DOCSLIB.ORG

Swedish Tobacco Control-20Sid.Indd

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Swedish Tobacco Control-20Sid.Indd Swedish Tobacco Control Progress & Challenge – both are greater than ever 2006 CONTENTS The Minister’s View The Voice of NGOs Snus is Harmful A Focus on Youth 1 June 2005 – Smoke-free Sweden Innovative Tobacco Cessation The Cost-Effective Quitline International Challenges Margaretha – Luther Terry Award Winner Meet the Swedish Network Photo: Åsa Till Swedish Beware of the Trojan horse… MORGAN JOHANSSON, SWEDEN’S MINISTER OF PUBLIC HEALTH: “The statistics on our smoking behaviours in Sweden are looking better and better every year, and I “We will be following believe that the new smoking ban is contributing to the continued decline.” Morgan Johansson, Minister of Public Health developments closely” Photo: Pawel Flato » Public Health Goals for the year 2014 “The ban on smoking in dining and drinking establishments that went into risks of smoking are much greater,” tobacco activity in their public health effect on 1 June 2005 is probably one of our most popular reforms,” says says Mr. Johansson. “However, there programmes. Reducing tobacco use is one of the primary are also health risks with snus and it is “We will be following develop- Morgan Johansson, Sweden’s Minister of Public Health, when he summarizes goals for public health set by the Swedish » best to stop using tobacco entirely. ments closely to make sure that there Parliament. It includes the following interim the current state of tobacco prevention in Sweden. “We are also striving to bring about are no cutbacks in that regard,” says targets: a reduction in the use of snus. For that Mr. Johansson. “In addition, the state purpose, it is necessary to provide in- must also provide fairly substantial • A tobacco-free start in life, effective by He states that, after nearly one year formation in the schools and other long-term resources for the work of the year 2014. This refers, first and with the ban on smoking in cafés, settings, and to make sure that sup- prevention. We are therefore allocat- foremost, to influencing the tobacco restaurants, bars and other facilities port is available to those who want ing funds to the municipal drug coun- behaviours of pregnant women and where food and drink are served, there to quit. That is how we succeeded in cils throughout the country, for exam- parents in general, so that children can is great popular support for the new turning the smoking trend downward, ple. They work primarily with alco- grow up in a tobacco-free environment. law. That is indicated by, among other and that is how we have to work with hol- and narcotics-related issues, but • Halving, by the year 2014, the number things, the results of opinion surveys the snus problem, as well.” also with tobacco use.” of young people under age 18 who (more on that subject on p. 14-15). begin smoking or using oral smokeless During 2002–2005, Morgan Johansson believes “When my predecessor introduced the Swed- that tobacco. the idea of smoke-free pubs in 2000, ish government invested a total of 90 it is entirely possible to fulfil the sub- there was strong opposition, especial- million SEK (approx 962,000€) to goals of public health policy in the area • Halving, by the year 2014, the pro- ly from the restaurant branch and the strengthen the work of tobacco pre- of tobacco use that has been set for the portion of smokers among those who affected labour union,” notes Mr. Jo- vention. The emphasis was on increas- year 2014 (see “Public Health Goals”). currently smoke the most. Health gaps hansson. “Today, smoke-free dining ing the availability of cessation sup- “To some extent, the decline in related to social class shall be nar- and drinking facilities are regarded as port and influencing the tobacco be- smoking is a development which, I rowed. Among the unemployed and perfectly natural. There is nothing to haviours of young people. The Na- believe, is bound to continue in the poorly educated, for example, the rate indicate that the new law has resulted tional Institute of Public Health was western world,” says Mr. Johansson. of smoking is significantly higher than Morgan Johansson is pleased by the decline in smoking but wants to promote the same trend for the use of that of the general population. in problems of any kind.” oral smokeless tobacco, snus. given the task to design and imple- ”But in order to reach our objectives, ment a programme to stimulate the it is important that people can get The primary reason for the smoking that the new smoking ban is contribut- the health effects of this product in- development of tobacco prevention help to stop smoking. The work of the • No one shall be involuntarily exposed to ban was to provide service personnel ing to the continued decline,” says the dicates that the oral smokeless tobac- efforts by municipal, county and