Details:

Alternative Title:
Nicotine Tob Res
Personal Author:
Kramer, Renee D. ; Park-Lee, Eunice ; Marynak, Kristy L. ; Jones, Jamal T. ; Sawdey, Michael D. ; ... More +
Kramer, Renee D. ; Park-Lee, Eunice ; Marynak, Kristy L. ; Jones, Jamal T. ; Sawdey, Michael D. ; Cullen, Karen A. Less -
Description:
Introduction:

This manuscript examines prevalence of awareness and use of nicotine pouches among U.S. middle and high school students by sociodemographic characteristics and other tobacco product use and characterizes nicotine pouch and other tobacco product use behaviors among current nicotine pouch users.

Aims and Methods:

Data are from the 2021 National Tobacco Youth Survey, a cross-sectional, school-based survey of middle and high school students (N = 20 413; overall response rate: 44.6%), which included questions on nicotine pouches in 2021 for the first time. Prevalence estimates, 95% confidence intervals, and estimated population counts were assessed for nicotine pouch awareness, ever use, and current (past 30 days) use, and for use behaviors related to nicotine pouches (frequency of use, flavor(s) used) and other tobacco products (ever, current, frequency of use) among current nicotine pouch users.

Results:

Over one-third of students (35.5%) had ever heard of nicotine pouches. An estimated 1.9% (490 000) reported ever using them, while 0.8% (200 000) reported current use. Among current nicotine pouch users, 61.6% reported flavored nicotine pouch use, 64.2% reported current e-cigarette use, and 52.6% used multiple (≥2) tobacco products. Current use of nicotine pouches was common among current smokeless tobacco users (41.3%).

Conclusions:

Overall, in 2021, while relatively few students had ever tried nicotine pouches or currently used them, more than one-third had heard of them. Current nicotine pouch users tended to use other tobacco products, particularly e-cigarettes and smokeless tobacco. Given previous rapid increases in youth uptake of e-cigarettes, it is important to continue monitoring nicotine pouch use among young people.

Implications:

This study’s findings provide an important baseline for future monitoring of nicotine pouch awareness and use among middle and high school students. Emerging tobacco products, particularly those that are flavored, widely available, discreet, and inexpensive have the potential to attract youth. Given the potential of these products to appeal to young people, ongoing monitoring of nicotine pouch use behaviors is important to inform public health and regulatory efforts.


Subjects:
[+]
Adolescent Cross-Sectional Studies Electronic Nicotine Delivery Systems Humans Nicotine Tobacco Products Tobacco Use United States
Source:
Nicotine Tob Res. 25(9):1610-1613
Pubmed ID:
37279928
Pubmed Central ID:
PMC10961705
Document Type:
Journal Article
Funding:
CC999999/ImCDC/Intramural CDC HHSUnited States/
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:e1ee5947609747a404f1a895a89cb1a99aeeea13d0faefbac872beb1f427c5ae
Download URL:
https://stacks.cdc.gov/view/cdc/153516/cdc_153516_DS1.pdf
File Type:

Supporting Files

• 	nihms-1973329.nxml	xml
  	NIHMS1973329-supplement-Supplementary_tables.docx	docx

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