1. An Analysis of Spit Tobacco Callers to the Wyoming Quitline 5 th National Summit on Smokeless and Spit Tobacco Madison, Wisconsin September 21, 2009 Vance Rabius, PhD

2. Prevalence of tobacco use in Wyoming Prevalence of cigarette use – 22% Prevalence of smokeless tobacco use – 9% So almost 30% of tobacco users in Wyoming use smokeless tobacco It’s mostly men…. Approximately 55% of cigarette smokers are men and Approximately 95% of smokeless tobacco users are men Source: http://wysac.uwyo.edu/r/11.pdf

3. Wyoming Quitline use 2006-2009 Total call volume – 12,343 Tobacco users – 11,720 (95% of total call volume) Cigarette smokers – 11,038 (94% of tobacco users) Smokeless tobacco users – 682 – (6% of tobacco users)

4. Quitline use by age and gender Cigarettes Average Age by Sex of Caller SexAge in yearsNumberPercentRange Female42.4682662%18-77 Male42.3414738%15-82 All39.710973100%15-82 Smokeless Average Age by Sex of Caller SexAge in yearsNumberPercentRange Female37.3599%18-77 Male38.562191%15-82 All38.4680100%15-82

5. Quitline use by education level and duration of tobacco use 86% of cigarette smokers users who call the Quitline have completed high school 94% of smokeless tobacco users who call the Quitline have completed high school Cigarette smokers have been smoking an average of 26.2 years Smokeless tobacco users have been using an average of 21.6 years

6. Preconceptions Copenhagen Now I went out last Sunday with my little Mary Anne She said please stay 'till Monday and she grabbed me by the can She laid a big one on me- surprised me with her tongue But her surprise was waitin' there between my cheek and gum So I went to the movies with my little Peggy Sue I had my dip there in my lip just like I always do She didn't know I’d been spittin’ in my Coca Cola cup She took a great big swaller and then threw her popcorn up, Whoa! The moral of this story is so very sad but true If you stay 'till breakfast friend, they'll want to marry you So try my little method and I promise you no doubt Dip some Copenhagen if you wanna snuff 'em out Copenhagen, what a wad of flavor Copenhagen, you can see it in my smile Copenhagen, do yourself a favor chew Copenhagen, drive them pretty girls wild Copenhagen, drive them pretty girls wild ©Robert Earl Keen 1988

7. Quitline use by marital status Cigarettes Number of Calls by Marital Status of Caller Mar Status*NumberPercentDescription 1345632% 1. Single 2503446% 2: Married 34584% 3: Widowed 4164815% 4: Divorced 53023% 5: Separated Total10898100% Smokeless Number of Calls by Marital Status of Caller Mar Status*NumberPercentDescription 119128% 1. Single 242363% 2: Married 320% 3: Widowed 4538% 4: Divorced 541% 5: Separated Total673100% In fact, smokeless tobacco users are more likely to be married and less likely to be divorced or separated than cigarette smokers

8. What drives call volume Cigarettes Number of Calls by How Heard about Quitline NumberPercentDescription 531% 1. Earned media 8809% 2: Paid media 868690% 3: Referrals 9619100%Total Smokeless Number of Calls by How Heard about Quitline NumberPercentDescription 102% 1. Earned media 14623% 2: Paid media 48776% 3: Referrals 643100%Total

9. Concluding remarks Approximately 30% of tobacco users in Wyoming are smokeless tobacco users, but only 6% of Quitline callers are smokeless tobacco users.

10. Contact information: Vance Rabius, PhD Senior Scientist American Cancer Society National Cancer Information Center 11701 Stonehollow Drive Austin, TX 78758 512-997-3920 - phone 512-997-3961 - fax vrabius@cancer.org - email