{"id":9513,"date":"2026-04-17T15:19:02","date_gmt":"2026-04-17T13:19:02","guid":{"rendered":"https:\/\/snusforumet.se\/?p=9513"},"modified":"2026-04-17T15:19:03","modified_gmt":"2026-04-17T13:19:03","slug":"new-study-challenges-nicotine-dual-use-misconceptions","status":"publish","type":"post","link":"https:\/\/snusforumet.se\/en\/new-study-challenges-nicotine-dual-use-misconceptions\/","title":{"rendered":"New study challenges\u00a0nicotine dual\u00a0use misconceptions\u00a0"},"content":{"rendered":"\n

Smokers who combine cigarettes with alternative nicotine products smoke significantly less, a new study from Spain reveals, and in some cases quit completely, poking holes in misplaced fears about the dynamics of dual use. <\/strong> <\/p>\n\n\n\n

The study, published in Research in Economics<\/a>,<\/em> analysed usage patterns among more than 1,300 nicotine consumers in Spain. The analysis focused on the relationship between cigarettes, e-cigarettes, and heated tobacco.  <\/p>\n\n\n\n

The results challenge several concerns commonly voiced by anti-nicotine advocates about claiming that \u201cdual use\u201d of cigarettes and non-combustible nicotine alternatives lead to more smoking, not less. <\/p>\n\n\n\n

Smokers start with cigarettes, not alternatives <\/h2>\n\n\n\n

A central conclusion is that cigarettes are in almost all cases the starting point. 89 percent of the participants state that their nicotine consumption started smoking, while alternative products were added later.  <\/p>\n\n\n\n

This dynamic goes against the narrative that new nicotine products act as a gateway. <\/p>\n\n\n\n

\u201cThe results\u00a0confirm\u00a0what we have long seen in Sweden,\u201d says Patrik\u00a0Str\u00f6mer, Secretary General of the\u00a0Association\u00a0of Swedish Snus Manufacturers.\u00a0<\/p>\n\n\n\n

\u201cThe problem starts with cigarettes, not with smokeless alternatives.\u201d\u00a0<\/p>\n\n\n\n

Dual use linked to reduced smoking <\/h2>\n\n\n\n

At the same time, the study shows that dual use is associated with a clear reduction in smoking.  <\/p>\n\n\n\n

People who combine cigarettes with alternative nicotine products smoke an average of 34 percent fewer cigarettes per year. Viewed over a five-year period, this is a reduction of 42 percent. <\/p>\n\n\n\n

The results show that less-harmful nicotine alternatives replace a significant portion of smokers\u2019 cigarette consumption. <\/p>\n\n\n\n

\u201cWhen smokers have access to less harmful alternatives, we see that cigarettes get pushed out,\u201d says Str\u00f6mer. <\/p>\n\n\n\n

\u201cThat\u2019s the essence of harm reduction.\u201d <\/p>\n\n\n\n

Total nicotine consumption actually decreases slightly among dual users, indicating dynamics marked by not only substitution, but also reduction, are at play. Furthermore, nearly one in five (19 percent) report having quit using nicotine completely. <\/p>\n\n\n\n

Taken together, the\u00a0study\u2019s\u00a0results point\u00a0to a clear\u00a0pattern:\u00a0dual\u00a0use more often appears as an exit ramp away\u00a0from cigarettes\u00a0rather\u00a0than\u00a0resulting\u00a0in sustained consumption alongside alternative nicotine products.\u00a0<\/p>\n\n\n\n

Snus and nicotine pouches not included <\/h2>\n\n\n\n

The study analyses the use of cigarettes, e-cigarettes, and heated tobacco, while smokeless products such as snus and nicotine pouches are not included.  <\/p>\n\n\n\n

The researchers themselves highlight the need for future studies to include more product categories.  <\/p>\n\n\n\n

They highlight several other limitations to the study, such as a reliance on self-reported consumption and a sample that is not representative of the entire population. The study is also based on cross-sectional data rather than following individuals over time.  <\/p>\n\n\n\n

Dual use and the harm reduction debate <\/p>\n\n\n\n

Despite this, the study contributes an important perspective\u00a0to a polarized debate<\/a>\u00a0that can have a significant impact on public health in Europe.\u00a0\u00a0<\/p>\n\n\n\n

In Spain, the government has advanced proposals that would impose severe restrictions on nicotine pouches, prompting pushback at the EU level\u00a0from Sweden<\/a>.\u00a0Meanwhile, in France, nicotine pouches have been banned completely<\/a> starting in April 2026.\u00a0<\/p>\n\n\n\n

The study, in contrast to recent policy choices in some European countries,\u00a0demonstrates\u00a0that alternative nicotine products can play a role in reducing smoking,\u00a0rather than being a gateway.\u00a0<\/p>\n\n\n\n

\u201cIf we\u00a0are\u00a0serious\u00a0about\u00a0reducing\u00a0smoking, we need to distinguish between the most dangerous products and those that can help people\u00a0quit\u00a0cigarettes,\u201d says\u00a0Str\u00f6mer.\u00a0<\/p>\n\n\n\n

\u201cSweden is the clearest example, where providing regulated access to nicotine alternatives has helped us become virtually smoke-free. Banning these products, as we now see in France, is contrary to the logic behind that success.\u201d <\/p>\n","protected":false},"excerpt":{"rendered":"

Smokers who combine cigarettes with alternative nicotine products smoke significantly less, a new study from Spain reveals, and in some cases quit completely, poking holes in…<\/p>\n","protected":false},"author":11,"featured_media":9517,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[22],"tags":[270,658,263,251,248,250,324],"class_list":["post-9513","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-science","tag-cigarettes","tag-dual-use","tag-e-cigarettes","tag-harm-reduction-2","tag-patrik-stromer-en","tag-smoking-2","tag-spain"],"acf":[],"yoast_head":"\nNew study challenges\u00a0nicotine dual\u00a0use misconceptions\u00a0 - Snusforumet<\/title>\n<meta name=\"description\" content=\"A new Spanish study shows that dual use of nicotine products reduces smoking and may help users quit cigarettes entirely.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/snusforumet.se\/en\/new-study-challenges-nicotine-dual-use-misconceptions\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"New study challenges\u00a0nicotine dual\u00a0use misconceptions\u00a0 - 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