Introduction: Little is known about the use of modified risk smokeless tobacco products (MRSTP) and flavored smokeless tobacco (ST) products among American Indians (AI). Aim of this study is to evaluate differences in tobacco use characteristics, ST dependence, and cotinine levels according to the use of flavored ST and MRSTP among AI ST users.
Methods: Study was based on cross-sectional data collected from a community-based sample of 120 adult male AI exclusive ST users. Sociodemographic characteristics, tobacco use behaviors, ST dependence, and characteristics of ST products were obtained through phone surveys. Saliva samples were collected to measure cotinine levels. MRSTP users were defined as those who used Copenhagen Classic snuff. Associations of flavored ST and MRSTP with tobacco use behaviors, cotinine, and ST dependence were evaluated.
Results: The majority of study participants (58.3%) used non-flavored ST, whereas 12% reported MRSTP use. Flavored ST use was significantly more prevalent among young adults (62.5%). Flavored ST users had significantly lower number of dips per day, cotinine levels, and severity of dependence compared to non-flavored product users. MRSTP users were significantly older in age and had more years of ST use compared to nonMRSTP users. There were no differences in cotinine level, ST dependence, and past quit attempts based on MRSTP use.
Conclusion: AI ST users have high prevalence of non-flavored ST use. Findings of ST-related abuse liability among MRSTP users suggest a limited role of these products in facilitating complete tobacco cessation.
Implications: The study findings provide insights into the possible impact of FDA's smokeless tobacco-related regulations such as the designation of certain ST products as modified risk tobacco products and the sale of flavored ST products on ST use. The high prevalence of flavored ST among young AI ST users underscores the need for stringent regulations of flavored ST products. Findings of ST-related abuse liability among MRSTP users suggest a limited role of these products in facilitating complete tobacco cessation.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1093/ntr/ntaf047 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
How adolescent tobacco use has responded to state tobacco 21 laws and flavor restrictions.
Am J Drug Alcohol Abuse
March 2025
School of Social Work, Boston College, Chestnut Hill, MA, USA.
Tobacco 21 (T21) laws (prohibiting tobacco sales under age 21) and flavor restrictions have recently been enacted, yet little is known about the extent to which these policies shifted adolescent tobacco use. To examine the associations between state-level T21 laws and flavor restrictions with adolescent tobacco use overall and by age. We linked state-level T21 laws and flavor restrictions with individual-level data on self-reported levels of cigarette, cigar, and electronic nicotine delivery systems (ENDS) use among 979,477 (500,205 female/479,272 male) 14-18+-year-olds from the 2011-2021 Youth Risk Behavior Surveys.
View Article and Find Full Text PDFThe impacts of product characteristics and regulatory environment on smokers' preferences for tobacco and alcohol: Evidence from a volumetric choice experiment.
PLoS One
March 2025
Department of Population Health Sciences, School of Public Health, Georgia State University Atlanta, Atlanta, Georgia, United States of America.
Objective: Concurrent use of alcohol and cigarettes is well-documented in the literature. However, it is unclear how e-cigarette regulations in a growing number of localities impact the use of tobacco and alcohol in the US. This study aims to evaluate the impacts of excise taxes, tobacco use restrictions in restaurants/bars, and availability of alcohol flavor in e-cigarettes on tobacco consumption, and their cross impacts on alcohol consumption.
View Article and Find Full Text PDFNicotine Exposure From Smoking Tobacco and Vaping Among Adolescents.
JAMA Netw Open
March 2025
Department of Addictions, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
Importance: It remains unknown whether nicotine intake among youths who vape is lower, comparable, or higher than among youths who smoke.
Objective: To examine potential differences in biomarkers of exposure to nicotine (1) between adolescents who smoke tobacco, vape, both vape and smoke (dual use), or do not use; (2) between adolescents in 3 countries; and (3) by nicotine content and form in the vaping product last used among adolescents who exclusively vaped.
Design, Setting, And Participants: This population-based, observational cross-sectional study invited adolescents aged 16 to 19 years in Canada, England, and the US who had previously completed national surveys to participate in a biomarker study based on their vaping and smoking status.
Worldwide, indulgence in high-risk behaviors such as substance abuse is on the rise in street children. Though substance abuse among street children has been investigated and reported in Pakistan, few studies have explored the relationship between narcotic use and its associated factors. This study was conducted to determine factors associated with narcotic use among street children in Islamabad Capital Territory.
View Article and Find Full Text PDFReasons for using electronic cigarettes among young adults aged 18 - 30: a systematic review.
EXCLI J
January 2025
University of Bordeaux, Inserm, Bordeaux Population Health Research Center, team HEALTHY, UMR 1219, Bordeaux, France.
The use of psychoactive products by young adults is usually described as part of their exploratory identity development. This behavior is facilitated by social and structural contexts where these substances are perceived as legal and easily accessible. While the motivations for initiating and continuing the use of tobacco and alcohol are well-documented, the same cannot be said for e-cigarettes.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!