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Public health implications of smokeless tobacco use as a harm reduction strategy

Author

Listed:
  • Savitz, D.A.
  • Meyer, R.E.
  • Tanzer, J.M.
  • Mirvish, S.S.
  • Lewin, F.

Abstract

Harm reduction strategies involve promoting a product that has adverse health consequences as a substitute for one that has more severe adverse health consequences. Smokeless tobacco low in nitrosamine content offers potential benefits in reducing smoking prevalence rates. Possible harm arises from the potential for such products to serve as a gateway to more harmful tobacco products, public misinterpretation of "less harmful" as "safe," distraction from the public health goal of tobacco elimination, and ethical issues involved in advising those marketing these harmful products. We offer a research agenda to provide a stronger basis for evaluating the risks and benefits of smokeless tobacco as a means of reducing the adverse health effects of tobacco.

Suggested Citation

  • Savitz, D.A. & Meyer, R.E. & Tanzer, J.M. & Mirvish, S.S. & Lewin, F., 2006. "Public health implications of smokeless tobacco use as a harm reduction strategy," American Journal of Public Health, American Public Health Association, vol. 96(11), pages 1934-1939.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2005.075499_5
    DOI: 10.2105/AJPH.2005.075499
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    Cited by:

    1. Karl Erik Lund & Tord Finne Vedoy, 2019. "Relative Risk Perceptions between Snus and Cigarettes in a Snus-Prevalent Society—An Observational Study over a 16 Year Period," IJERPH, MDPI, vol. 16(5), pages 1-14, March.
    2. Ross Thomson & Lisa McDaid & Joanne Emery & Lucy Phillips & Felix Naughton & Sue Cooper & Jane Dyas & Tim Coleman, 2019. "Practitioners’ Views on Nicotine Replacement Therapy in Pregnancy during Lapse and for Harm Reduction: A Qualitative Study," IJERPH, MDPI, vol. 16(23), pages 1-12, November.
    3. Scott L. Tomar & Brion J. Fox & Herbert H. Severson, 2008. "Is Smokeless Tobacco Use an Appropriate Public Health Strategy for Reducing Societal Harm from Cigarette Smoking?," IJERPH, MDPI, vol. 6(1), pages 1-15, December.

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