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Smoking Cessation Health Center

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Smokeless Tobacco Rates on the Rise

Study Shows Many Smokers Are Also Using Smokeless Tobacco
WebMD Health News
Reviewed by Laura J. Martin, MD

Nov. 4, 2010 -- Even after a generation of warnings from public health officials about the dangers of tobacco use, about 20% of Americans still smoke cigarettes, a CDC report says. The report also shows the rate of smokers who also use smokeless tobacco, such as chewing tobacco and snuff, is rising.

Using smokeless tobacco can keep the nicotine habit alive, making it even harder to quit than going cold turkey, Terry Pechacek, PhD, of the CDC, tells WebMD.

More Americans are turning to smokeless tobacco because of laws that prohibit smoking in public places such as bars, restaurants, and airplanes -- and also because smokeless forms can be used in offices and on the job, Pechacek says.

The CDC report is published in the Nov. 5 edition of the Morbidity and Mortality Weekly Report.

Immediate Benefits of Smoking Cessation

The tobacco companies market smokeless tobacco as a substitute for smokers, but they don’t help people quit smoking, Pechacek tells WebMD.

“We are making no progress in getting people to quit smoking,” he says. “This is a tragedy. Over 400,000 people are dying prematurely and won’t be able to walk their children down the aisle or see their grandchildren.”

Contrary to common beliefs of smokers, the benefits of quitting start immediately, Pechacek tells WebMD.

“We see lower rates for heart attacks within months of quitting,” he says. “And lower rates for lung cancer, too. Stopping a decline in lung function is one of the biggest benefits of quitting smoking.”

The national smoking prevalence rate was 20.6% in 2008 and 2009. About 23% of males smoke, compared to 18.3% of females.

“We are not making progress and we are going to have this burden for tobacco-related diseases for decades to come,” Pechacek tells WebMD.

Who’s Using Smokeless Tobacco

The CDC report says the use of smokeless tobacco is “predominantly a problem among men, young adults, those with a high school education or less and in some states with higher smoking rates.”

Smoking prevalence varies widely among states and territories, from 25.6% in Kentucky and West Virginia and 25.5% in Oklahoma to 9.8% in Utah, 12.9% in California and 14.9% in Washington.

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