To determine if an earlier age of onset is associated with greater lev
els of adult smokeless tobacco (SLT) use and to evaluate if this relat
ionship differs by SLT type, 345 current adult SLT users were intervie
wed to obtain the age at first onset and current frequency of SLT use.
The results indicated that more than twice as many SLT users began du
ring adulthood than during preadolescence. Although preadolescent onse
t was associated with greater chewing tobacco use than adolescent onse
t, the greatest levels of both chewing tobacco and snuff use were asso
ciated with adult onset, suggesting an increased need for SLT preventi
on programs for young adults.