed Date:  2007-02-13     Revised Date:  2014-09-05    
Medline Journal Info:
Nlm Unique ID:  9304118     Medline TA:  Addiction     Country:  England    
Other Details:
Languages:  eng     Pagination:  1509-15     Citation Subset:  IM    
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MeSH Terms
Age of Onset
Cross-Sectional Studies
Middle Aged
Smoking / epidemiology*
Sweden / epidemiology
Tobacco, Smokeless*
Grant Support
CA085739/CA/NCI NIH HHS; K07 CA118412/CA/NCI NIH HHS; K07 CA118412-04/CA/NCI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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