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CDC Report on Smoking and Smokeless Tobacco

Combustible and smokeless tobacco use causes adverse health outcomes, including cardiovascular disease and multiple types of cancer. Cigarette consumption in the United States has declined overall since the 1960s, but consumption of other tobacco products has not.

Smoking is a major risk factor for many types of arthritis and has been linked to pre-clinical disease. seropositivity, increased risk of disease and worse disease expression in many studies.

The CDC has just issued a report detailing the magnitude of this publich health problem.

During 2000–2015, total combustible tobacco consumption decreased 33.5%. Although total cigarette consumption decreased 38.7%, cigarettes remained the most commonly used combustible tobacco product.

Total cigarette consumption was 267.0 billion cigarettes in 2015 compared with 262.7 billion in 2014, or seven more cigarettes per capita.

Consumption of noncigarette combustible tobacco (cigars, roll-your-own, pipe tobacco) increased 117.1%, or 83.8% per capita, during 2000–2015.

For smokeless tobacco, total consumption increased 23.1%, or 4.2% per capita.

Higher cigarette consumption in 2015 may be attributable, in part, to changing U.S. economic conditions; increased electronic cigarette (e-cigarette) use; or dual use of conventional cigarettes and e-cigarettes, which could contribute to continued consumption among smokers who do not quit smoking completely.   Further research on e-cigarette use is needed.

These changes in tobacco consumption demonstrate the importance of sustained tobacco prevention and control interventions, including price increases, comprehensive smoke-free policies, aggressive media campaigns, and increased access to cessation services. The implementation of evidence-based strategies addressing the diversity of tobacco products consumed in the United States can reduce tobacco-related disease and death.

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Disclosures
The author has no conflicts of interest to disclose related to this subject