Can alternative nicotine products put the final nail in the smoking coffin?

Harm Reduct J. 2022 Dec 1;19(1):131. doi: 10.1186/s12954-022-00722-5.


This review describes the evolution of smoking prevalence in countries with relatively high adoption of alternative nicotine products such as e-cigarettes, heated tobacco, and snus compared to neighboring countries where these products are less prevalent. The data indicate that countries with high adoption of alternative nicotine products have been able to achieve lower smoking rates. The findings suggest that adoption of alternative nicotine products may help in reduce smoking prevalence faster than traditional tobacco control measures solely focused on prevention and cessation.

Keywords: E-cigarettes; Harm reduction; Heated tobaccco products; Oral tobacco-free nicotine products; Snus; Tobacco control.

Publication types

  • Review

MeSH terms

  • Electronic Nicotine Delivery Systems*
  • Humans
  • Nicotiana
  • Nicotine*
  • Smoking / epidemiology
  • Tobacco Smoking


  • Nicotine