Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (July 24, 2014). The NSDUH Report: Trends in Smokeless Tobacco Use and Initiation: 2002 to 2012. Rockville, MD.

• “In 2012, 3.5 percent of persons aged 12 or older (an estimated 9.0 million persons) used smokeless tobacco in the past month. Rates of past month smokeless tobacco use remained relatively stable between 2002 and 2012.
• The generally stable trend in past month smokeless tobacco use was consistent among adolescents and adults aged 26 or older. The 2012 rate of past month smokeless tobacco use among young adults aged 18 to 25 was higher than the rates in 2002 through 2004 but lower than the rate in 2010.
• In 2012, an estimated 1.0 million persons aged 12 or older used smokeless tobacco for the first time; this represents 0.5 percent of persons who had not previously used smokeless tobacco.
• Rates of past year initiation of smokeless tobacco use among persons who had not previously used smokeless tobacco was lower in 2012 than in the years between 2005 and 2011 but matched the levels between 2002 and 2004.”