Int J Cancer December 2023 PMID 37480210

A systematic review of cancer risk among users of smokeless tobacco (Swedish snus) exclusively, compared with no use of tobacco.

Håkon Valen, Rune Becher, Gunn Elisabeth Vist, Jørn Andreas Holme, Ibrahimu Mdala, Ida-Kristin Ørjasaeter Elvsaas, Jan Alexander, Vigdis Underland, Bendik Christian Brinchmann, Tom Kristian Grimsrud

Mentions

62
Peak: 19 in Sep 2023
across 4 sources since Jul 2023

Extended reach

368,193
potential audience

Total likes

946

Video views

37,295

Mentions per month

Jul 2023 – Sep 2025

Where it's discussed

  • X / Twitter39 posts
  • News18 articles
  • Blogs3 articles
  • YouTube2 videos

AI synopsis

What people are saying

The social discussions reflect a recognition of the research's importance, with posts mentioning the increased risks of cancers such as esophagus and pancreas, and highlighting that although evidence varies, many acknowledge some risk linked to snus use. The tone and language indicate a thoughtful engagement with the evidence, balancing caution and acknowledgment of the ongoing controversy surrounding smokeless tobacco and public health.

AgreementModerate agreement

Most discussions acknowledge the systematic review's findings about the potential cancer risks associated with Swedish snus, with some posts emphasizing the careful, solid nature of the research.

InterestModerate interest

The participants show moderate interest, referencing specific cancer types and discussing the nuances of the scientific evidence, indicating a focus on the topic's health implications.

EngagementModerate engagement

The discussions involve references to study details, mentions of related research, and debates about the broader context, showing a fair level of active engagement.

ImpactModerate impact

The conversations touch on cultural, health policy, and risk reduction implications, illustrating a moderate perceived impact of the review on public understanding and attitudes.

Abstract in brief

  • This systematic review examined the cancer risks and mortality among exclusive Swedish snus users compared to non-tobacco users, analyzing 15 studies with a focus on different types of cancers.
  • The findings suggested a potential increased risk of cancers in the esophagus, pancreas, stomach, and rectum, as well as higher mortality after cancer diagnosis among snus users, though the confidence in these results varied from moderate to very low.
  • The research mainly included men, limited data on women, and noted some bias concerns related to exposure verification in the studies.]

Top posts

Most liked on X and Bluesky
Dr Wasim Zahid
@WasimZahid · X

Snus og kreft. Her er min take: https://t.co/446GWCznUi

Sep 2, 2023 · 17 likes · 3 shares · 73,320 followers View post →
Geir Hogstad
@HogstadGeir · X

Forskning, prosenter, tall og sånn. Godt forklart av @WasimZahid #Dax18 #Folkeopplysning https://t.co/6utCLkpz6N

Sep 1, 2023 · 6 likes · 2 shares · 2,150 followers View post →
Yannick Romero, PhD
@YannickRomero · X

A systematic review of #cancer risk among users of smokeless tobacco (Swedish #snus) exclusively, compared with no use of tobacco - Valen - International Journal of Cancer - Wiley Online Library https://t.co/KSnqZUK750

Aug 18, 2023 · 5 likes · 3 shares · 657 followers View post →
Dr Wasim Zahid
@WasimZahid · X

@TStalung @Folkehelseinst @LundKarl Jeg tenkte det samme: https://t.co/lFG4KQbKNC

Sep 1, 2023 · 3 likes · 2 shares · 73,320 followers View post →
Helma Lennartz
@Helma_Lennartz · X

And the big ol' Metastudy: https://t.co/ksXWcLHBkQ bear in mind this is swedish snus, which is steam-cured tobacco, while newer pouches use tobacco-derived nicotine on non-tobacco cellulose

Feb 2, 2025 · 3 likes · 344 followers View post →
Judith Haudum
@j_haudum · X

Got popular in athlete, too, in recent years. In the end the solution is “snusless“. #snus #cancer #athletes #tobacco https://t.co/rR09OW1jpc https://t.co/Io4jV66e2J

Apr 16, 2024 · 2 likes · 491 followers View post →

All mentions

Bungler
@Bungler18 · X

@realmarcel1 Comme il y a plein de commentaires pas trop sourcés sur la dangerosité, je vous partage ce lien sérieux et complet: le risque de décès par cancer y est de 2.15% pour un jamais fumeur non utilisateur et 2.4% pour un jamais fumeur utilisateur de snus. https://t.co/JxW35Mmbt3

Jul 28, 2025 · 82 followers View post →
Helma Lennartz
@Helma_Lennartz · X

And the big ol' Metastudy: https://t.co/ksXWcLHBkQ bear in mind this is swedish snus, which is steam-cured tobacco, while newer pouches use tobacco-derived nicotine on non-tobacco cellulose

Feb 2, 2025 · 3 likes · 344 followers View post →
David Rae
@DRDVDRAE · X

@whywouldthatbe @Feral_Steelhead @Thomashornall For example see link. It is fair to call this a controversial area, like the cancer links to vaping, but there seems little doubt there is some link to cancer. The arguments about comparison to smoking, reducing risk of smoking is a separate issue. https://t.co/qFWPS3qScZ

