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the US regularly uses chewing tobacco, while less than 1 percent of the female population does. As a result, advertisements for chewing tobacco often focus on “rugged” or “masculine” themes, in an attempt to appeal to working-class men or young adults. Rural areas typically experience higher rates of smokeless tobacco use. Wyoming has the highest rate, with nearly 10 percent of the population using chew. Other rural states, like Montana and Arkansas, also have very high rates of use (nearly 8 percent). By contrast, urban areas of the country, like the District of Columbia (1.3 percent), Maryland (1.6 percent), and California (1.7 percent) have consistently low levels of smokeless tobacco use.

Finely ground “snuff” tobacco is available as a loose grainy substance, or packed into small bags that can be held in the mouth with less mess.

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The Popularity of Cigarettes and Other Tobacco Products