re- municipalities and county councils is environmental tobacco smoke. The ban on smoking in dining and drinking facili- with a healthier work environment. Public Health Minister. “There was a co sold in Sweden increases the risk of gional governments. very important in this regard. Anoth- ties was an important step toward the But the Public Health Minister is con- worrying increase in smoking among fatal heart disease and certain forms of Morgan Johansson believes that er important resource is the National fulfilment of this objective. But there vinced that, by influencing general at- young women a few years ago, but that cancer, among other health effects (see many useful activities have been ini- Quitline.” (see article on p. 17). are still occupations in Sweden in which titudes toward smoking, the ban has trend has now been reversed.” p. 6-7). tiated during the past three years at “We also need to work with young it is difficult to avoid passive smoking. also produced other positive effects. “The low rate of smoking among both the local and regional levels, and people, so that they don’t begin to use Among those affected are homecare However, there has “The statistics on our smoking be- been an increase men in Sweden can in no doubt be stresses that it is important for munici- tobacco. The schools, and especially providers and prison personnel. haviours in Sweden are looking bet- in the use of oral smokeless tobacco, explained in part by the use of oral palities and county councils to con- school health services, have an impor- ter and better every year, and I believe snus. A recent review of research on smokeless tobacco instead; yet the tinue placing a high priority on anti- tant role to play.” Government Bill: 2002/03:35 TIMELINE IN 1957 The Swedish tobacco 1958 The Swedish Medical 1960 the state-owned tobac- 1960 The state tobacco monopoly is dissolved and replaced by the 1963 The first major survey monopoly, in effect since 1915, Research Council evaluates the co monopoly distributes a bro- Swedish Tobacco Company (“Tobaksbolaget“). Although the new compa- of smoking behaviours is conduct- SWEDISH expresses concern after the first health effects of tobacco use and chure which warned that “heavy ny was still owned by the state during its first decades of existence, the ed. The results indicate that half of TOBACCO scientific reports on the risks of warns smokers about the risk of consumption of cigarettes can change led to a more distinct commercial profile and an increase in ad- Swedish men smoke. A delegation smoking are published. cancer. contribute to the development of vertising for tobacco products. Those trends were more apparent by the of prominent scientists visit Prime CONTROL lung cancer” based on the conclu- introduction of U.S. cigarette brands in Sweden. Minister Tage Erlander to warn sion from the 1958 report. about the risks of tobacco use, In 1963 half following which, the government of Swedish men makes the first allocation for pub- were smokers. lic information on the harmful ef- 2 Swedish Tobacco Control 2006 fects of tobacco. Swedish Tobacco Control 2006 3 “It’s true that at a first glance today’s situation looks satisfactory. Smoking in Sweden continues to decline, and the smoking ban in dining and drinking establishments is being successfully implemented. Yet it would be unfortunate if such positive developments were » to give decision-makers the impression that the work of tobacco prevention is complete.” So says Dr. Göran Boëthius, pulmonary specialist and chairman of Doctors against Tobacco, one of the non-governmental organizations in the Swedish Network for Tobacco Prevention. The battle is not over Göran Boëthius’ assessment of the to- The move will, at least in a 2-3 years’ per- a majority of county councils and their bacco situation in Sweden in the near fu- spective, result in a loss of competence in hospitals and health centres. ture differs in several respects from the the area of tobacco prevention, since few “This will prove to be an important more optimistic view of the Minister of of the Institute’s most experienced person- move, supporting many smokers’ efforts Public Health, Morgan Johansson. nel are making the move to Östersund. to get control over their smoking and “Efforts to bring about a decline in “Article 5 of the WHO Framework promote their willingness to quit. That smoking and its damaging effects in Swe- Convention on Tobacco Control (FCTC), will result also in more smoke-free role den have been successful during the past which Sweden has ratified, emphasizes the models in the community”, states Göran 10-15 years,” concedes Göran Boëthius. importance of a strategic national agen- Boëthius. “But again, it will not be done “But we cannot rest on our heels and be cy which co-ordinates the work of tobac- without continued opinion building and satisfied so long as one million people con- co prevention.
