Patterns and prevalence of smokeless tobacco use by high school seniors in New York.

Patterns and prevalence of smokeless tobacco use by high school seniors in New York state were identified in this study. A questionnaire was administered to a sample of 10% of each senior class in 96 randomly selected public and nonpublic secondary schools in New York; 1,830 students participated. Data analysis included descriptive statistics, t-tests, and chi-square tests. Comparisons were made by gender, hometown status, concurrent use of smokeless tobacco and cigarettes, and smokeless tobacco use versus cigarette smoking. Results revealed a significant difference existed between males and females and between urban and rural smokeless tobacco use (p = .05). Use of chewing tobacco related significantly to use of cigarettes (p = .05). A significant difference existed between prevalence of cigarette smoking and smokeless tobacco use (p = .05). Smokeless tobacco use by high school seniors in New York is predominantly a habit of rural males. Use of chewing tobacco is related to cigarette smoking, and smokeless tobacco was less prevalent than cigarette smoking in the sample (p = .05). Further research on the relationship between smokeless tobacco and cigarette smoking should be conducted. Use of chemical assays or the bogus pipeline to validate self-reported data is recommended. Identified high-risk groups such as rural males should receive particular attention in future research efforts.