Nicotine pouch awareness, use and perceptions among young adults from six metropolitan statistical areas in the United States.

IF 1.9 Q3 SUBSTANCE ABUSE Tobacco Prevention & Cessation Pub Date : 2023-06-07 eCollection Date: 2023-01-01 DOI:10.18332/tpc/163243

Sararat Tosakoon, Katelyn F Romm, Carla J Berg

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Abstract

Introduction: Nicotine pouches, which emerged in the US in 2016 and are marketed as 'tobacco-free', may appeal to young adults. This study examined young adults' nicotine pouch awareness, use, use intentions, and related factors.

Methods: We analyzed Spring 2022 survey data from 942 young adults recruited via social media from six US cities (mean age=27.61 years, 34.3% men, 33.1% racial/ethnic minority) to characterize nicotine pouch awareness, ever use, use intentions, exposure, and perceptions.

Results: Nicotine pouch awareness and ever use were reported by 34.6% and 9.8%, respectively. Males (AOR=1.79; 95% CI: 1.33-2.38), non-White participants (vs White; AOR=1.64; 95% CI: 1.04-2.61), and those using cigarettes (AOR=2.67; 95% CI: 1.63-4.38), e-cigarettes (AOR=2.28; 95% CI: 1.57-3.31), and smokeless tobacco (SLT) (AOR=14.46; 95% CI: 1.81-115.61) had greater odds of awareness. Among those aware of nicotine pouches, males (AOR=2.27; 95% CI: 1.33-3.85), White participants (vs Asian; AOR=0.40; 95% CI: 0.17-0.94), and SLT users (AOR=4.90; 95% CI: 1.26-18.98) had greater odds of ever use; being male (B=0.39; 95% CI: -0.67 - -0.12) and using SLT (B=1.73; 95% CI: 1.10-2.36) predicted greater use intentions. Overall, 31.4% reported past-month advertising exposure, most often via tobacco retailers (67.3%). Ever users most commonly purchased them at gas stations (46.7%). The most frequently reported use motives were to quit combusted tobacco (16.8%) and reduce tobacco smell (15.4%). Nicotine pouches were perceived as less harmful and less addictive than cigarettes, e-cigarettes, and SLT, and more socially acceptable than cigarettes and SLT.

Conclusions: Young adults were exposed to advertising, accessed nicotine pouches via various sources, and perceived these products favorably. Marketing and use surveillance is needed to monitor their impact on those likely to use them (e.g. males, SLT users).

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美国六个大都市统计区的年轻人对尼古丁袋的认识、使用和看法。

简介尼古丁袋于2016年在美国出现，以 "无烟草 "为卖点，可能会吸引年轻人。本研究考察了年轻人对尼古丁袋的认知、使用情况、使用意向及相关因素：我们分析了2022年春季通过社交媒体从美国6个城市招募的942名年轻人（平均年龄=27.61岁，34.3%为男性，33.1%为少数民族）的调查数据，以了解尼古丁袋的认知度、曾经使用情况、使用意向、接触情况和看法：结果：34.6%的人知道尼古丁袋，9.8%的人曾经使用过尼古丁袋。男性（AOR=1.79；95% CI：1.33-2.38）、非白人参与者（vs 白人；AOR=1.64；95% CI：1.04-2.61）、使用香烟（AOR=2.67；95% CI：1.63-4.38）、电子烟（AOR=2.28；95% CI：1.57-3.31）和无烟烟草（SLT）（AOR=14.46；95% CI：1.81-115.61）的人知道尼古丁袋的几率更大。在知道尼古丁袋的人中，男性（AOR=2.27；95% CI：1.33-3.85）、白人参与者（与亚裔相比；AOR=0.40；95% CI：0.17-0.94）和无烟烟草使用者（AOR=4.男性（B=0.39；95% CI：-0.67 -0.12）和使用 SLT（B=1.73；95% CI：1.10-2.36）预示着更大的使用意愿。总体而言，31.4%的人表示在过去一个月中接触过广告，其中最常见的是通过烟草零售商（67.3%）。曾经使用者最常在加油站购买（46.7%）。最常报告的使用动机是戒烟（16.8%）和减少烟草味（15.4%）。尼古丁袋被认为比香烟、电子烟和可吸入烟草危害更小，成瘾性更低，比香烟和可吸入烟草更容易被社会接受：年轻成年人接触过广告，通过各种渠道接触过尼古丁袋，并对这些产品有好感。需要对营销和使用情况进行监控，以监测这些产品对可能使用这些产品的人群（如男性、SLT 用户）的影响。

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