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Journal of Environmental and Public Health
Volume 2013, Article ID 675426, 7 pages
Research Article

Smokeless Tobacco and Dual Use among Firefighters in the Central United States

Center for Fire Rescue and EMS Health Research, Institute for Biobehavioral Health Research, National Development and Research Institutes, 1920 West 143rd Street, Leawood, KS 66224, USA

Received 15 October 2012; Revised 18 February 2013; Accepted 18 February 2013

Academic Editor: Edward Trapido

Copyright © 2013 Nattinee Jitnarin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Little is known about smokeless tobacco (SLT) use in the fire service, whose personnel need to maintain high levels of health and fitness given the rigorous physical and mental job requirements. We examined the relationships among variables associated with SLT use and dual tobacco use (SLT and smoking) among 353 male career firefighters. Around 13% of male career firefighters reported being current exclusive SLT users, and 2.6% used both cigarettes and SLT. Age-adjusted models revealed that race, binge drinking, and dietary fat consumption were positively associated with exclusive SLT use when compared to nontobacco users. SLT users were much more likely to binge drink (OR = 3.98, ) and consume high fat foods (OR = 1.94, ). Only high dietary fat consumption was a strong correlate (OR = 8.41, ) of dual use when compared to nontobacco users. SLT and dual tobacco use are associated with significant health risks. Detailed information on the predictors of SLT use among firefighters will aid in developing more effective tobacco prevention and cessation intervention in fire service.