Load more

Recommended publications
  • The Global State of Tobacco Harm Reduction 2018 GSTHR 1 2 GSTHR
    NO FIRE, NO SMOKE: THE GLOBAL STATE OF TOBACCO HARM REDUCTION 2018 GSTHR 1 2 GSTHR No Fire, No Smoke: The Global State of Tobacco Harm Reduction 2018 Written and edited by Harry Shapiro Report and website production coordination: Grzegorz Krol The full report (pdf) is available at www.gsthr.org Country profiles are available atwww.gsthr.org To obtain a hard copy of the full report go to www.gsthr.org/contact The Executive Summary is available in various languages at www.gsthr.org/translations Copy editing and proofing: Tom Burgess, Ruth Goldsmith and Joe Stimson Project management: Gerry Stimson and Paddy Costall Report design and layout: Urszula Biskupska Website design & coding: Filip Woźniak, Vlad Radchenko Print: WEDA sc Knowledge-Action-Change, 8 Northumberland Avenue, London, WC2N 5BY © Knowledge-Action-Change 2018 Citation: No Fire, No Smoke: The Global State of Tobacco Harm Reduction 2018 (2018). London: Knowledge-Action-Change. NO FIRE, NO SMOKE: THE GLOBAL STATE OF TOBACCO HARM REDUCTION 2018 GSTHR 3 Acknowledgements 4 Executive Summary: No Fire, No Smoke: The Global State of Tobacco Harm Reduction 2018 5 Scope and terminology 8 Website 8 Updating 8 Data sources and limitations 8 Forewords: 10 Nancy Sutthoff 10 David Sweanor 10 Martin Jarvis 11 Key acronyms and abbreviations 12 Chapter 1: Introduction: tobacco harm reduction 13 Chapter 2: The continuing global epidemic of cigarette smoking 17 Chapter 3: Safer nicotine products: a global picture 22 Chapter 4: Consumers of safer nicotine products 38 Chapter 5: Safer nicotine products
    [Show full text]
  • Tobacco Use Behaviors for Swedish Snus and US Smokeless Tobacco
    Tobacco Use Behaviors for Swedish Snus and US Smokeless Tobacco Prepared for: Swedish Match, Stockholm, Sweden and Swedish Match North America, Richmond, Virginia Prepared by: ENVIRON International Corporation Arlington, Virginia Date: May 2013 Project Number: 2418132C Snus and US Smokeless Tobacco Contents Page Executive Summary 1 1 Introduction 6 1.1 Background 6 1.2 Literature search and methods 8 2 Temporal, Geographic and Demographic Patterns of Smokeless Tobacco Use. 10 2.1 Scandinavia 10 2.1.1 Current and Historical Temporal Trends of Swedish Snus 10 2.1.2 Geographic variations in snus use 12 2.1.3 Age and gender 12 2.1.4 Socioeconomic and occupational variations in snus 14 2.1.5 Other individual level characteristics related to snus 15 2.1.6 Exposure estimates: frequency, amount and duration of snus 15 2.2 United States 17 2.2.1 Temporal trends 18 2.2.2 Geographic variations in smokeless tobacco use 19 2.2.3 Age and gender 20 2.2.4 Race/ethnicity 21 2.2.5 Socioeconomic and occupational variations in smokeless tobacco use 22 2.2.6 Other individual level characteristics related to smokeless tobacco use 23 2.2.7 Exposure estimates: frequency, amount and duration of smokeless tobacco use 23 2.3 Summary and Conclusions 23 3 Relationship of Smokeless Tobacco to Smoking 25 3.1 Population-level transitioning between tobacco products 26 3.1.1 Scandinavia 26 3.1.2 United States 27 3.2 Individual-level transitioning between tobacco products: Gateway and transitioning from smokeless tobacco to cigarettes 27 3.2.1 Scandinavia 28 3.2.2 United States 31 3.3 Transitioning from cigarettes to smokeless tobacco and smoking cessation 35 3.3.1 Scandinavia 36 3.3.2 United States 41 3.4 Snus/Smokeless Tobacco Initiation 45 3.4.1 Scandinavia 45 3.4.2 United States 46 3.5 Dual Use 47 3.5.1 Scandinavia 47 3.5.2 United States 52 4 Summary and Conclusions 57 Contents i ENVIRON Snus and US Smokeless Tobacco 5 References 60 List of Tables Table 1: Recent Patterns of Snus Use in Sweden (Digard et al.
