Sunday, July 13, 2025

Swedish Cohort Tracks Health Impacts of Smoking and Snus on 5.5 Million

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A groundbreaking study in Sweden has established a comprehensive cohort to explore the health consequences of both smoking and the use of snus, a popular smokeless tobacco product. Leveraging data from the Swedish Public Dental Service, researchers aim to bridge the gaps in understanding these tobacco-related health risks.

Methodology and Data Collection

The study harnesses information from the Public Dental Service, which serves 35% of Swedish adults and 85% of children as of 2021. Dental practitioners routinely inquire about patients’ tobacco habits and record their responses. This vast dataset, spanning registrations from 1994 to 2023, was integrated with national health and social registers to form the Swedish Tobacco Cohort (SWETOC).

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Prevalence and Patterns of Tobacco Use

Participating in 19 out of 21 regions, the cohort includes data from approximately 5.5 million individuals. The analysis reveals a smoking prevalence of 12% and snus usage at 13%, with higher snus consumption among men compared to women. Regional variations in tobacco use patterns were observed, and gender distribution remained consistent across different age groups. Additionally, some regions provided detailed information on the quantity and type of tobacco products used, as well as patients’ intentions to quit.

  • Extensive data enables the study of rare health outcomes related to tobacco use.
  • High participation rate enhances the representativeness of findings.
  • Regional differences suggest tailored public health interventions may be necessary.

SWETOC stands as a pioneering resource poised to advance the understanding of both smoked and smokeless tobacco’s effects on public health. By encompassing a large and diverse population, the cohort facilitates robust analyses that could inform future tobacco control policies and health strategies in Sweden and beyond.

This extensive dataset not only allows for the examination of known health risks associated with smoking but also opens avenues to investigate the less understood implications of snus use. Policymakers and healthcare providers can utilize these insights to develop targeted cessation programs and preventive measures, ultimately aiming to reduce the burden of tobacco-related diseases in society.

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