Learning Objectives: Describe use pattern characteristics of ST users and the differences between exclusive ST users and dual tobacco users.
Abstract: Since 1997 the California Smokers’ Helpline has maintained an alternative quitline for cessation intervention with ST users. To inform development of effective cessation intervention, an extended survey of ST use patterns was conducted from 5/00 to 2/01.
Demographics were analyzed using 3351 ST callers. Use pattern data were analyzed from the 355 subjects completing the extended survey. This study presents data from both exclusive ST users and dual users of ST and cigarettes, who make up 26% of surveyed subjects. Exclusive users consumed 3.5 cans of ST per week, while dual users consumed 2.3 and smoked 20 cigarettes per day. Exclusive users compared to dual users more often swallow ST juices, 40.1% vs. 25.8%, sleep with ST 21.8% vs. 10.8% and experience cravings 81.3% vs. 38.7%. Both groups used ST after meals, during stressful situations and while driving, with dual users reporting greater use at work.
Intervention should focus on level of consumption and situational coping for all ST users. Despite some similarities in ST use, exclusive and dual users differ on nicotine intake and situational triggers. With new ST products being marketed to smokers for use in smoking-restricted areas understanding dual use patterns is particularly important.
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