Socio-demographic, lifestyle and health characteristics among snus users and dual tobacco users in Stockholm County, Sweden

Engström, Karin; Magnusson, Cecilia; Galanti, Maria Rosaria
January 2010
BMC Public Health;2010, Vol. 10 Issue 1, p619
Academic Journal
Background: Socio-demographic and lifestyle characteristics of snus users have not been systematically described. Such knowledge is pivotal for tobacco control efforts and for the assessment of health effects of snus use. Methods: A cross-sectional study was conducted, based on the Stockholm Public Health Survey, including a population-based sample of 34,707 men and women aged 18-84 years. We examined how socio-demographic, lifestyle and health-related characteristics were associated with the prevalence of current daily snus use, smoking and dual tobacco use. Logistic regression was used to calculate odds ratios of prevalence (ORs) and 95% confidence intervals (CIs). Results: Low educational level (OR = 1.60, CI = 1.41-1.81 and OR = 1.49, CI = 1.17-1.89, for men and women respectively), as well as occupational class and low income were associated with snus use. Some unfavourable lifestyle characteristics, including risky alcohol consumption (males: OR = 1.81, CI = 1.63-2.02; females: OR = 1.79, CI = 1.45-2.20), binge drinking and low consumption of fruit and vegetables were also associated with snus use. In contrast, physical inactivity and overweight/obesity were not, nor was perceived health. The prevalence of smoking followed steeper gradients for social as well as lifestyle characteristics. Overweight and obese men were however less often smokers. Perceived poor general health and psychological distress were highly related to smoking. Social disadvantage, as well as unhealthy lifestyle and self-reported poor health were strongly associated with dual use. There were limited differences between men and women. Conclusions: The social, lifestyle and health profiles of exclusive snus users in Stockholm County are less favourable than those of non-users of tobacco, but more advantageous than those of exclusive smokers. This knowledge should guide tobacco control measures as well as the interpretation of health risks linked to snus use.


Related Articles

  • Socioeconomic Disparities in Tobacco-Related Health Outcomes Across Racial/Ethnic Groups in the United States: National Health Interview Survey 2010. Margerison-Zilko, Claire; Cubbin, Catherine // Nicotine & Tobacco Research;Jun2013, Vol. 15 Issue 6, p1161 

    Introduction: Existing research documents strong inverse socioeconomic gradients in current smoking and lung cancer morbidity and mortality; these gradients appear stronger among non-Hispanic Whites and Blacks compared with Hispanics. We sought to examine a broader range of outcomes across the...

  • The Case to Include Brand of Moist Snuff in Health Surveys. Timberlake, David S. // Nicotine & Tobacco Research;Aug2016, Vol. 18 Issue 8, p1786 

    Introduction: Brand of smokeless tobacco was added to the most recent Tobacco Use Supplement to the Current Population Survey (TUS-CPS), but deleted from the Centers for Disease Control's National Adult Tobacco Survey. The objective of this study was to assess the utility of brand...

  • Prevalence and correlates of roll-your-own smoking in Thailand and Malaysia: Findings of the ITC-South East Asia Survey. Young, David; Hua-Hie Yong; Borland, Ron; Ross, Hana; Sirirassamee, Buppha; Foong Kin; Hammond, David; O'Connor, Richard; Fong, Geoffrey T. // Nicotine & Tobacco Research;May2008, Vol. 10 Issue 5, p907 

    Roll-your-own (RYO) cigarette use has been subject to relatively limited research, particularly in developing countries. This paper seeks to describe RYO use in Thailand and Malaysia and relate RYO use to smokers' knowledge of the harmfulness of tobacco. Data come from face-to-face surveys with...

  • Clustering of non-communicable diseases risk factors in Bangladeshi adults: An analysis of STEPS survey 2013. Mostafa Zaman, M.; Bhuiyan, Mahfuzur Rahman; Nazmul Karim, Md.; Zaman, Moniruz; Mukhlesur Rahman, Md.; Akanda, Abdul Waheed; Fernando, Thushara // BMC Public Health;2015, Vol. 15 Issue 1, p659 

    Background: Non-communicable diseases (NCDs) have already become major killers in Bangladesh. Once NCDs are developed, they become chronic health and economic problems. Their primary prevention is linked to their common risk factors. This study was conducted to determine the prevalence of NCD...

  • Cigarette Smoking Among Adults and Trends in Smoking Cessation--United States, 2008. Dube, S. R.; Asman, K.; Malarcher, A.; Carabollo, R. // JAMA: Journal of the American Medical Association;12/23/2009, Vol. 302 Issue 24, p2651 

    The article presents a summary of an analysis of data from the 2008 National Health Interview Survey by the U.S. Centers for Disease Control and Prevention (CDC) on cigarette smoking among adults and smoking cessation trends. A 3.5 percent decline in the proportion of U.S. adults who were...

  • Socioeconomic Position, Co-Occurrence of Behavior-Related Risk Factors, and Coronary Heart Disease: the Finnish Public Sector Study. Kivimäki, Mika; Lawlor, Debbie A.; Smith, George Davey; Kouvonen, Anne; Elovainio, Marko; Virtanen, Marianna; Vahtera, Jussi // American Journal of Public Health;May2007, Vol. 97 Issue 5, p874 

    Objectives. We examined the associations between socioeconomic position, co-occurrence of behavior-related risk factors, and the effect of these factors on the relative and absolute socioeconomic gradients in coronary heart disease. Methods. We obtained the socioeconomic position of 9337 men and...

  • Help to quit. Singh, R. K.; Singh, S. // British Dental Journal;12/12/2009, Vol. 207 Issue 11, p518 

    The article focuses on the potential of tobacco use as a preventable cause of health damage and death in India. It is shown in studies that if people will not start using tobacco during adolescence there is a tendency that they never will. The findings of the Global Youth Tobacco Survey that...

  • The effects of waterpipe tobacco smoking on health outcomes: a systematic review. Akl, Elie A.; Gaddam, Swarna; Gunukula, Sameer K.; Honeine, Roland; Jaoude, Philippe Abou; Irani, Jihad // International Journal of Epidemiology;Jun2010, Vol. 39 Issue 3, p834 

    Background There is a need for a comprehensive and critical review of the literature to inform scientific debates about the public health effects of waterpipe smoking. The objective of this study was therefore to systematically review the medical literature for the effects of waterpipe tobacco...

  • APHA, CVS Health partner for tobacco use reduction forum in Washington. Wahowiak, Lindsey // Nation's Health;Nov/Dec2014, Vol. 44 Issue 9, p8 

    The article discusses the highlights of the forum "Healthiest Nation: Bringing Together the Public Health and Private Sector to Combat Tobacco," which was held on September 23, 2014 in Washington, D.C. and mentions topics like public health, tobacco use, and acting Surgeon General Boris Lushniak.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics