Source: Health News Observer

September 16, 2012 | by Steven Rothrock MD

Smokeless tobacco is tobacco that is not burned or smoked. Other terms used for smokeless tobacco include chewing tobacco, spitting tobacco, dip, chew, and snuff. Typically these products are held in the mouth until juices are built up and spit out. Spitless products are available and some people choose to swallow the juices instead. Nicotine, which can be addictive, and cancer-causing agents are absorbed through the mouth’s lining.

While using smokeless tobacco has been associated with many different cancers, the magnitude of the risk has not been previously well described. This week, in an online edition of the International Journal of Cancer, researchers sought to identify the magnitude of the risk of developing head and neck cancer in those who used smokeless tobacco. Towards that goal, the risk of cancer was compared between 1,046 users and 1,239 non-users of smokeless tobacco. After adjusting for age, sex, race, education, cigarette smoking, and alcohol use, any use of smokeless tobacco was associated with a 20% increased risk of head and neck cancer. Use of smokeless tobacco for 10 or more years had a 320% higher rate of developing these cancers compared to those who never used these products.

In addition to head and neck cancers, users of these products are at risk for other cancers (e.g. esophageal, pancreatic, kidney), heart disease, high blood pressure, pregnancy loss, premature birth or low birth weights, low sperm counts, not to mention tooth gum disease and tooth decay. For those wishing to quit, help is available at the government website www.smokefree.gov.

This news story was resourced by the Oral Cancer Foundation, and vetted for appropriateness and accuracy.