By 2020, Traditional Smokeless had been used by around 2.3% of individuals in United States. Among adult women, the prevalence of current traditional smokeless use is 0.3%. In the male adult population, 4.5% currently use Traditional Smokeless. Traditional Smokeless is allowed. Use of Traditional Smokeless is permitted by law in United States.
Prevalence
- 1. WHO. WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-usa.pdf?sfvrsn=c846c88a_3&download=true. Accessed: 7 July 2025. 2. Calculation based on population size data of people over 15 years of age (16+). Source of population data: World Population Prospects 2019 [Internet]. United Nations; 2019. (Department of Economic and Social Affairs, editor. Population Division). Report No.: Rev. 1. Available from: https://population.un.org/wpp/Download/Standard/Population/
- WHO. WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-usa.pdf?sfvrsn=c846c88a_3&download=true. Accessed: 7 July 2025.
- Adults survey: National Health Interview Survey (NHIS), 2020; National, ages 18+ World Population Prospects 2019 [Internet]. United Nations; 2019. (Department of Economic and Social Affairs, editor. Population Division). Report No.: Rev. 1. Available from: https://population.un.org/wpp/Download/Standard/Population/
- Adults survey: National Health Interview Survey (NHIS), 2020; National, ages 18+
Product promotion
- WHO. WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-usa.pdf?sfvrsn=c846c88a_3&download=true. Accessed: 7 July 2025.
Regulation
- WHO. WHO report on the global tobacco epidemic, 2025. Available at: https://www.who.int/publications/i/item/9789240112063. Accessed: 3 July 2025.
- WHO. WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-usa.pdf?sfvrsn=c846c88a_3&download=true. Accessed: 7 July 2025.
- There are some restrictions in place.
Availability
- WHO. WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-usa.pdf?sfvrsn=c846c88a_3&download=true. Accessed: 7 July 2025.
- WHO. WHO report on the global tobacco epidemic, 2025. Available at: https://www.who.int/publications/i/item/9789240112063. Accessed: 3 July 2025.
- TTB US Department of the Treasury. Alcohol and Tobacco Tax and Trade Bureau. Available at: https://www.ttb.gov/regulated-commodities/tobacco/importer. Accessed: 8 July 2025.
- 1. FDA. Importing and Exporting. Available at: https://www.fda.gov/tobacco-products/products-guidance-regulations/importing-and-exporting. Accessed: 9 July 2025. 2. Clearit USA. All you need to know about tobacco importation. Available at: https://wptest.clearitusa.com/all-you-need-to-know-about-tobacco-importation/. Accessed: 9 July 2025.
- There are some restrictions in place.
Regulations and restrictions
- WHO. WHO report on the global tobacco epidemic, 2025. Available at: https://www.who.int/publications/i/item/9789240112063. Accessed: 3 July 2025.
- WHO. WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-usa.pdf?sfvrsn=c846c88a_3&download=true. Accessed: 7 July 2025.
Publications
Center for Tobacco Products (CTP) Map
- No Fire, No Smoke: The Global State of Tobacco Harm Reduction
The FDA in the USA has long held the authority to regulate nicotine replacement therapies such as gum, patch, and lozenges through the Center for Drug Evaluation and Research (CDER). In 2009, with the passage of the Family Prevention Smoking and Tobacco Control Act, the FDA gained the authority to regulate tobacco products and marketing for cigarettes, cigarette tobacco, roll-your-own tobacco, and smokeless tobacco. On May 10, 2016, the FDA published a final ‘deeming rule’ allowing the agency to begin regulating all tobacco products, including cigars, pipe tobacco, waterpipes (or hookahs), dissolvable products, e-cigarettes, and other electronic nicotine delivery systems.
The deeming rule requires that any new product (any tobacco product not commercially marketed in the US as of February 15, 2007) must go through a Pre-Market Tobacco Application (PMTA) process to stay on the market (the deadline to submit a PMTA was August 8, 2022 for non-combustible products and August 8, 2021 for combustible products), and a Modified Risk Tobacco Product Application (MRTPA) in order to make any health claims about relative risk compared to continuing to smoke cigarettes. Products that have been subjected to small changes from the original “grandfathered product” (products on the market before February 15, 2007) must submit a Substantial Equivalence Report (SE) or an Abbreviated SE report so the product can stay on the market without a PMTA. This infographic maps the pathways a nicotine containing product can take to get to market). The PMTA pathway requires that the applicant proves that the product would be appropriate for the protection of the public health. The statute does not define that standard further. The FDA has released draft guidance documents, however, at the time of writing, none of them have been finalised meaning that they are not enforceable and the agency can change them at any time. To date, only eight PMTA orders have been granted for Swedish Match’s General Snus products.
See also p. 93 of the report: No Fire, No Smoke: The Global State of Tobacco Harm Reduction 2018 — Global State of Tobacco Harm Reduction (gsthr.org)
