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Smokeless tobacco increases the risk of oral cancer.
Source: "Summaries and Evaluations Tobacco Products, Smokeless (Group 1)." International Agency for Research on Cancer. 10 Feb. 1998. Web.
Advertising and promotional expenditures for both cigarettes and smokeless tobacco in 2017: $9.4 billion.
Source: Federal Trade Commission. Smokeless Tobacco Report for 2017. Retrieved from https://www.ftc.gov/reports/federal-trade-commission-cigarette-report-2017-federal-trade-commission-smokeless-tobacco. Published February, 2019.
In 2017, the vast majority of high school students who used smokeless tobacco were male (8.9% in high school boys vs 1.9% in high school girls).
Source: Centers for Disease Control and Prevention (CDC). Youth Risk Behavior Surveillance — United States, 2017. MMWR Morb Mortal Wkly Rep. 15 Jun 2018;67(8).
Because nicotine from smokeless tobacco is absorbed through the mouth, it takes longer to produce an effect than if it were absorbed through the lungs. But using cigarettes and smokeless tobacco really do result in the same amount of nicotine intake.
Source: "Youth and Tobacco: Preventing Tobacco Use among Young People. A Report of the Surgeon General." Department of Health and Human Services. Washington, DC. 33. Web.
Smokeless tobacco use causes oral cancer, lesions, and gum recession.
Source: Nelson, D.E., et al. "Trends in Smokeless Tobacco Use Among Adults and Adolescents in the United States." American Journal of Public Health. 96(5). May 2006: 897–905.
Long-term smokeless tobacco users may be up to fifty times more likely to have cancers of the cheek and gum than non-users.
Source: "Cancer Facts & Figures 2015." American Cancer Society. Atlanta, GA. 2015: 48. Web.
Adolescents who use smokeless tobacco are more likely to become cigarette smokers.
Source: "Preventing Tobacco Use Among Young People: A Report of the Surgeon General." U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevetion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. 17. Web.
An average of 4.5mg of nicotine is absorbed from 7.9g of chewing tobacco and an average of 3.6mg of nicotine is absorbed from 2.5g moist snuff.
Source: Severson, H.H. "What Have We Learned From 20 Years of Research on Smokeless Tobacco Cessation?" American Journal of Medical Sciences. 326(4). Oct. 2003: 206-211. Web.