Knowing why a patient uses tobacco helps identify what method will help them quit. Some of the reasons are:
Peer pressure- This seems to be one of the first reasons that kids especially start using tobacco. They usually first get it from a friend (or parent!) who urges them to try it and be like the “big kids”. By the time the child goes to the store to try to purchase tobacco, many might have already been using it for several days or even weeks. Some of these kids say they need to display the “ring on their rear” in order to be accepted with some of their peers. In others, the circle on the back pocket is a coming-of-age or emancipation symbol, marking the passage to adulthood and “independent thinking”.
Social pressure and Association- Being in an environment that condones tobacco use (sports, bars, outings or any place they are around others who use it) can be a great motivator. Users are often able to quit for a significant length of time but begin again when they’re around others who dip or smoke. More about Largest internet retailer of smoke supplies
Behavior- Some chewers have been “dipping” so long that they miss the ritual of opening the chew can, getting the “dip” and putting it in their mouth. The most common statement heard from these users is “I just miss something in my mouth” (i.e. oral gratification). Here they have a choice of either quitting “cold turkey” and dealing with the loss of the behavior or using an oral alternative while they cut down. Mint Snuff products are great for these people because it allows them to yield to the cravings of the behavior yet do so with a harmless product.
Nicotine Addiction- There is a significant amount of nicotine in smokeless tobacco. Although many young users might not be addicted yet others get that way rather quickly. You might ask a user how long they have been using smokeless tobacco and how many cans a week they use to get an idea of possible levels of addiction (the range is one to three cans per week). Many of the questions asked of smokers apply to chewers to determine addiction levels. Many health professionals use the nicotine patch or nicotine pills with non-tobacco chew to help their nicotine-dependant patients.
Salt Cravings- A typical can of smokeless tobacco contains over 1100 mg of salt. Some people not only suffer from nicotine withdrawal but also from salt cravings once they have quit using smokeless tobacco. These cravings might be confused with nicotine withdrawal.