American journal of preventive medicine · 2026
Nicotine Pouch Use Among U.S. Adults in 2023 and 2024.
СтатьяНазвание и аннотация: Перевод в очереди
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Chang Yi-Chun, Patrick Megan E, Terry-McElrath Yvonne M, Cho Junhan, Miech Richard A, Leventhal Adam M
Аннотация
INTRODUCTION: Recent expansion of U.S. nicotine pouch marketing may increase nicotine pouch use. This study estimated U.S. adult pouch use during 2023-2024 overall and across sociodemographic, cigarette smoking, nicotine vaping, and non-nicotine substance use subgroups.
METHODS: Data were drawn from the nationally representative Monitoring the Future longitudinal panel 2023 and 2024 surveys (N=15,340; ages 19-65 years; 59.6% response rate conditional on Wave 1; analyzed in 2025-2026). Past 12-month and past 30-day nicotine pouch use prevalence was estimated each year in the overall sample and stratified by sociodemographic and substance use status.
RESULTS: In the overall sample, prevalence increased from 2023 to 2024 for past 12-month (3.4%-5.9%; prevalence ratio=1.75, 95% CI=1.45, 2.13) and past 30-day (2.3%-4.2%; prevalence ratio=1.81, 95% CI=1.44, 2.27) use. Increases in past 12-month prevalence were observed across ages, sexes, and geographies and among non-Hispanic White adults. Past-12-month and past-30-day prevalences increased during 2023-2024 among adults with no past-12-month smoking, never or former vaping, current smoking, with and without current alcohol or cannabis use, and without current other non-nicotine substance use (PRs range:1.53-3.10). No significant cross-year change was observed among those with current vaping, current other non-nicotine substance use, or recent former smoking. Within-year comparisons showed a higher 2024 past 12-month prevalence among young than among older adults, males than females, non-Hispanic White than Black adults, individuals with recent smoking or vaping than those without, and those with current non-nicotine substance use than those without.
CONCLUSIONS: U.S. adult nicotine pouch use increased from 2023 to 2024 across sociodemographic and nicotine/tobacco use statuses. Further population-level surveillance and longitudinal research on pouch use patterns are warranted.
METHODS: Data were drawn from the nationally representative Monitoring the Future longitudinal panel 2023 and 2024 surveys (N=15,340; ages 19-65 years; 59.6% response rate conditional on Wave 1; analyzed in 2025-2026). Past 12-month and past 30-day nicotine pouch use prevalence was estimated each year in the overall sample and stratified by sociodemographic and substance use status.
RESULTS: In the overall sample, prevalence increased from 2023 to 2024 for past 12-month (3.4%-5.9%; prevalence ratio=1.75, 95% CI=1.45, 2.13) and past 30-day (2.3%-4.2%; prevalence ratio=1.81, 95% CI=1.44, 2.27) use. Increases in past 12-month prevalence were observed across ages, sexes, and geographies and among non-Hispanic White adults. Past-12-month and past-30-day prevalences increased during 2023-2024 among adults with no past-12-month smoking, never or former vaping, current smoking, with and without current alcohol or cannabis use, and without current other non-nicotine substance use (PRs range:1.53-3.10). No significant cross-year change was observed among those with current vaping, current other non-nicotine substance use, or recent former smoking. Within-year comparisons showed a higher 2024 past 12-month prevalence among young than among older adults, males than females, non-Hispanic White than Black adults, individuals with recent smoking or vaping than those without, and those with current non-nicotine substance use than those without.
CONCLUSIONS: U.S. adult nicotine pouch use increased from 2023 to 2024 across sociodemographic and nicotine/tobacco use statuses. Further population-level surveillance and longitudinal research on pouch use patterns are warranted.