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Keywords: Advertising and Promotion, Harm Reduction, Non-cigarette tobacco products, Tobacco industry INTRODUCTION Prior to the 20 th century, in the US tobacco was primarily consumed as leaves placed between the cheek and gums and occasionally chewed.[1] While cigarettes are now the most popular tobacco product, since the 1980s moist snuff uaw has increased.[26] In 2009, approximately 3.5% of US adults used smokeless tobacco, and 75% of the smokeless tobacco market was moist snuff: cured tobacco ground into fine particles where a pinch or dip is placed between the cheek and gum.[78] Traditional chewing tobacco requires users to expectorate, and it has been associated primarily with out-door, male activities