Correlates of Susceptibility to Nicotine Pouch Use Among Australian Adolescents and Younger Adults.

Abstract

Introduction: Nicotine pouches are growing rapidly in popularity. These products have been found to contain high levels of nicotine, raising concerns about the risk of nicotine dependence and addiction. Preventing uptake of nicotine pouches, particularly among adolescents and younger adults, is thus important. However, our understanding of the factors that may be associated with susceptibility to nicotine pouch use is limited.

Aims and methods: This study sought to investigate the relative contribution of a range of factors to nicotine pouch use susceptibility among adolescents and younger adults. An online survey was administered to 817 Australian adolescents and younger adults who were aware of nicotine pouches but had not used the products previously. Regression analyses were conducted to assess the relationship between a variety of potential correlates (eg, attitudes, harm perceptions, exposure to advertising, use among family and friends) and use susceptibility (curiosity, willingness to use, and intentions to use).

Results: Among those surveyed, 66% were curious about nicotine pouches, 55% were willing to try the products if offered by a friend, and 46% intended to try the products in the next 6 months. Key correlates of susceptibility included holding a positive attitude towards nicotine pouches, lower addictiveness perceptions, use among a greater number of close friends, and current or past use of e-cigarettes.

Conclusions: Addressing attitudes and social norms relating to nicotine pouch use may be important in reducing uptake. Given use susceptibility was greater among those who currently use e-cigarettes, interventions that target the use of a range of nicotine products may be most effective at discouraging uptake.

Implications: This study identified several important correlates of susceptibility to nicotine pouch use among Australian adolescents and younger adults. Results assist with identifying those who may be at risk of future nicotine pouch use and have the potential to inform the development of prevention programs that discourage uptake.