Trends in smokeless tobacco use among men in four states, 1988 through 1993

Am J Public Health. 1996 Sep;86(9):1300-3. doi: 10.2105/ajph.86.9.1300.


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.

MeSH terms

  • Adolescent
  • Adult
  • Educational Status
  • Health Surveys
  • Humans
  • Linear Models
  • Male
  • Middle Aged
  • Plants, Toxic*
  • Population Density
  • Tobacco, Smokeless*
  • United States