NSTEP® (National Spit Tobacco Education Project)

Our 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 logoEducating Americans About the Dangers of Spit Tobacco

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. Teenagers have so many life firsts ahead of them, but starting spit tobacco shouldn't be one of them.

That is why the message of NSTEP® (National Spit Tobacco Education Project) remains so important. For more than two decades, OHA has educated families and the American public about the dangers of smokeless and spit tobacco on oral health and overall health 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 (PDF 145kb) 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 of the dangers of tobacco on oral health and overall health.


OHA Congratulates our 2015 Slogan Contest Winner!

“Run bases, catch balls. Chew tobacco and risk it all!”

The winner of the 2015 NSTEP Slogan Contest is Brexton Clubb (pictured above) from Peoria, AZ, who submitted the phrase: “Run bases, catch balls. Chew tobacco and risk it all!” Brexton won a trip to Little League World Series in Williamsport, PA., along with a cash prize and donation to his Little League organization. Congratulations Brexton!

Learn more about our 2015 winner>>