Patterns and behaviors of snus consumption in Sweden.
BACKGROUND
Snus is an oral snuff consisting of moist finely ground tobacco which is available in a loose form or with portions of the tobacco sealed in small sachets termed "pouches." The product has a long history of use in Sweden. Currently, there is very little published information on levels of consumption and usage behaviors for snus in Sweden. The objective of this study was to obtain data on the frequency and duration of loose and pouched snus consumption in Sweden and investigate usage behaviors.


METHODS
Telephone surveys of snus users randomly selected from telephone directories in all regions of Sweden were conducted in 2007 and 2008. In total, 2,914 respondents answered questions on snus usage, including the types of products used and the quantity and frequency of use.


RESULTS
The majority of respondents (96%) used either pouched or loose snus alone. A minority (12.6%) reported dual use of smokeless and combustible tobacco products. Average daily consumption was 11-12 g for pouched snus and 29-32 g for loose snus. The typical duration of use of each pouch/portion was 60-70 min.


CONCLUSIONS
This survey has provided new insights into contemporary snus use in Sweden, such as the marked differences in daily consumption between loose and pouched snus, length of time that snus users typically keep pouches in the mouth, differential patterns of use in males and females, and the simultaneous use of multiple pouches in a small proportion of users.
Digard
Helena
H
Group R&D, British American Tobacco, Regents Park Road, Southampton SO158TL, UK.
Errington
Graham
G
Richter
Audrey
A
McAdam
Kevin
K
D003625:Data Collection; D003710:Demography; D005260:Female; D006801:Humans; D008297:Male; D013548:Sweden / Q000453:epidemiology; D014030:Tobacco, Smokeless
Am J Prev Med. 2002 Oct;23(3):143-9
12350445
J Oral Pathol Med. 1994 Apr;23(4):161-7
8046653
Clin Pharmacol Ther. 1987 Jan;41(1):103-7
3802698
Tob Control. 2006 Jun;15(3):210-4
16728752
Tob Control. 2003 Dec;12(4):349-59
14660766
Psychopharmacology (Berl). 1988;96(3):428-9
3146780
J Intern Med. 2002 Nov;252(5):398-404
12528757