Oral Effects of Smokeless Tobacco Use by Professional Baseball Players

1997 ◽  
Vol 11 (3) ◽  
pp. 307-312 ◽  
Author(s):  
P.B. Robertson ◽  
M.M. Walsh ◽  
J.C. Greene

This is a review of studies conducted from 1988-90 on the oral consequences of snuff and chewing tobacco use among professional baseball players. About half of the players studied were smokeless tobacco (ST) users, the majority of whom used snuff. Compared with non-users, players who used ST showed a significantly higher prevalence of leukoplakia, which was related to placement of the ST quid, and the frequency, amount, duration, and type of ST used. Sites adjacent to these mucosal lesions showed an increased prevalence of gingival recession with associated attachment loss, cervical abrasion, and root caries than did comparable sites in non-users. Extrinsic stain and occlusal attrition were also more frequent in ST users than in non-users. While ST use placed players at significantly increased risk for mucosal lesions and other oral problems, no differences were found between ST non-users and users in measurements of batting, fielding, and pitching performance during the baseball season.

1990 ◽  
Vol 21 (1) ◽  
pp. 10-15 ◽  
Author(s):  
John F. Wisniewski ◽  
Gerald R. Mohl ◽  
Daniel M. Shedroff

1998 ◽  
Vol 82 (3_suppl) ◽  
pp. 1282-1282
Author(s):  
Linda C. Lopez ◽  
Virginia V. Sanchez ◽  
Minami Hamilton

Of secondary students living in a Mexican bordertown, 67 boys and 45 girls aged 13 to 18 years, 5 boys reported trying chewing tobacco, but none reported current use, and 61 students believed such use could cause cancer. Low prevalence may be related to low exposure to advertising.


Open Heart ◽  
2018 ◽  
Vol 5 (2) ◽  
pp. e000846 ◽  
Author(s):  
Brian L Rostron ◽  
Joanne T Chang ◽  
Gabriella M Anic ◽  
Manju Tanwar ◽  
Cindy M Chang ◽  
...  

ObjectiveSmokeless tobacco use is a public health issue throughout the world, but reviews and analyses of circulatory disease risks associated with smokeless tobacco use may be outdated or incomplete. This study provides a thorough and comprehensive review and meta-analysis of circulatory disease risks in high-income countries, including recently published study estimates.MethodsWe conducted a systematic review of studies of circulatory disease risks associated with smokeless tobacco use in Europe and North America that were identified from electronic databases and reference lists. Study estimates were extracted by region, smokeless tobacco use status, cigarette smoking status, and circulatory condition and combined in meta-analysis using a random-effects model. We used the Newcastle-Ottawa scale to assess study quality and risk of bias.ResultsWe identified 17 relevant cohort studies, two pooled analyses, five case–control studies and one cross-sectional analysis. We found increased risk of heart disease (relative risk (RR) 1.17, 95% CI 1.09 to 1.27) and stroke (RR 1.28, 95% CI 1.01 to 1.62) among US smokeless tobacco users compared with non-users. Increased circulatory disease risk was not observed among Swedish smokeless tobacco users.ConclusionUS smokeless tobacco users were found to have increased risk of heart disease and stroke.


1995 ◽  
Vol 126 (8) ◽  
pp. 1115-1121 ◽  
Author(s):  
PAUL B. ROBERTSON ◽  
TIMOTHY A. DEROUEN ◽  
VIRGINIA ERNSTER ◽  
DEBORAH GRADY ◽  
JOHN GREENE ◽  
...  

1992 ◽  
Vol 22 (1) ◽  
pp. 69-85 ◽  
Author(s):  
Curtis J. Creath ◽  
J. Timothy Wright ◽  
John F. Wisniewski

The present study was conducted to assess differences in the behavioral and demographic characteristics of snuff (dip) users as compared to users of chewing tobacco. High School football players (1116) were surveyed concerning their use and perceptions of smokeless tobacco. Adolescent athletes who tried smokeless tobacco were more likely to be white, to use cigarettes, alcohol, and cigars and to have family users than those who never tried. Initial use was highest before the age of fourteen years and was influenced by friends, curiosity and family. Dippers tended to initiate use because of friends, while chewers started because of family users. Users of both dip and chew started primarily because of curiosity. Users of both were more likely to consume greater amounts to alcohol and cigarettes and to smoke cigars and pipes. It appears that the longer smokeless tobacco is consumed, the more likely both dip and chew will be used. Users of smokeless tobacco for more than two years tended to consume more of the product each week, used it for more hours/day, initiated use at an earlier age, and used it more often at school and work than those using it for less than two years. Use of cigars/pipes, consumption of alcohol, and quantity of cigarette consumption increased significantly with longer duration of smokeless tobacco use. Intervention and prevention programs would be helped by understanding differences between users of various smokeless tobacco products and differences related to the duration of use. In addition, further analyses of smokeless tobacco users should study chewers, dippers, and users of both separately.


1997 ◽  
Vol 11 (3) ◽  
pp. 313-321 ◽  
Author(s):  
D.M. Winn

Persons who use chewing tobacco and snuff experience an increased risk of oral cancer. Because of the pharmacologic properties of nicotine and other constituents of smokeless tobacco, there is also concern that smokeless tobacco products may lead to cardiovascular diseases as well. The relatively few human population studies to date conflict with respect to whether smokeless tobacco use elevates cardiovascular risk factors or leads to cardiovascular disease or death from cardiovascular causes. Hemoglobin adducts to carcinogens present in smokeless tobacco products are measurable in the blood of smokeless tobacco users, indicating that smokeless-tobacco-related carcinogens circulate throughout the body. This prompts a concern that smokeless tobacco may increase risks of other cancers as well. The evidence to date from epidemiologic studies indicates no relationship between smokeless tobacco and bladder cancer, but there is suggestive evidence linking smokeless tobacco use to prostate cancer risk. Only single studies have been conducted of some cancers, and inconsistencies among studies of the same cancer site have been reported. Molecular epidemiologic studies may help identify markers of malignant transformation in smokeless tobacco users that may help in early intervention to prevent or ameliorate the consequences of oral cancer. Further studies are needed to determine more clearly the cardiovascular and non-oral cancer risks potentially associated with smokeless tobacco use.


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