Evidence map›Paper›PMID 40451438›Full record

ArticlePreventive medicine2025

Tobacco marketing exposure and lifetime and current nicotine pouch use among US youth, 2022.

Saber Feizy, Delvon T Mattingly, Melinda Ickes, Mary Kay Rayens, W Jay Christian, Melissa Abadi, Seth Himelhoch, Shyanika W Rose

Abstract read
In one paragraph

Article in Preventive medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Oral Nicotine Pouches and Public Health: Evidence from an Updated Scoping Review.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Article
  2. Article
  3. Article
  4. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Saber FeizyCenter for Health, Engagement, and Transformation (CHET) and Department of Behavioral Science, College of Medicine, University of Kentucky, Lexington, KY, USA. Electronic address: saberfeizy@uky.edu.
Delvon T MattinglyCenter for Health, Engagement, and Transformation (CHET) and Department of Behavioral Science, College of Medicine, University of Kentucky, Lexington, KY, USA.
Melinda IckesDepartment of Kinesiology and Health Promotion, College of Education, University of Kentucky, Lexington, KY, USA.
Mary Kay RayensColleges of Nursing and Public Health, University of Kentucky, Lexington, KY, USA.
W Jay ChristianDepartment of Epidemiology and Environmental Health, College of Public Health, University of Kentucky, Lexington, KY, USA.
Melissa AbadiPacific Institute for Research and Evaluation, Louisville, KY, USA.
Seth HimelhochUniversity of Chicago, Biological Sciences Division, Department of Psychiatry and Neurobehavioral Sciences, USA.
Shyanika W RoseCenter for Health, Engagement, and Transformation (CHET) and Department of Behavioral Science, College of Medicine, University of Kentucky, Lexington, KY, USA; Markey Cancer Center, Lexington, KY, USA.

Funding

University of Kentucky Markey Cancer Center Support Grant ECIA SupplementP30CA177558 · NCI · UNIVERSITY OF KENTUCKY · PI KATHLEEN L. O'CONNOR · 2013 to 2026
$38.3M
AppalTRuST Project 3: Impact of proposed tobacco product rules in Appalachia on consumption and product switching with the Experimental Tobacco MarketplaceU54DA058256 · NIDA · UNIVERSITY OF KENTUCKY · PI Mikhail Nikolaas Koffarnus, Shyanika W Rose · 2023 to 2026
$19.2M
NCI NIH HHS P30 CA177558NIDA NIH HHS U54 DA058256
6 · The paper itself

Abstract

objectiveThe rising popularity of nicotine pouches among youth necessitates an understanding how marketing exposure influences their use, to inform regulation. This study examines the associations of tobacco marketing exposures with nicotine pouch use among adolescent students in the United States.

methodsWe analyzed data from 26,860 middle and high-school students in the United States who participated in the 2022 National Youth Tobacco Survey. The survey was administered during January-May 2022. Weighted logistic regressions with and without covariates (i.e., sociodemographic characteristics, other tobacco product use, and social media use) were used to evaluate the relationships between exposure to a variety of tobacco product advertisement modes (television/streaming/movies; Internet; newspapers/magazines; and convenience store/supermarket/gas station/kiosk/shopping center) and lifetime and current use of nicotine pouch products.

resultsNicotine pouches were used by 1 % of middle and high school youth ever in their lifetime in the United States. Most current use was of flavored products and 16 % of youth who used nicotine pouches purchased the product themselves. Controlling for other factors, exposure to tobacco advertising in newspapers/magazines was associated with higher likelihood of lifetime (aOR = 1.74, CI = 1.06-2.84) and current (aOR = 4.37, CI = 2.23-8.53) nicotine pouch use. Additionally, odds of lifetime and current use were highest among youth who also used smokeless tobacco, followed by e-cigarettes, and cigarettes.

conclusionsThis study demonstrates that tobacco marketing exposure is associated with youth nicotine pouch use. In addition, nicotine pouches appeal especially to youth who use smokeless tobacco, e-cigarettes, and cigarettes suggesting the potential for dual/poly use.

Indexed as

AdvertisingMarketingStudentsTobacco ProductsTobacco UseAdolescentFemaleHumansMaleSurveys and QuestionnairesUnited StatesAdolescensAdvertisement exposureNicotine pouchTobacco use

Identifiers

PMID40451438
PMCPMC12242720

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.