Spit tobacco, also known as smokeless tobacco or chewing tobacco, includes loose leaf chewing tobacco, plug chewing tobacco, dry snuff, moist snuff, and fine cut tobacco. Use of spit tobacco is rising among young people and is marketed toward them through sports sponsorships. Spit tobacco causes nicotine addiction and serious oral health issues like periodontal disease and oral cancer. While marketed as a safe alternative to smoking, spit tobacco contains 28 carcinogenic chemicals and is not a safe alternative to smoking. Users are considered hooked when they switch to stronger brands and cannot go for hours without it.