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Nicotine Pouch Use Among U.S. Adults in 2023 and 2024.
Yi-Chun Chang1, Megan E Patrick2, Yvonne M Terry-McElrath2
1Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, California; Institute for Addiction Science, University of Southern California, Los Angeles, California.
U.S. adult nicotine pouch use significantly increased from 2023 to 2024. This rise was observed across various demographic and substance use groups, highlighting a growing trend in nicotine pouch consumption.
Area of Science:
- Public Health
- Epidemiology
- Substance Use Research
Background:
- Recent expansion of U.S. nicotine pouch marketing may be driving increased use.
- Understanding the prevalence and trends of nicotine pouch use is crucial for public health surveillance.
- Nicotine pouch use patterns need to be examined across diverse sociodemographic and substance use subgroups.
Purpose of the Study:
- To estimate the overall prevalence of U.S. adult nicotine pouch use in 2023 and 2024.
- To analyze nicotine pouch use trends across sociodemographic factors.
- To assess nicotine pouch use patterns in relation to cigarette smoking, nicotine vaping, and other substance use.
Main Methods:
- Utilized data from the nationally representative Monitoring the Future longitudinal panel surveys (2023 and 2024).
- Included 15,340 U.S. adults aged 19-65 years with a 59.6% conditional response rate.
- Estimated past-12-month and past-30-day nicotine pouch use prevalences, stratified by key characteristics.
Main Results:
- Overall past-12-month nicotine pouch use increased from 3.4% (2023) to 5.9% (2024) (PR=1.75).
- Past-30-day use rose from 2.3% (2023) to 4.2% (2024) (PR=1.81).
- Prevalence increases were noted across most demographic groups and substance use statuses, with exceptions for current vaping and recent-former smoking.
Conclusions:
- U.S. adult nicotine pouch use demonstrated a significant increase between 2023 and 2024.
- The rise in use was consistent across various sociodemographic and substance use profiles.
- Continued population-level surveillance and longitudinal research are essential to monitor nicotine pouch use patterns.
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