||5R01CA141643-04 Interpret this number
||Wake Forest University Health Sciences
||Smokeless Tobacco Use in College Students
Smokeless tobacco (SLT) use has important health consequences, including nicotine dependence, cancer,
and periodontal disease, among others. Young adults aged 18-25, including both those in college and those
who are not, have the highest prevalence of use of any adult age group. Smokeless tobacco companies
intentionally market smokeless tobacco products to college students. New products, including snus and
alternative products (lozenges, dissolvable strips, orbs, and sticks), are being marketed as ways for smokers to
get nicotine in places where smoking is not permitted-a condition that is increasingly the norm on college
The goal of this study is to better understand trajectories and correlates of SLT use among college students.
Specific Aim 1: To measure trajectories of SLT use among undergraduate college students over the course
of their college careers. To accomplish this aim, we will recruit a cohort of SLT users and non-users from 10
colleges in North Carolina and will follow this cohort using web-based surveys beginning in their freshman year
and continuing throughout their college careers.
Specific Aim 2: To identify environmental and individual-level correlates of trajectories of SLT use. To assess
individual-level correlates, we will use data from the longitudinal web surveys of our cohort, which will assess
many possible correlates of SLT use. To assess environmental-level correlates, we will conduct an annual
environmental assessment of each college campus and surrounding community to measure campus and
community policies related to SLT use, point-of-purchase advertising and sales, and promotional events in
Specific Aim 3: To examine patterns of use of different SLT products, including chewing tobacco, dry and
moist snuff (including snus and other flavored products), and alternative products (including lozenges, strips,
orbs, and sticks). To accomplish this aim, we will use data from the longitudinal web-based student surveys,
which will measure use and knowledge of multiple SLT products.
Results from this study will contribute to understanding factors associated with SLT initiation, progression and
cessation and will provide the basis for developing effective interventions and policy.
If you are accessing this page during weekend or evening hours, the database may currently be offline for maintenance and should operational within a few hours. Otherwise, we have been notified of this error and will be addressing it immediately.
Please contact us
if this error persists.
We apologize for the inconvenience.
- The DCCPS Team.