Spit tobacco causes cancer, oral diseases, and increased health risks.

Spit tobacco use is not an acceptable alternative to smoking.

Spit tobacco use, attitudes, behaviors, and socio-economic patterns differ from that of smoking.  Sound research is needed to determine the most effective methods for prevention and cessation.

Spit tobacco research must be grounded in sound science.

Spit tobacco use must be discouraged especially among youth before they fall victim to life-long addiction.

Spit tobacco prevention and cessation programs should be designed to address diverse socio-economic, generational, professional, and cultural populations.

Spit tobacco prevention and cessation activities serve communities most effectively if they are planned, implemented, and evaluated collaboratively by the public, private, and volunteer sectors.