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

BMC Public Health

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[1] 0000 0001 0340 0796, grid.418253.9, The Finnish Defence Forces, Fabianinkatu 2, 00130, Helsinki, Finland;0000 0001 0340 0796, grid.418253.9, The Finnish Defence Forces, Fabianinkatu 2, 00130, Helsinki, Finland;0000 0004 0410 2071, grid.7737.4, Doctoral School in Health Sciences, University of Helsinki, P.O. BOX 3, 00014, Helsinki, Finland;0000 0001 1013 0499, grid.14758.3f, National Institute for Health and Welfare, P.O. BOX 30, 00271, Helsinki, Finland;Finnish Medicine Agency Fimea, Helsinki, Finland;Division of Medicine, Department of Oncology, Turku University Hospital, and University of Turku, P.O. Box 52, 20521, Turku, Finland;grid.478980.a, Finnish Lung Health Association (FILHA), Filha Ry, Sibeliuksen katu 11 A 1, 00250, Helsinki, Finland;grid.478980.a, Finnish Lung Health Association (FILHA), Filha Ry, Sibeliuksen katu 11 A 1, 00250, Helsinki, Finland;Division of Medicine, Department of Pulmonary Diseases and Clinical Allergology, Turku University Hospital, and University of Turku, P.O. Box 52, 20521, Turku, Finland;

关键词: Tobacco;    Cigarettes;    Smokeless tobacco;    Snus;    Dual use;    Transition;    Education;   

DOI  :  10.1186/s12889-019-7519-1

来源: publisher

【 摘 要 】

BackgroundThe 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.MethodsA 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.ResultsThe 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).ConclusionsThis 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.

【 授权许可】

CC BY