Adolescents' First and Most Recent Use Situations of Smokeless Tobacco and Cigarettes: Similarities and Differences

Document Type



Community and Global Health (CGU)

Publication Date



Community Health | Medicine and Health Sciences | Mental and Social Health | Substance Abuse and Addiction


This study compared first and most recent use situations of adolescent smokeless tobacco experimenters with those of adolescent cigarette experiments. Structured, open-ended interviews were conducted with 320 seventh and tenth grade youths in 16 Southern California schools. Students were categorized as nonusers (those who had never experimented with any tobacco product), minimal experimenters (those who had experimented with smokeless tobacco or cigarettes between 1 and 9 times), and persistent experimenters (those who had experimented with smokeless tobacco or cigarettes 10 or more times). The situations reported by smokeless tobacco were similar to those reported by cigarette experimenters. The most important differences between the two groups are highlighted. In particular, smokeless tobacco users seemed less concerned about negative social consequences of use than cigarette smokers. In addition, nonusers' observations of use and implications for prevention and cessation are discussed.

Rights Information

© 1990 Elsevier Ltd.