    [Show full text]
  • Predictors of Smoking Cessation a Longitudinal Study in a Large Cohort
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Landspítali University Hospital Research Archive Respiratory Medicine 132 (2017) 164–169 Contents lists available at ScienceDirect Respiratory Medicine journal homepage: www.elsevier.com/locate/rmed Predictors of smoking cessation: A longitudinal study in a large cohort of T smokers ∗ Mathias Holma, , Linus Schiölera, Eva Anderssona, Bertil Forsbergb, Thorarinn Gislasonc,d, Christer Jansone, Rain Jogif, Vivi Schlünsseng,h, Cecilie Svanesi,j, Kjell Toréna,k a Department of Occupational and Environmental Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden b Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, Umea University, Umea, Sweden c Medical Faculty, University of Iceland, Reykjavik, Iceland d Department of Respiratory Medicine and Sleep, Landspitali University Hospital, Reykjavik, Iceland e Department of Medical Sciences: Respiratory Medicine and Allergology, Uppsala University, Uppsala, Sweden f Lung Clinic, Tartu University Hospital, Tartu, Estonia g Department of Public Health, Section for Environment, Occupation and Health, Aarhus University, Aarhus, Denmark h National Research Centre for the Working Environment, Copenhagen, Denmark i Department of Occupational Medicine, Haukeland University Hospital, Bergen, Norway j Centre for International Health, University of Bergen, Bergen, Norway k Section of Occupational and Environmental Medicine, Institute of Medicine, Sahlgrenska Academy,
    [Show full text]
  • Article in Press
    G Model DRUPOL-1437; No. of Pages 6 ARTICLE IN PRESS International Journal of Drug Policy xxx (2014) xxx–xxx Contents lists available at ScienceDirect International Journal of Drug Policy j ournal homepage: www.elsevier.com/locate/drugpo Research paper The incentives created by a harm reduction approach to smoking cessation: Snus and smoking in Sweden and Finland ∗ Jennifer Maki Center for Healthcare Economics and Policy, 1101 K Street, NW, Suite B100, Washington, DC 20005, USA a r t i c l e i n f o a b s t r a c t Article history: Background: Tobacco harm reduction involves advocating the use of a less harmful alternative to smoking Received 22 April 2014 for those users who are unwilling or unable to quit. The net effect of such an approach is unclear as Received in revised form 6 August 2014 it may create opposing incentives. Although some smokers may substitute toward this less harmful Accepted 10 August 2014 alternative, it may reduce the incentive to quit by undermining public health efforts and may act as a gateway to smoking. This research paper aims to answer the question: Does the availability of a less Keywords: harmful alternative to smoking lead to cessation? To explore the opposing incentives created by a harm Smoking cessation reduction approach to smoking cessation, I focus on the role of snus, a popular smokeless tobacco product Incentives in Scandinavia that is widely used in Sweden. Harm reduction Methods: This paper exploits a quasi-natural experiment to examine the net effect resulting from these opposing incentives.
    [Show full text]
  • Traditional Use of Tobacco Among Indigenous Peoples in North America
    Literature Review Traditional Use of Tobacco among Indigenous Peoples of North America March 28, 2014 Dr. Tonio Sadik Chippewas of the Thames First Nation 1. Overview This literature review arises as one part of the Chippewas of the Thames1 First Nation’s (CoTTFN) engagement with the Province of Ontario regarding tobacco issues and related First Nation interests (the “Tobacco Initiative”). The specific focus of this review is on existing academic literature pertaining to the traditional use of tobacco by indigenous peoples in North America. For the purposes of this review, traditional use refers to those uses of tobacco by indigenous peoples2 that may be distinct from the contemporary commercial use of tobacco, that is, recreational smoking. Most current knowledge about tobacco is dominated by the history of European and Euro- American tobacco use, despite the fact that the growing and harvesting of tobacco by indigenous peoples predates the arrival of Europeans (Pego, Hill, Solomon, Chisholm, and Ivey 1995). Tobacco was first introduced to Europeans shortly after Columbus’ landfall in the Americas in 1492, and was likely the first plant to have been domesticated in the so-called New World. Generally speaking, indigenous peoples of North America had four uses for tobacco: for prayers, offerings, and ceremonies; as medicine; as gifts to visitors; and as ordinary smoking tobacco.3 The traditional use of tobacco can in many cases be traced back to the creation stories of a respective indigenous nation. Although the meanings associated with such stories vary, tobacco is consistently described for its sacred elements: to bring people together; for its medicinal or healing properties; or as an offering.
