Prevalence and Characteristics of Oral Nicotine and Tobacco Product Use among US Adults

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ID: 331444
2026
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Abstract
Abstract Introduction Whether demographic and tobacco use characteristics differ between adults using new non-tobacco oral nicotine products (ONPs; e.g., nicotine pouches and other ONPs [e.g., gums, lozenges]) versus those using oral tobacco products (e.g., snus and other smokeless tobacco) is unknown but important to tobacco control. Methods Using cross-sectional nationally representative data from n=29,705 United States (US) adults (≥18y) in wave 7 (2022-2023) of the Population Assessment of Tobacco and Health Study, we compared weighted distributions of sociodemographic and tobacco use characteristics among those reporting past 30-day use of non-tobacco ONPs and oral tobacco products. Results Prevalence of past 30-day use was 1.4% for nicotine pouches, 0.66% for other ONPs, 0.95% for snus, and 2.4% for other smokeless tobacco products excluding snus. Adults who used nicotine pouches were more likely than those who used smokeless tobacco to be 18-24-year-olds (36.6%[95%CI:29.5-44.3] vs. 16.8%[95%CI:13.1-21.3]), be female (21.8%[95%CI:15.5-29.7] vs. 8.6%[95%CI:6.4-11.4]), have a college degree (35.2%[95%CI:27.8-43.3] vs. 15.9%[95%CI:12.1-20.7]), live in the Western US (29.5%[95%CI:22.6-37.5] vs. 16.0% [95%CI:12.1-21.0]), and currently vape nicotine (37.4%[95%CI:29.1-46.5] vs. 21.7%[95%CI:17.4-26.7]), and more likely to have a college degree than those who used snus (15.7%[95%CI:10.3-23.3]). Adults who used other ONPs were more likely to be female (48.7%[95%CI:37.8-59.7]) than all other use groups, and more likely to smoke cigarettes (53.5%[95%CI:43.1-63.5]) than those who used nicotine pouches (29.8%[95%CI:22.9-37.9]) or smokeless tobacco (33.1%[95%CI:27.5-39.2]). Conclusions ONP use may be expanding to populations who may otherwise not have used oral tobacco, including younger, female, and higher socioeconomic status populations.
Reference Key
openalex_W7220718796 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Alyssa F. Harlow, Dae‐Hee Han, Steve Y. Sussman, Adam Matthew Leventhal
Journal nicotine & tobacco research : official journal of the society for research on nicotine and tobacco
Year 2026
DOI
10.1093/ntr/ntag218
URL
https://doi.org/10.1093/ntr/ntag218
Keywords Keywords not found

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