title: Trends in the use and advertising of discount versus premium snuff.
abstract: BACKGROUND
  The Conwood Company, a major producer of discount moist snuff, was awarded a $1 billion antitrust settlement in the year 2000 against its leading competitor, the U.S. Smokeless Tobacco Company. The objective of this study was to examine the trends in use and advertising of discount versus premium snuff since the Conwood settlement, a topic seldom addressed in the tobacco control literature.
  
  
  METHODS
  2 sources of data were analyzed in 2011: (a) male snuff users from the 2002-2009 National Surveys on Drug Use and Health (N = 13,172) and (b) total advertisements of moist snuff identified from over 350 consumer magazines dated 2005-2009 (N = 861). For the survey data, demographic and tobacco-related measures were assessed as predictors of use of discount versus premium snuff in logistic regression models. For the advertising data, associations were examined between the snuff category and nicotine content, magazine youth readership, and year of magazine publication.
  
  
  RESULTS
  The prevalence of discount and premium snuff use among males increased and decreased, respectively, from 2002 to 2009. Significant predictors of using discount versus premium snuff were being an adolescent, being an African-American, being a current or former smoker, living in a less populated region of the country, and using snuff frequently. Discount snuff advertising was associated with publication in magazines with a high youth readership.
  
  
  CONCLUSIONS
  Discount snuff has grown in popularity among male adolescents who have been a target of advertising. The tobacco's cheap price and high nicotine content pose a public health problem because of the potential for long-term tobacco use and dependence.
authors.affiliation: Program in Public Health, University of California, Irvine, CA, USA. dtimberl@uci.edu
authors.forename: David S
authors.initials: DS
authors.lastname: Timberlake
authors.forename: Cornelia
authors.initials: C
authors.lastname: Pechmann
mesh_terms: D000293:Adolescent; D000328:Adult; D000329:Advertising; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012044:Regression Analysis; D012907:Smoking; D014030:Tobacco, Smokeless; D014481:United States; D055815:Young Adult