    [Show full text]
  • SWEDEN Andreas Johansson Ministry of Health and Social Affairs
    PHASE 2 (GROUP 2 QUESTIONS) OF THE REPORTING INSTRUMENT UNDER THE WHO FRAMEWORK CONVENTION ON TOBACCO CONTROL 1. ORIGIN OF THE REPORT 1.1 NAME OF CONTRACTING PARTY SWEDEN 1.2 Information on national contact responsible for preparation of the report: Name and title of contact officer Andreas Johansson Full name of institution Ministry of Health and Social Affairs Mailing address SE-103 33, STOCKHOLM, SWEDEN Telephone number +46 8 405 10 00 Fax number +46 8 411 96 47 E-mail [email protected] 1.3 Signature of government official submitting the report: Name and title of officer Full name of institution Mailing address Telephone number Fax number E-mail Web page 1.4 Period of reporting 2007-2010 1.5 Date the report was submitted 5 November 2010 2. TOBACCO CONSUMPTION AND RELATED HEALTH, SOCIAL AND ECONOMIC INDICATORS (with reference to Articles 19.2(a), 20.2, 20.3(a), 20.4(c) as well as Articles 6.2(a), 6.2(b), 6.3, 15.4, 15.5 and 17 as referred to in the respective subsections) 2.1 PREVALENCE OF TOBACCO USE 2.1.1 Smoking prevalence in the adult population (all) (Please provide prevalence data for total adult population, and identify the age considered, e.g. 15 years old and over, 18-64 years; see 2.1.1.2) Prevalence (%) Average number of the most- (please include all smoking consumed smoking tobacco tobacco products in product used per day prevalence data) MALES Current smokers 24.00 % Daily smokers 11.00 % 13.50 Occasional smokers 13.00 % Former smokers 20.00 % Never smokers 55.00 % FEMALES Current smokers 23.00 % Daily smokers 13.00 % 11.40 Occasional smokers 10.00 % Former smokers 17.00 % Never smokers 59.00 % TOTAL (males and females) Current smokers 25.00 % Daily smokers 13.00 % Occasional smokers 12.00 % Former smokers 18.00 % Never smokers 58.00 % 2.1.1.1 Please indicate the smoking tobacco products included in calculating prevalence for question 2.1.1: Cigarettes, cigarillos, cigars, pipes.
    [Show full text]
  • Empower Women: Facing the Challenge of Tobacco Use in Europe
    The WHO Regional Office for Europe The World Health Organization (WHO) is a specialized agency of the United Nations created in 1948 with the primary responsibility for international health matters and public health. The WHO Regional Office for Europe is one of six regional offices throughout the world, each with its own programme geared to the particular health conditions of the countries it serves. Member States Albania Andorra Armenia Austria Azerbaijan Belarus Belgium Bosnia and Herzegovina Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Finland France Georgia Germany Empower Greece Hungary Iceland Ireland Israel Italy Kazakhstan Women Kyrgyzstan Latvia Facing the Challenge of Tobacco Use in Europe Lithuania Luxembourg Malta Monaco Montenegro Netherlands Norway Poland Portugal Republic of Moldova Romania Russian Federation San Marino Serbia Slovakia Slovenia Spain Sweden Switzerland Tajikistan The former Yugoslav Republic of Macedonia World Health Organization, Regional Office for Europe Turkey Turkmenistan UN City, Marmorvej 51, DK-2100 Copenhagen Ø, Denmark Ukraine Tel.: +45 45 33 70 00. Fax: +45 45 33 70 01. United Kingdom E-mail: [email protected]. Web site: www.euro.who.int Uzbekistan Empower Women Facing the Challenge of Tobacco Use in Europe Abstract Ten years have passed since the adoption of the WHO Framework Convention on Tobacco Control, a landmark in tobacco control. Some of the WHO European Region Member States are global leaders in tobacco control. At the same time, the prevalence of smoking among women in the Region is higher than in any other WHO region and, in some countries, is increasing among young women and girls. The tobacco industry continues to work relentlessly to catch new customers as early as possible in their lives, using well-targeted gender-specific strategies.
