How many Americans use smokeless tobacco?
I analyzed NSDUH data from 2012 and found that 7.1 percent of adult men (roughly eight million) use smokeless tobacco, and the prevalence of smokeless use among women is minuscule (about one-half of one percent). For obvious reasons, I’ll limit this discussion to men.
NSDUH asks participants if they use “chewing tobacco” or “snuff.” Over two-thirds of smokeless users in the survey, about 5.5 million, said they used only snuff, 1.2 million used only chewing tobacco and 1.4 million used both. However, participants’ responses to questions about smokeless brands used most often suggest that NSDUH misclassified some users. The problem stems from the fact that consumers of smokeless products often use the terms “chew” or “dip snuff” interchangeably.
The most common brands among “snuff” users were Copenhagen (29 percent), Skoal (26 percent) and Grizzly (25 percent). Other than Red Seal (4 percent) and Kodiak (4 percent), no other brand registered above 2 percent. It is interesting to note that Camel Snus, the first pouched product that introduced the Swedish experience to American smokers, was the preferred brand for 1.7 percent of snuff users.
The misclassification problem is evident because 16 percent of “chewing tobacco” users favored Skoal, 11 percent picked Grizzly and 7 percent listed other moist snuff brands. Red Man (25 percent), Levi Garrett (10 percent) and Beech-Nut (5 percent) were the top chewing tobacco brands.
Although 35 percent of smokeless users in this survey never smoked and 27 percent are former smokers, it is a tragedy that 38 percent are current smokers (a figure that is consistent with my previous research). That percentage means that 2.8 million smokeless tobacco users don’t recognize or are ignoring the significantly greater hazards of smoking.
Any ignorance on their part may be traced to the deliberate campaign by the CDC, FDA NIH and other tobacco prohibitionists to deny Americans vital facts about the relative risks of smoking and smokeless use. This misinformation campaign conflates risk data to damn equally all forms of tobacco. The FDA declares:
Tobacco products are harmful yet widely used consumer products that are responsible for severe health problems…[including] cancer, lung disease, and heart disease, which often lead to death.
The CDC asserts:
Tobacco use is the leading preventable cause of death in the United States.