title: Tobacco use among Norwegian adolescents: from cigarettes to snus.
abstract: OBJECTIVE
  To: (i) investigate the development of smoking and snus use among Norwegian adolescents, and (ii) describe the users in each group.
  
  
  METHODS
  Two population-based surveys with identical procedures in 2002 (response rate 91.0%) and 2010 (response rate 84.3%).
  
  
  METHODS
  Norway.
  
  
  METHODS
  A total of 6217 respondents, aged 16-17 years.
  
  
  METHODS
  Data were collected on smoking and snus use, socio-demographic factors, school adjustment, social network, sport activities, alcohol and cannabis use and depression symptoms.
  
  
  RESULTS
  Prevalence of daily smoking fell from 23.6% in 2002 to 6.8% in 2010 (P < 0.001), while the prevalence of daily snus use increased from 4.3 to 11.9% (P < 0.001). Dual daily use of cigarettes and snus remained at 1%. The relative proportion of non-daily smokers using snus increased steeply. Both snus users and smokers reported more adverse socio-economic backgrounds, less favourable school adjustment and higher levels of alcohol intoxication and cannabis use than non-users of tobacco. However, snus users were better adjusted to school and used cannabis less often than smokers.
  
  
  CONCLUSIONS
  Adolescent smoking prevalence has fallen dramatically in Norway, accompanied by a smaller increase in snus use. Young snus users in Norway have many of the same risk factors as smokers, but to a lesser degree.
authors: Department of Sociology and Human Geography, University of Oslo, Oslo, Norway.
authors: Willy
authors: W
authors: Pedersen
authors: Tilmann
authors: T
authors: von Soest
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000428:Alcohol Drinking / Q000453:epidemiology / Q000523:psychology; D015897:Comorbidity; D005260:Female; D006801:Humans; D008297:Male; D008385:Marijuana Smoking / Q000453:epidemiology / Q000523:psychology; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology; D009664:Norway / Q000453:epidemiology; D015995:Prevalence; D012307:Risk Factors; D012919:Social Behavior; D012959:Socioeconomic Factors; D062789:Tobacco Products / Q000706:statistics & numerical data*; D064424:Tobacco Use / Q000453:epidemiology* / Q000523:psychology; D014030:Tobacco, Smokeless / Q000706:statistics & numerical data*
keywords: Alcohol; cannabis; population study; smoking; snus use; sports