Public health implications of smokeless tobacco use as a harm reduction strategy

David A. Savitz, Roger E. Meyer, Jason M. Tanzer, Sidney S. Mirvish, Freddi Lewin

Research output: Contribution to journalReview articlepeer-review

72 Scopus citations


Harm reduction strategies involve promoting a product that has adverse health consequences as a substitute for one that has more severe adverse health consequences. Smokeless tobacco low in nitrosamine content offers potential benefits in reducing smoking prevalence rates. Possible harm arises from the potential for such products to serve as a gateway to more harmful tobacco products, public misinterpretation of "less harmful" as "safe," distraction from the public health goal of tobacco elimination, and ethical issues involved in advising those marketing these harmful products. We offer a research agenda to provide a stronger basis for evaluating the risks and benefits of smokeless tobacco as a means of reducing the adverse health effects of tobacco.

Original languageEnglish (US)
Pages (from-to)1934-1939
Number of pages6
JournalAmerican journal of public health
Issue number11
StatePublished - Nov 2006

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health


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