Intention to switch to smokeless tobacco use among South African smokers : results from the 2007 South African Social Attitudes Survey

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dc.contributor.author Ayo-Yusuf, Olalekan A.
dc.contributor.author Agaku, Israel T.
dc.contributor.editor Bullen, Chris
dc.date.accessioned 2014-08-18T10:01:56Z
dc.date.available 2014-08-18T10:01:56Z
dc.date.issued 2014-04-17
dc.description.abstract BACKGROUND: Some smokeless tobacco products (SLT) have been shown to be associated with only a fraction of the risks of cigarettes. This study assessed South African smokers’ interest in switching to a hypothetical reduced harm SLT product. METHODS: The 2007 South African Social Attitudes Survey was analysed for 678 exclusive cigarette smokers. Respondents were asked about their perceptions about relative harm of snuff compared to cigarettes, and their interest in switching to snuff if informed it was 99% less harmful than cigarettes. RESULTS: About 49.7% of exclusive cigarette smokers believed that snuff was equally as harmful as cigarettes; 12.9% thought snuff was more harmful; 5.7% thought snuff was less harmful; while 31.8% did not know if there was a difference in harm between snuff and cigarettes. Approximately 24.2% of exclusive cigarette smokers indicated interest in switching to snuff, with significantly greater interest observed among those exposed to 100% smoke-free work environment. Interest in switching was highest (34.7%) among smokers who believed a priori that using snuff was more harmful than cigarettes, and lowest (14.5%) among those who did not know if there was a difference in harm. In a multi-variable adjusted logistic regression model, this latter group remained less likely to be interested in harm reduction switching (adjusted odds ratio = 0.42; 95% CI: 0.19–0.91). CONCLUSION: About a quarter of smokers indicated interest in harm reduction switching to snuff. SLT products have a potential role in reducing the harm from smoking in South Africa, but only if they are not used to circumvent smoke-free laws that have been associated with reduced smoking. en_US
dc.description.librarian am2014 en_US
dc.description.sponsorship The South African National Research Foundation (Grant # 80843) awarded to OAA-Y. en_US
dc.description.uri http://www.plosone.org en_US
dc.identifier.citation Ayo-Yusuf OA, Agaku IT (2014) Intention to Switch to Smokeless Tobacco Use among South African Smokers: Results from the 2007 South African Social Attitudes Survey. PLoS ONE 9(4): e95553. DOI: 10.1371/journal.pone.0095553. en_US
dc.identifier.issn 1932-6203
dc.identifier.other 10.1371/journal.pone.0095553
dc.identifier.uri http://hdl.handle.net/2263/41401
dc.language.iso en en_US
dc.publisher Public Library of Science en_US
dc.rights © 2014 Ayo-Yusuf, Agaku. This is an open-access article distributed under the terms of the Creative Commons Attribution License en_US
dc.subject Smokeless tobacco products (SLT) en_US
dc.subject Risk en_US
dc.subject Cigarettes en_US
dc.subject South African Social Attitudes Survey en_US
dc.subject South African smokers en_US
dc.title Intention to switch to smokeless tobacco use among South African smokers : results from the 2007 South African Social Attitudes Survey en_US
dc.type Article en_US


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