Nicotine Pouch: Awareness, Beliefs, Use, and Susceptibility among Current Tobacco Users in the United States, 2021

Lindsey S. Sparrock (), Lilianna Phan, Julia Chen-Sankey, Kiana Hacker, Aniruddh Ajith, Bambi Jewett and Kelvin Choi
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Lindsey S. Sparrock: Department of Neuroscience, American University, Washington, DC 20016, USA
Lilianna Phan: Division of Intramural Research, National Institute on Minority Health and Health Disparities, Bethesda, MD 20892, USA
Julia Chen-Sankey: Center for Tobacco Studies, Rutgers Biomedical and Health Sciences, New Brunswick, NJ 08901, USA
Kiana Hacker: Division of Intramural Research, National Institute on Minority Health and Health Disparities, Bethesda, MD 20892, USA
Aniruddh Ajith: University of Pittsburgh School of Medicine, Pittsburgh, PA 15261, USA
Bambi Jewett: Division of Intramural Research, National Institute on Minority Health and Health Disparities, Bethesda, MD 20892, USA
Kelvin Choi: Division of Intramural Research, National Institute on Minority Health and Health Disparities, Bethesda, MD 20892, USA

IJERPH, 2023, vol. 20, issue 3, 1-12

Abstract: Little is known about awareness, beliefs, and use of nicotine pouches (NPs). Data from 1583 U.S. adult (age ≥ 21 years) current tobacco users were collected in 2021. Respondents self-reported NP awareness, beliefs, use, and susceptibility as well as current tobacco product use and socio-demographics. We used weighted logistic and multinomial regression models to explore the associations between these variables. Overall, 46.6% of U.S. adult current tobacco users were aware of, 16.4% had ever used, and 3.0% currently used NPs. Younger individuals (vs. 61+ years) were more likely to have ever heard of NPs, while Black individuals (vs. White) were less likely to have ever heard of NPs. Individuals younger than 45 years (vs. 61+ years) and those using smokeless tobacco products (vs. non-users) were more likely to have ever used NPs. Additionally, younger than 45 years (vs. 61+ years) and current use of certain tobacco products (e.g., smokeless) were associated with current NP use. Holding favorable beliefs about NPs was associated with susceptibility to and more advanced NP use statuses ( p < 0.05). Continuous surveillance of NP use and beliefs is important.

Keywords: nicotine pouch; awareness; perceptions; tobacco use (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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