Risk of Dying from major tobacco-related diseases were higher among former cigarette smokers who switched to spit tobacco after they stopped smoking t

February 9, 2007 - Risk of Dying from major tobacco-related diseases were higher among former cigarette smokers who switched to spit tobacco after they stopped smoking than among those who quit using tobacco entirely.. In a cohort study it was found (after 20 years of follow-up) the risk of dying from major tobacco-related diseases including lung cancer, coronary heart disease, stroke and COPD were higher among former cigarette smokers who switched to spit tobacco after they stopped smoking than among those who quit using tobacco entirely. The cohort consisted of 116,395 men that were identified as switchers (n=4443) or cigarette smokers who quit using tobacco entirely (n=111,952) when enrolled in the ongoing ACS Cancer Prevention Study II. (Tobacco-related disease mortality among men who switched from cigarettes to spit tobacco, S. Jane Henley et al., Tobacco Control 16:22-28, 2007)