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Public Health Implications of Smokeless Tobacco Use as a Harm Reduction Strategy

Bibliographic Data

ID11036628
AuthorsDavid A Savitz (0000-0002-3475-4113, At the time of the study, David A. Savitz was with the Department of Epidemiology, School of Public Health, University of North Carolina, Chapel Hill. Roger E. Meyer is with the Department of Psychiatry, Georgetown University School of Medicine, Washington, DC, and the Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia. Jason M. Tanzer is with the Department of Oral Diagnosis, School of Dental Medicine, and the Department of Laboratory Medicine, School of Medicine,...), Roger E Meyer (0000-0003-2507-6311, At the time of the study, David A. Savitz was with the Department of Epidemiology, School of Public Health, University of North Carolina, Chapel Hill. Roger E. Meyer is with the Department of Psychiatry, Georgetown University School of Medicine, Washington, DC, and the Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia. Jason M. Tanzer is with the Department of Oral Diagnosis, School of Dental Medicine, and the Department of Laboratory Medicine, School of Medicine,...), Jason M Tanzer (At the time of the study, David A. Savitz was with the Department of Epidemiology, School of Public Health, University of North Carolina, Chapel Hill. Roger E. Meyer is with the Department of Psychiatry, Georgetown University School of Medicine, Washington, DC, and the Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia. Jason M. Tanzer is with the Department of Oral Diagnosis, School of Dental Medicine, and the Department of Laboratory Medicine, School of Medicine,...), Sidney S Mirvish (At the time of the study, David A. Savitz was with the Department of Epidemiology, School of Public Health, University of North Carolina, Chapel Hill. Roger E. Meyer is with the Department of Psychiatry, Georgetown University School of Medicine, Washington, DC, and the Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia. Jason M. Tanzer is with the Department of Oral Diagnosis, School of Dental Medicine, and the Department of Laboratory Medicine, School of Medicine,...), Freddi Lewin (At the time of the study, David A. Savitz was with the Department of Epidemiology, School of Public Health, University of North Carolina, Chapel Hill. Roger E. Meyer is with the Department of Psychiatry, Georgetown University School of Medicine, Washington, DC, and the Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia. Jason M. Tanzer is with the Department of Oral Diagnosis, School of Dental Medicine, and the Department of Laboratory Medicine, School of Medicine,...)
Year2006
Volume96
Issue11
Pages1934-1939
Publication date2006-11-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2005.075499
PMID17018821
PMCIDPMC1751814
OpenAlexW2004307067
LanguageEN
Citations received17
References cited39

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

Environmental health · Harm · Harm reduction · Political science · Public health · Smokeless tobacco · Snus · Tobacco control · Tobacco harm reduction · Tobacco use · Air Quality and Health Impacts · Coffee research and impacts · Medicine · Nursing · Smoking Behavior and Cessation

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Citations per year0.94
Citation span2008 - 2025 (18)
Highly citedNo

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