Teen Smokeless Tobacco Users Smoke, Too

Teenagers are not using smokeless tobacco to avoid the health hazards of smoking, a new study finds. In fact, almost three-quarters of teen smokeless tobacco users also smoke. The new study was based on a national health survey of 18,866 students in grades 6 through 12. About 5.6% said they used some form of smokeless tobacco. Nearly all of them used tobacco, snuff or dip. Almost 2% used snus, and 0.3% used dissolvable tobacco. Boys were more than 4 times as likely as girls to have the smokeless habit. Among youth who used any smokeless product, 72% smoked as well. The authors said doctors should ask their young patients whether they use any tobacco products, and stress that all are harmful. Smokeless tobacco use was highest, 10.8%, for those ages 18 and up. About 2% of children ages 9 through 11 were users. The journal Pediatrics published the study online.