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Lars M. Ramström Institute for Tobacco Studies Stockholm, Sweden

Comparison Between Different Pathways of Tobacco Use in Sweden – Implications for the Prevention of Tobacco Induced Diseases. Lars M. Ramström Institute for Tobacco Studies Stockholm, Sweden. 6th Annual Conference of ISPTID, Little Rock, Arkansas, 2-4 November, 2007. SNUS (moist oral snuff).

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Lars M. Ramström Institute for Tobacco Studies Stockholm, Sweden

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  1. Comparison Between Different Pathways of Tobacco Use in Sweden – Implications for the Prevention of Tobacco Induced Diseases Lars M. Ramström Institute for Tobacco Studies Stockholm, Sweden 6th Annual Conference of ISPTID, Little Rock, Arkansas, 2-4 November, 2007

  2. SNUS (moist oral snuff) in portion packages or loose

  3. The changes of prevalencedepend both on – changes of initiation patterns and on – changes of cessation patterns For an in depth study of the development over time it would have been desirable that the two above parameters had been continuously monitored in the past. However, we can now emulate such a monitoring by retrospective analysis of consecutive birth cohorts from a 50 year period.

  4. Ever-Daily-Smokers who have tried to quit smoking. Percentage having used different cessation aids at latest quit attempt. Source: FSI/ITS surveys 2003-2006

  5. p.161 “The epidemiology of tobacco use in Sweden suggests that if the public isoffered a substantially less harmful smokeless tobacco product along with accessto accurate information on relative risks, a substantial proportion can switch tothe less harmful product. This has clear implications for public health.”

  6. Conclusions • Prevention of Tobacco Induced Diseases is first of all a matter of reducing cigarette smoking • Comparisons between different pathways oftobacco use in Sweden suggest that the use of snus has contributed to lower smoking rates by– reducing initiation of smoking– helping smokers to quit smoking (switching to snus or quitting all tobacco) • This suggests that the use of snus has had implications for public health in a way that has contributed to the Prevention of Tobacco Induced Diseases in Sweden

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