While the overall rate of smoking in the United States has been declining, there exists an unmet societal demand for improved smoking cessation tools and smoking prevention methods. This study built on recent work in the empirical literature on this topic by using longitudinal data from the National Longitudinal Study of Adolescent Health (Add Heath) to analyze the efficacy of smokeless tobacco products as cessation and anti-initiation tools for youth-oriented smoking prevention policy. The study applied models adapted from prior literature on the subject of smokeless tobacco in cessation. In addition the study surpassed the design phase of prior smokeless tobacco literature by contributing the use of propensity-score matching to “promote honesty”. Furthermore, mixed model and OLS propensity-score regression results demonstrated consistency. It was determined that smokeless tobacco is likely of use to dual-users and may be of use in general cessation and initiation programs among youth, although further research is needed.