Snus

Snus is finely ground oral tobacco (most snuff) packaged in small porous pouches.

Snus use and Perceptions

A focus group series conducted in 2010 revealed that smokers who had received direct mail coupons to try snus often tried the product, citing the product’s appeal for use in smoke-free environments and avoiding the social stigma of smoking. The groups generally did not see it as an acceptable alternative to cigarettes, and for some trying the product reinforced their preference for smoking.

Awareness, Perceptions and Use o fSnus Among Young Adults From the Upper Midwest Region of the USA
(Tobacco Control, 2012)

Is snus the same as dip? Smokers’ perceptions of new smokeless tobacco advertising
(Tobacco Control, 2011) 

Snus Use and Rejection in the USA
(Tobacco Control, 2014)

Snus use in the U.S.: Reducing Harm or Creating It? 
(Journal of the National Cancer Institute, 2010) 

Snus and Cessation

Snus is not a cessation product, although users may believe it to be less harmful than smoking. When used as a way to quit smoking, snus may have the effect of prolonging nicotine dependence, making breaking nicotine addiction more difficult.

Evaluation of biomarkers of exposure in adult cigarette smokers using Marlboro Snus
(Nicotine & Tobacco Research, 2009)

The acute effect of Swedish-style snus on cigarette craving and self-administration in male and female smokers
(Human Psychopharmacology, 2011) 

The use of snus for quitting smoking compared with medicinal products
(Nicotine & Tobacco Research, 2010) 

Snus and Health

Snus is a smokeless tobacco product, and individuals who use snus expose themselves to similar risk factors as other smokeless tobacco users. Snus may also be associated with higher risk of heart failure. The increase in pouch size seen between 2006 and 2010 contributed to an increase in nicotine content and tobacco-specific N-nitrosamine content.

Discontinuation of Smokeless Tobacco and Mortality Risk After Myocardial Infarction
(Circulation, 2014) – NEW

Smokeless tobacco (snus) and risk of heart failure: results from two Swedish cohorts
(European Journal of Cardiovascular Prevention & Rehabilitation, 2011)

Increased Pouch Sizes and Resulting Changes in the Amounts of Nicotine and Tobacco-Specific N-Nitrosamines in Single Pouches of Camel Snus and Marlboro Snus
(Nicotine & Tobacco Research, 2012)

Chemical Composition of Snus

There may be regional variations in the levels of nicotine and TSNA in Marlboro and Camel snus products. Whether this variation is intentional or unintentional is not known.

Monitoring Tobacco-Specific N-Nitrosamines and Nicotine in Novel Marlboro and Camel Smokeless Tobacco Products: Findings from Round 1 of the New Product Watch
(Nicotine & Tobacco Research, 2011) 

Snus and the Tobacco Industry

In a study of snus marketing in four U.S. cities in 2009, it was found that snus was available in 64% of the gas station and convenience stores surveyed. This number may be higher today. It was also found that snus products varied in price and marketing strategies, but are largely marketed toward current smokers. The tobacco industry markets snus as a “harm reduction” product, declaring that current smokers can switch to snus and become “smoke-free” which undermines public health cessation messages. Additionally, snus is marketed as a product that can be used in areas where smoke-free laws are in place to circumvent public health smoke-free policies.

Test marketing of new smokeless tobacco products in four U.S. Cities
(Nicotine & Tobacco Research, 2009) 

Tobacco Industry Consumer Research on Smokeless Tobacco Users and Product Development
(American Journal of Public Health, 2010)