When the term tobacco product is used to refer to any product containing tobacco or nicotine and intended for consumption, a third and fourth category of such products may become relevant, and especially with regard to recent developments in methods of nicotine consumption: heated tobacco products ( HTPs ) and nicotine-only products (also called alternative nicotine products or simply nicotine products )the latter term itself essentially a misnomer because, while nicotine-only products do not contain tobacco, but rather nicotine in the absence of tobacco, they typically also contain other ingredients besides nicotineboth of which function to deliver nicotine to a user while potentially providing harm reduction from the negative effects of using smokeless tobacco or consuming tobacco smoke
This mini review highlights critical priorities for research, including the need for long-term prospective studies, standardized product testing, independent toxicological assessments and surveillance of patterns of use, dual use and youth uptake
Furthermore, compared to dual use of snuff and chewing tobacco, exclusive use of either type of smokeless tobacco product is uniquely associated with different lifetime diagnoses of psychiatric disorders
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