Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013 May;103(5):923-30.
doi: 10.2105/AJPH.2012.301070. Epub 2013 Mar 14.

Alternative Tobacco Product Use and Smoking Cessation: A National Study

Free PMC article

Alternative Tobacco Product Use and Smoking Cessation: A National Study

Lucy Popova et al. Am J Public Health. .
Free PMC article


Objectives: We investigated the frequency of alternative tobacco product use (loose leaf, moist snuff, snus, dissolvables, electronic cigarettes [e-cigarettes]) among smokers and the association with quit attempts and intentions.

Methods: A nationally representative probability-based cross-sectional survey of 1836 current or recently former adult smokers was completed in November 2011. Multivariate logistic regressions evaluated associations between alternative tobacco product use and smoking cessation behaviors.

Results: Of the smokers, 38% had tried an alternative tobacco product, most frequently e-cigarettes. Alternative tobacco product use was associated with having made a quit attempt, and those intending to quit were significantly more likely to have tried and to currently use the products than were smokers with no intentions to quit. Use was not associated with successful quit attempts. Interest in future use of alternative tobacco products was low, except for e-cigarettes.

Conclusions: Alternative tobacco products are attractive to smokers who want to quit smoking, but these data did not indicate that alternative tobacco products promote cessation. Unsubstantiated overt and implied claims that alternative tobacco products aid smoking cessation should be prohibited.


Description of alternative tobacco products.
Advertisements for Camel Snus and electronic cigarettes promoting the use of alternative tobacco products for smoking cessation. Source. Advertisement for Camel Snus. November 7, 2011. Available at: Accessed April 3, 2012; Top Electronic Cigarettes Web site. Available at: Accessed April 3, 2012

Similar articles

See all similar articles

Cited by 105 articles

See all "Cited by" articles

Publication types

MeSH terms