Dec 30, 2024 · 1 like · 7,267 followers View post →
David Rae
@DRDVDRAE · X

@Feral_Steelhead @Thomashornall Lack of evidence is not evidence of lack. There are plenty of studies show the link to cancer. Remember that even into the 1980's there were "studies" published showing no link between smoking and cancer There are loads of studies on this https://t.co/qFWPS3qScZ

Dec 29, 2024 · 1 like · 7,267 followers View post →
Mikko Rintasaari
@rintasaari · X

@viljami101 @SmokeFreeSweden https://t.co/5Sg4DPi2aV

Dec 8, 2024 · 61 followers View post →
Bjørn Holmøy
@HolBjo · X

@hubermanlab There are some indications that regular use of pouches may elevate risk of cancer (esophagus, pancreas, stomach and rectum) and increase mortality after cancer diagnosis. Small effects though. https://t.co/MWpVB49bL4 Presence of TSNAs may be important https://t.co/sskGz1lqLQ

Nov 20, 2024 · 1 like · 107 followers View post →
inconnu_MD
@_Fandral_ · X

@JohnPSharpe @Hugo_Baup https://t.co/2VRMClsX9I

May 24, 2024 · 92 followers View post →
Ash Paul
@pash22 · X

@OliNejad @RianKMD @coopercdavis The various risk estimates vary from moderate through low to very low. https://t.co/KpJcsHU0k6 via @BendikBrinchman et al https://t.co/LojnXRTM1N

Apr 18, 2024 · 1 like · 32,294 followers View post →
Judith Haudum
@j_haudum · X

Got popular in athlete, too, in recent years. In the end the solution is “snusless“. #snus #cancer #athletes #tobacco https://t.co/rR09OW1jpc https://t.co/Io4jV66e2J

Apr 16, 2024 · 2 likes · 491 followers View post →
Nicolas Govin.
@tabaco_logic · X

@colchimaxx @FLAHAULT Pour le snus, les risques sont drastiquement plus faibles mais il existe des preuves faibles à modérées de risque de cancer tout de même au niveau oral. Mais mieux vaut bcp moins de risques que plein de risques. Donc snus ok, dim du risque proche vape https://t.co/OwVnGzy2vw

Jan 2, 2024 · 1,723 followers View post →
WhyQuit.com
@whyquit_com · X

Swedish snus contains TSNA, constituents associated with the formation of DNA adducts and initiation of cancer. Use of snus entails a cancer hazard where the magnitude of cancer risk may be affected by user history and host susceptibility. https://t.co/LGhNhlmJZH

Dec 24, 2023 · 409 followers View post →
Keith Hunter
@KeDaHuntr · X

@jkelovuori @r2f2cbbrw6 @TheAthletic There is a more recent systematic review. https://t.co/ApI2mASKwC

Nov 30, 2023 · 1,477 followers View post →
Keith Hunter
@KeDaHuntr · X

@TheAthletic https://t.co/ApI2mASKwC

Nov 30, 2023 · 1 like · 1,477 followers View post →
Pierre G. Bizel
@BizelPierre · X

RT @YannickRomero: A systematic review of #cancer risk among users of smokeless tobacco (Swedish #snus) exclusively, compared with no use o…

Oct 9, 2023 · 3 shares · 129 followers View post →
Luciano Ruggia
@LucSil1 · X

RT @YannickRomero: A systematic review of #cancer risk among users of smokeless tobacco (Swedish #snus) exclusively, compared with no use o…

Oct 9, 2023 · 3 shares · 145 followers View post →
Yul Dorotheo MD
@YulDorotheo · X

RT @YannickRomero: A systematic review of #cancer risk among users of smokeless tobacco (Swedish #snus) exclusively, compared with no use o…

Oct 8, 2023 · 3 shares · 859 followers View post →
Seed Oil Drinkers Against JD Vance
@Alex__Katz · X

@BuildToReWild It’s not extremely well studied outside of cigarette smokers but they have studied snus users to a degree and it does raise cancer risk. https://t.co/IzlRF0KkuO

Oct 6, 2023 · 2,912 followers View post →
Olav Torvund @olavtorvund.bsky.social
@olavtorvund · X

RT @Prebens: @olavtorvund @HFMarthinussen Jeg kan anbefale originalartikkelen. Solid og nyansert. https://t.co/hHj0Eg3iJK

Sep 13, 2023 · 1 share · 7,739 followers View post →
Preben Aavitsland
@Prebens · X

@2masFish @HFMarthinussen Hva prater du om? Snus er ikke forbudt. Les gjerne artikkelen som diskuteres. https://t.co/hHj0Eg3iJK

Sep 13, 2023 · 16,529 followers View post →
Preben Aavitsland
@Prebens · X

@olavtorvund @HFMarthinussen Jeg kan anbefale originalartikkelen. Solid og nyansert. https://t.co/hHj0Eg3iJK

Sep 13, 2023 · 1 like · 1 share · 16,529 followers View post →
Sebastian Johnsson
@SebbeJohnsson · X

