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Should Smokeless Tobacco be Promoted as an Alternative for Smokers?

Principal Investigator: David Timberlake

Funding Mechanism: National Institutes of Health-Grant

ID number: 1R03DA027950-01A1

Award Date: 9/15/2012

Institution: University of California Irvine


The promotion of smokeless tobacco (ST) as a cigarette substitute is one of the most concerning issues in tobacco control. In this study, investigators will use survey data to evaluate the effects of marketing on ST use initiation among adolescents (aged 12-17) and to analyze past-year use of tobacco (cigarettes, cigars and ST) and nicotine dependence in adults; they will also perform a content analysis of ST magazine advertisements.  Study aims are: (1) to examine the effect of marketing on the current and lifetime use of ST among approximately 2,200 adolescents followed for six years in the 1993-1999 Teen Longitudinal California Tobacco Survey, a statewide cross-sectional survey of tobacco-related prevalence, knowledge and attitudes; (2) to perform a content analysis of three years (2008-2010) of Camel Snus ST magazine advertisements in order to assess marketing to non-smoking adolescents, smokers receptive to a situational substitute, and smokers receptive to a permanent substitute; (2a) to examine advertising expenditures and the demographic readership of the magazines displaying advertisements for Camel Snus and other ST brands; and (3) to examine transitions in the use of tobacco products and nicotine dependence among 12,238 participants in two waves (2001-2002 and 2004-2005) of the National Epidemiologic Survey on Alcohol and Related Conditions, which includes a nationally representative sample of non-institutionalized U.S. adults over age 17; this analysis will evaluate past-year frequency of use of cigarettes, cigars and ST, as well as nicotine dependence symptoms. This research effort will enhance the understanding of ST marketing practices and impact, as well as how ST use is associated with nicotine dependence.


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