Exposure and response to current text-only smokeless tobacco health warnings among smokeless tobacco users aged ≥18years, United States, 2012–2013

• Published in: Preventive medicine 2016-06, Vol.87, p.200-206
• Main Authors: Agaku, Israel T., Singh, Tushar, Rolle, Italia V., Ayo-Yusuf, Olalekan A.
• Format: Article
• Language: English
• Subjects: Adult; Aged; Behavior, Addictive - psychology; Chewing tobacco; Female; Harm Reduction; Health policy; Humans; Male; Middle Aged; Product Labeling - legislation & jurisprudence; Risk Factors; Self Report; Smokeless tobacco; Snuff; Snus; Surveys and Questionnaires; Tobacco control; Tobacco Use Disorder - epidemiology; Tobacco, Smokeless - statistics & numerical data; Warning labels
• ISSN: 0091-7435; 1096-0260
• DOI: 10.1016/j.ypmed.2016.02.014

We assessed US adult smokeless tobacco (SLT) users' exposure and response to SLT health warnings, which are currently in text-only format, covering 30% of the two primary surfaces of SLT containers and 20% of advertisements. Data were from the 2012–2013 National Adult Tobacco Survey. Past 30-day exposure to SLT health warnings among past 30-day SLT users (n=1626) was a self-report of seeing warnings on SLT packages: “Very often,” “Often,” or “Sometimes” (versus “Rarely” or “Never”). We measured the association between SLT health warning exposure and perceptions of SLT harmfulness and addictiveness using logistic regression. Of past 30-day SLT users, 77.5% reported exposure to SLT health warnings, with lower prevalence reported among females and users of novel SLT products (snus/dissolvable tobacco). Furthermore, exposure reduced linearly with reducing education and annual household income (p