@patrikstromer @AronIhse @Douglasthoor Enligt en nyligen publicerad systematisk översikt här i Norden är snus bättre än cigaretter men man löper fortfarande risken att utveckla flera sorters cancer. https://t.co/zAuVlWh6Y2

Sep 6, 2023 · 363 followers View post →
Romeow@Bella
@RomeoRommiePomp · X

RT @WasimZahid: Snus og kreft. Her er min take: https://t.co/446GWCznUi

Sep 2, 2023 · 3 shares · 1,442 followers View post →
Tom Erik Stålung
@TStalung · X

RT @WasimZahid: Snus og kreft. Her er min take: https://t.co/446GWCznUi

Sep 2, 2023 · 3 shares · 445 followers View post →
Dr Wasim Zahid
@WasimZahid · X

Snus og kreft. Her er min take: https://t.co/446GWCznUi

Sep 2, 2023 · 17 likes · 3 shares · 73,320 followers View post →
Frank Tinmannsvik
@FTinmannsvik · X

RT @WasimZahid: @TStalung @Folkehelseinst @LundKarl Jeg tenkte det samme: https://t.co/lFG4KQbKNC

Sep 2, 2023 · 2 shares · 184 followers View post →
Tore
@ToreBear · X

RT @HogstadGeir: Forskning, prosenter, tall og sånn. Godt forklart av @WasimZahid #Dax18 #Folkeopplysning https://t.co/6utCLkpz6N

Sep 1, 2023 · 2 shares · 1,056 followers View post →
َ
@basedmeinong · X

@MortyOlder @anebrei @CiViX Alt dette står i den publiserte studien, og i vedleggene. Konfundere som er kontrollert for i hver brukte studie viser i Tabell S2 her: https://t.co/xjWcXNldpa

Sep 1, 2023 · 16 followers View post →
Tom Erik Stålung
@TStalung · X

RT @WasimZahid: @TStalung @Folkehelseinst @LundKarl Jeg tenkte det samme: https://t.co/lFG4KQbKNC

Sep 1, 2023 · 2 shares · 445 followers View post →
Dr Wasim Zahid
@WasimZahid · X

RT @HogstadGeir: Forskning, prosenter, tall og sånn. Godt forklart av @WasimZahid #Dax18 #Folkeopplysning https://t.co/6utCLkpz6N

Sep 1, 2023 · 2 shares · 73,320 followers View post →
Geir Hogstad
@HogstadGeir · X

Forskning, prosenter, tall og sånn. Godt forklart av @WasimZahid #Dax18 #Folkeopplysning https://t.co/6utCLkpz6N

Sep 1, 2023 · 6 likes · 2 shares · 2,150 followers View post →
Dr Wasim Zahid
@WasimZahid · X

@TStalung @Folkehelseinst @LundKarl Jeg tenkte det samme: https://t.co/lFG4KQbKNC

Sep 1, 2023 · 3 likes · 2 shares · 73,320 followers View post →
Sir Cough alot
@John_solheim · X

@WasimZahid @Folkehelseinst Hva med denne? https://t.co/ArJaTS19Ws

Sep 1, 2023 · 1 like · 205 followers View post →
Thomas Gabrielsen
@DoRullings · X

@WasimZahid @Folkehelseinst Her er lenke til studien: https://t.co/ARoOptGg4d

Sep 1, 2023 · 1 like · 265 followers View post →
Carina Alm
@CarinaAlm · X

https://t.co/Y4Y0ERmT1D

Sep 1, 2023 · 1,982 followers View post →
Karin Pleym
@KarinPleym · X

A systematic review of cancer risk among users of smokeless tobacco (Swedish snus) exclusively, compared with no use of tobacco - PubMed An increased risk of cancer of the esophagus, pancreas, stomach and rectum was reported https://t.co/xMvKaTJvbc

Sep 1, 2023 · 1,576 followers View post →
Yannick Romero, PhD
@YannickRomero · X

A systematic review of #cancer risk among users of smokeless tobacco (Swedish #snus) exclusively, compared with no use of tobacco - Valen - International Journal of Cancer - Wiley Online Library https://t.co/KSnqZUK750

Aug 18, 2023 · 5 likes · 3 shares · 657 followers View post →
International Journal of Cancer
@IntJCanc · X

NOW ONLINE New review reports an increased risk of #cancer of the esophagus, pancreas, stomach and rectum as well as an association between use of #snus and increased mortality after a cancer diagnosis

Jul 25, 2023 · 1 like · 1,788 followers View post →
Ingentium Melanoma
@ingentium_mel · X

A systematic review of cancer risk among users of smokeless tobacco (Swedish snus) exclusively, compared with no use of tobacco. https://t.co/cmHPodCxlt https://t.co/FLDxWO2Ke2

Jul 23, 2023 · 205 followers View post →
peter johansson
@PeterAJohansson · X

An evil attack on Swedish culture from Norwegian brothers A systematic review of cancer risk among users of smokeless tobacco (Swedish snus) exclusively, compared with no use of tobacco - PubMed https://t.co/YcK3zTA6Se

Jul 23, 2023 · 157 followers View post →