Results
Tobacco use status at baseline and follow-up is presented in Table 1. A total of 11.3% of never users at baseline were smokers at follow-up. An additional 0.7% of nonusers reported beginning smokeless tobacco use and 0.7% of nonusers reported initiating dual use of both cigarettes and smokeless tobacco at follow-up. Among baseline smokers and smokeless tobacco users , harm elimination was common, with 23.7% of smokers and 38.9% of smokeless tobacco user reporting nonuse (i.e., no tobacco in previous 7 days) at follow-up. Notably , the dual use pattern was not as stable over time as cigarette use or smokeless tobacco use 25.3% of dual user reported the same pattern of tobacco use at follow-up compared with 32.6% for smokeless tobacco users and 69.8% for smokers.