Smokeless tobacco use and health effects among baseball players

Virginia L. Ernster, Deborah G. Grady, John C. Greene, Margaret Walsh, Paul Robertson, Troy E. Daniels, Neal Benowitz, David Siegel, Barbara Gerbert, Walter W. Hauck

Research output: Contribution to journalArticle

86 Citations (Scopus)

Abstract

The effects of smokeless tobacco (ST) use were studied in 1109 members of major and minor league professional baseball teams during spring training in 1988. The prevalence of current ST use was 39%. The median age at initiation among users was 18 years, and the median duration of use was 5 years. Among users, 75% cited a snuff brand as their usual ST product. Oral leukoplakia was present in 46% (196/423) of current-week ST users and 1.4% (7/493) of nonusers (odds ratio, 60; 95% confidence interval, 28 to 130). Prevalence of oral leukoplakia among ST users increased with hours used per day and decreased with time lapsed since last use, and was higher in snuff users than in chewing tobacco users. Of the subjects with oral leukoplakia who underwent punch biopsy, 91 had benign hyperkeratosis and one had mild dysplasia. Overall prevalence of dental caries, gingivitis, and plaque did not differ between ST users and nonusers. In analyses confined to facial surfaces of mandibular incisor teeth, where ST is most commonly used, there were significant increases among users in both gingival recession and attachment loss. Users of ST did not differ from nonusers in blood pressure, pulse, total or high-density lipoprotein cholesterol level, or white blood cell count, but among users high-density lipoprotein cholesterol levels were inversely associated with serum cotinine levels. The major health effects of ST use among professional baseball players are oral leukoplakia and localized periodontal disease. The study population was young, physically fit, and characterized by relatively moderate short-term ST use.

Original languageEnglish (US)
Pages (from-to)218-224
Number of pages7
JournalJournal of the American Medical Association
Volume264
Issue number2
StatePublished - Jul 11 1990
Externally publishedYes

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Baseball
Smokeless Tobacco
Tobacco Use
Health
Oral Leukoplakia
HDL Cholesterol
Gingival Recession
Cotinine
Dental Plaque
Gingivitis
Dental Caries
Periodontal Diseases
Incisor
Leukocyte Count
Tobacco Products

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Ernster, V. L., Grady, D. G., Greene, J. C., Walsh, M., Robertson, P., Daniels, T. E., ... Hauck, W. W. (1990). Smokeless tobacco use and health effects among baseball players. Journal of the American Medical Association, 264(2), 218-224.

Smokeless tobacco use and health effects among baseball players. / Ernster, Virginia L.; Grady, Deborah G.; Greene, John C.; Walsh, Margaret; Robertson, Paul; Daniels, Troy E.; Benowitz, Neal; Siegel, David; Gerbert, Barbara; Hauck, Walter W.

In: Journal of the American Medical Association, Vol. 264, No. 2, 11.07.1990, p. 218-224.

Research output: Contribution to journalArticle

Ernster, VL, Grady, DG, Greene, JC, Walsh, M, Robertson, P, Daniels, TE, Benowitz, N, Siegel, D, Gerbert, B & Hauck, WW 1990, 'Smokeless tobacco use and health effects among baseball players', Journal of the American Medical Association, vol. 264, no. 2, pp. 218-224.
Ernster VL, Grady DG, Greene JC, Walsh M, Robertson P, Daniels TE et al. Smokeless tobacco use and health effects among baseball players. Journal of the American Medical Association. 1990 Jul 11;264(2):218-224.
Ernster, Virginia L. ; Grady, Deborah G. ; Greene, John C. ; Walsh, Margaret ; Robertson, Paul ; Daniels, Troy E. ; Benowitz, Neal ; Siegel, David ; Gerbert, Barbara ; Hauck, Walter W. / Smokeless tobacco use and health effects among baseball players. In: Journal of the American Medical Association. 1990 ; Vol. 264, No. 2. pp. 218-224.
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