NSTEP® (National Spit Tobacco Education Program)


OHA's goal through NSTEP is to prevent people, especially young people, from starting to use smokeless (or spit) tobacco, and to help all users quit.

NSTEP 20 year logo

Spreading the Message That Smokeless Isn't Harmless

Despite countless studies and reports that link spit tobacco to cancer, tooth loss and tooth decay, more than 9 million Americans put their health at risk by using spit tobacco products. Even more troubling--almost half (46%) of new users are under 18 when they first try it.

That is why the message of NSTEP® (National Spit Tobacco Education Program) remains so important. For more than two decades, OHA has educated families and the American public about the dangers of smokeless and spit tobacco to prevent new users from starting and to help all users quit.

OHA is also part of a coalition of organizations that influenced the limit on use of smokeless tobacco products in Major League ballparks in 2012. For the first time in history, players are unable to use smokeless tobacco products on the field and in front of fans and cameras.

Download our NSTEP Fact Sheet to learn more about its history and goals.


Spread the word! We can educate parents and kids about the dangers of tobacco. Download our social media kit, sign the pledge to not spit, and access other resources to see how you can get involved!



OHA has a long history of helping smokeless tobacco users quit. View some of the helpful resources that describe the dangers of tobacco.



Public Service Announcements

White Sox Pitcher, John Danks, teamed with OHA to spread the message, "Just because it's smokeless doesn't mean it's harmless."



slogan contest

OHA sponsors an annual NSTEP slogan contest with Little League International to educate players about the dangers of smokeless tobacco. Details about the 2015 slogan contest will be announced in June.

Oral Health America Congratulates Alex Smith of Falls Church, Virginia 2014 NSTEP slogan contest winner

“Play with grit. Strive to hit. But never spit!”

The winner of the 2014 NSTEP slogan contest is Alex Smith (pictured on above) from Falls Church, VA, who submitted the phrase: “Play with grit. Strive to hit. But never spit!” Alex won a trip to Little League World Series in Williamsport, Pa., along with a cash prize and donation to his Little League organization. Congratulations Alex!

Learn more about our 2014 winner.