    [Show full text]
  • Variation in Smoking and Nicotine Metabolism Among American Indians: Novel Influences on in Vivo and in Vitro Nicotine Metabolism Phenotypes
    Variation in Smoking and Nicotine Metabolism Among American Indians: Novel Influences on In Vivo and In Vitro Nicotine Metabolism Phenotypes by Julie-Anne Tanner A thesis submitted in conformity with the requirements for the degree of Doctor of Philosophy Department of Pharmacology and Toxicology University of Toronto © Copyright by Julie-Anne Tanner 2017 Variation in Smoking and Nicotine Metabolism Among American Indians: Novel Influences on In Vivo and In Vitro Nicotine Metabolism Phenotypes By Julie-Anne Tanner Doctor of Philosophy Department of Pharmacology and Toxicology University of Toronto 2017 Abstract Tobacco use and associated disease risk vary widely among different populations and ethnic/racial groups. While American Indian and Alaska Native populations collectively have the highest prevalence of smoking, recent studies have highlighted disparities in smoking and disease risk across different American Indian/Alaska Native populations. The Northern Plains American Indian tribal populations of South Dakota have a much higher smoking prevalence, smoke more cigarettes per day, and have higher lung cancer risk than the Southwest American Indian tribe of Arizona. Underlying reasons behind the differences in smoking and lung cancer risk between these tribes remain unknown. We sought to biochemically characterize the level of tobacco exposure among smokers and non-smokers in the Northern Plains and Southwest tribes, using cotinine as a biomarker. We demonstrated that despite both tribes being relatively light smoking populations, secondhand tobacco smoke exposure is high among non-smokers, highlighting a potential source of increased risk for tobacco-related disease. As variation in the rate of nicotine metabolism (i.e. CYP2A6 activity) has been associated with differences in smoking behaviours and lung cancer risk in other ethnic/racial groups, we then evaluated variation in the CYP2A6 gene and the rate of nicotine metabolism in the Northern Plains and ii Southwest tribes.
    [Show full text]
  • Declining Smoking in Sweden: Is Swedish Match Getting the Credit for Swedish Tobacco Control’S Efforts? S L Tomar, G N Connolly, J Wilkenfeld, J E Henningfield
    368 Tob Control: first published as 10.1136/tc.12.4.368 on 5 December 2003. Downloaded from COMMENTARY Declining smoking in Sweden: is Swedish Match getting the credit for Swedish tobacco control’s efforts? S L Tomar, G N Connolly, J Wilkenfeld, J E Henningfield ............................................................................................................................... Tobacco Control 2003;12:368–371 t is imperative that public policy be based on the most found that using snuff at the most recent quit attempt thorough, balanced, and critical appraisal of the available increased the likelihood of abstinence (odds ratio (OR) 1.54, Ievidence. Regrettably, the two papers12on which we were 95% confidence interval (CI) 1.09 to 2.20), with a small invited to comment fall short of those criteria. difference in using snus for cessation between males who quit (28.7%) and those who tried unsuccessfully (23.0%). More detailed analysis10 of the TEMO data4 cited by Bates et DID SNUFF REALLY REDUCE SMOKING IN SWEDEN? 2 Bates et al2 concluded snus played a ‘‘positive public health al showed the large majority of men (71%) and women role’’ but did not weigh all available evidence nor critically (97%) who quit smoking did not use snus at their last quit appraise the methodologies, funding sources, or interpreta- attempt, with modest effectiveness for snus as a cessation tions of the studies they included. Their ‘‘Evidence from strategy in that observational study. That is hardly compel- 2 Sweden’’ section included only an unpublished survey with ling evidence for snus as ‘‘an important explanation’’ for the unknown methodology,3 a newspaper article,4 and a study decline in smoking in Sweden.
    [Show full text]
  • Snus) on Smoking and Public Health in Sweden J Foulds, L Ramstrom, M Burke, K Fagerstro¨M
    349 Tob Control: first published as 10.1136/tc.12.4.349 on 5 December 2003. Downloaded from REVIEW Effect of smokeless tobacco (snus) on smoking and public health in Sweden J Foulds, L Ramstrom, M Burke, K Fagerstro¨m ............................................................................................................................... Tobacco Control 2003;12:349–359 Objective: To review the evidence on the effects of moist smokeless tobacco (snus) on smoking and ill health in Sweden. Method: Narrative review of published papers and other data sources (for example, conference abstracts and internet based information) on snus use, use of other tobacco products, and changes in health status in Sweden. See end of article for authors’ affiliations Results: Snus is manufactured and stored in a manner that causes it to deliver lower concentrations of ....................... some harmful chemicals than other tobacco products, although it can deliver high doses of nicotine. It is dependence forming, but does not appear to cause cancer or respiratory diseases. It may cause a slight Correspondence to: Jonathan Foulds PhD, increase in cardiovascular risks and is likely to be harmful to the unborn fetus, although these risks are UMDNJ-School of Public lower than those caused by smoking. There has been a larger drop in male daily smoking (from 40% in Health, Tobacco 1976 to 15% in 2002) than female daily smoking (34% in 1976 to 20% in 2002) in Sweden, with a Dependence Program, substantial proportion (around 30%) of male ex-smokers using snus when quitting smoking. Over the same 317 George Street, New Brunswick, NJ 08852, time period, rates of lung cancer and myocardial infarction have dropped significantly faster among USA; jonathan.foulds@ Swedish men than women and remain at low levels as compared with other developed countries with a umdnj.edu long history of tobacco use.
