D E Nelson1, S L Tomar, P Mowery, P Z Siegel. 1. Division of Adult and Community Health, Centers for Disease Control and Prevention, Atlanta, Ga. 30341-3724, USA.
Abstract
OBJECTIVES: Trends in smokeless tobacco use were examined for men in Indiana, Iowa, Montana, and West Virginia from 1988 through 1993. METHODS: State survey data from the Behavioral Risk Factor Surveillance System (BRFSS) were analyzed. RESULTS: Demographic characteristics associated with smokeless tobacco use included age less than 35 years, a high school education or less, and rural residence. Overall, there was little change in smokeless tobacco use among men in these states (range = -0.4-0.4 percentage points annually); only West Virginia had a significant decline. CONCLUSIONS: Reasons for the overall lack of decline may include increased advertising and promotional expenditures or substitution of smokeless tobacco for cigarettes. Increased prevention and cessation efforts are needed.
OBJECTIVES: Trends in smokeless tobacco use were examined for men in Indiana, Iowa, Montana, and West Virginia from 1988 through 1993. METHODS: State survey data from the Behavioral Risk Factor Surveillance System (BRFSS) were analyzed. RESULTS: Demographic characteristics associated with smokeless tobacco use included age less than 35 years, a high school education or less, and rural residence. Overall, there was little change in smokeless tobacco use among men in these states (range = -0.4-0.4 percentage points annually); only West Virginia had a significant decline. CONCLUSIONS: Reasons for the overall lack of decline may include increased advertising and promotional expenditures or substitution of smokeless tobacco for cigarettes. Increased prevention and cessation efforts are needed.
Authors: L Kann; C W Warren; W A Harris; J L Collins; K A Douglas; M E Collins; B I Williams; J G Ross; L J Kolbe Journal: MMWR CDC Surveill Summ Date: 1995-03-24
Authors: David E Nelson; Paul Mowery; Scott Tomar; Stephen Marcus; Gary Giovino; Luhua Zhao Journal: Am J Public Health Date: 2006-03-29 Impact factor: 9.308