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We recently wrote an article comparing nicotine vs caffeine from an addiction standpoint to fully illustrate this point

The generational shift follows a clear pattern: 1970s-80s : Cigarette use common among players 1990s-2000s : Shift to snus and traditional smokeless tobacco 2010s : Introduction of tobacco bans in stadiums Present day : Adoption of tobacco-free alternatives like ZYN Public health organizations support this transition, citing research linking smokeless tobacco to gum disease, tooth loss, oral cancer, liver disease, and nutritional problems

13, 2025, in JAMA Network Open