    [Show full text]
  • Patterns of Dual Use of Snus and Cigarettes in a Mature Snus Market
    Nicotine & Tobacco Research, Volume 15, Number 3 (March 2013) 678–684 ORIGINAL INVESTIGATION Patterns of Dual Use of Snus and Cigarettes in a Mature Snus Market Karl Erik Lund PhD1, Ann McNeill PhD2 1Department of Tobacco, Norwegian Institute for Alcohol and Drug Research, Oslo, Norway; 2Division of Epidemiology & Public Health, University of Nottingham, U.K. Centre for Tobacco Control Studies, Nottingham, United Kingdom Corresponding Author: Karl Erik Lund, PhD, Department of Tobacco, Norwegian Institute for Alcohol and Drug Research, P.O. Box 565 Sentrum, 0105 Oslo, Norway. Telephone: +47 91 73 37 58; Fax: +47 22 34 04 01; E-mail: [email protected] Received May 14, 2012; accepted July 3, 2012 ABSTRACT Introduction: We examine the prevalence of dual use of snus and cigarettes among Norwegian men by categorizing dual use into four categories according to the frequency of use of each product, considering the order of uptake of both products, and examining reasons for additional snus use. We compare dual users and exclusive cigarette smokers with respect to their smoking intensity, plans for quitting smoking, and future smoking identity. Methods: We used a data pool of six cross-sectional, national representative surveys conducted annually in the period 2005– 2010 containing a total of 3,524 males aged 16–74. Results: 6.8% of men had some kind of current concomitant use of snus and cigarettes—but only 1% reported a daily con- sumption of both products. The most typical pattern of dual use was a combination where daily use of one product was paired with occasional use of the other.
    [Show full text]
  • Challenges Ahead to Reach the Goal Set up in Tobacco End Game 2025
    Challenges ahead to reach the goal set up in Tobacco End Game 2025 Dr Vera Luiza da Costa e Silva Head of the Convention Secretariat WHO FCTC 12 June 2018 Towards the end game 1. Where are we? 2. What do we want to achieve and by when? 3. What do we need to do? 4. What will be the challenges? 1. Where are we? Tobacco epidemic in Sweden Male Female Total Current smokers 14 14 14 Daily smokers 8 10 9 Current smokeless tobacco users 21 5 13 Daily smokeless tobacco users 18 4 11 2018 WHO FCTC Global progress report for Sweden Source: Public Health Agency of Sweden (2016) 2. What do we want to achieve and by when? - Reduction in daily smoking to 5% in men and women by 2025 Trends in daily tobacco smoking among persons 15 and older in Sweden Source: WHO Global report on trends in prevalence of tobacco smoking 2020-2025 Trends in daily tobacco smoking among persons 15 and older in Sweden 25 20 Men 15 Women Voluntary target: 10 30% reduction between 2010 and 2025 5 0 2000 2005 2010 2015 2020 2025 Source: WHO Global report on trends in prevalence of tobacco smoking 2020-2025 (2018) Age specific rates of current daily smoking in Sweden Source: WHO Global report on trends in prevalence of tobacco smoking 2020-2025 (2018) Trends in daily tobacco smoking among persons 15 and older in Finland and Norway Finland Norway Trends in daily tobacco smoking among persons 15 and older in Finland and Norway and Sweden 35 30 25 20 Sweden Finland 15 Norway 10 5 0 2000 2005 2010 2015 2020 2025 Some tobacco control measures in these 3 countries Sweden Finland Norway Price (International 7.21 6.57 12.46 dollars) Taxes (most sold 68.5% 84.9% 66% brand) Smoke free Smoking allowed Smoking allowed Banned in all Policies enclosed public enclosed public indoor public places places places Health warnings 65 (F65,B65) 65 (F65,B65) 48 (F43-B53) cigarettes 15 rotating 15 rotating 16 rotating PP Health warnings 30 (F30, B30) Smokeless banned 15 (F30-B0) smokeless Only 1 Only 1 Illicit trade protocol Signed.
    [Show full text]