Evidence map›Paper›PMID 41203432›Full record

ArticleTobacco control2025

Use of nicotine pouches among adults who currently or formerly smoked cigarettes and/or vaped nicotine: findings from the 2022 and 2024 US ITC smoking and vaping surveys.

Shannon Gravely, Mary Hrywna, Gang Meng, Andrew Hyland, K Michael Cummings, Geoffrey T Fong, Cristine D Delnevo

Abstract read
In one paragraph

Article in Tobacco control, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Shannon GravelyDepartment of Psychology, University of Waterloo, Waterloo, Ontario, Canada.ORCID http://orcid.org/0000-0001-5224-9105
Mary HrywnaRutgers Institute for Nicotine & Tobacco Studies, New Brunswick, New Jersey, USA.ORCID http://orcid.org/0000-0002-0717-9598
Gang MengDepartment of Psychology, University of Waterloo, Waterloo, Ontario, Canada.ORCID http://orcid.org/0000-0002-7771-7881
Andrew HylandHealth Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA.ORCID http://orcid.org/0009-0009-6318-9932
K Michael CummingsPsychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID http://orcid.org/0000-0002-7103-7017
Geoffrey T FongDepartment of Psychology, University of Waterloo, Waterloo, Ontario, Canada.ORCID http://orcid.org/0000-0001-9098-6472
Cristine D DelnevoRutgers Institute for Nicotine & Tobacco Studies, New Brunswick, New Jersey, USA delnevo@ints.rutgers.edu.ORCID http://orcid.org/0000-0001-9597-4307

Funding

Vaporized Nicotine Product Initiation Among Youth in the US, Canada, and England: Methods to Predict Uptake and Policy EfficacyP01CA200512 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI FONG, GEOFFREY T · 2016 to 2025
$25.3M
Tobacco Industry Marketing CoreU54CA229973 · NCI · UNIVERSITY OF PENNSYLVANIA · PI WACKOWSKI, OLIVIA · 2018 to 2022
$18.8M
Rutgers Center of Excellence in Rapid Surveillance of TobaccoU01CA278695 · NCI · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI CRISTINE D DELNEVO, Ollie Ganz · 2023 to 2026
$14.0M
NCI NIH HHS P01 CA200512NCI NIH HHS U01 CA278695NCI NIH HHS U54 CA229973
6 · The paper itself

Abstract

backgroundNicotine pouches (NPs) are one of the fastest growing tobacco product categories in the United States (US). We estimated the prevalence of NP use in 2022 and 2024 among US adults with established nicotine product use.

methodsData are from the 2022 (n=2087) and 2024 (n=2083) US ITC Smoking and Vaping Surveys. A nationally representative sample of adults (≥18 years) who smoked cigarettes and/or vaped nicotine or quit smoking and/or vaping completed at least one survey. Using weighted data, generalised estimating equation models were applied to estimate ever-use and current use (≥monthly). Data from both surveys were pooled to examine characteristics related to NP ever-use and current use.

resultsBetween 2022 and 2024, the prevalence of NP ever-use increased by 42% (16.1%-22.8%, p<0.001), and current use increased by 66% (4.7%-7.8%, p=0.007). NP ever-use increased significantly among all age groups, except adults aged 25-39. Current use increased among all age groups, but only significantly for adults aged 18-24 and 55+. Compared with all other age groups, adults aged 18-24 had an 11.8% greater increase in current use (p=0.045). In the pooled analyses, current NP use was significantly higher among those who were male, were using other smokeless tobacco products (p<0.001), were smoking and vaping (dual use), exclusively vaping or had quit smoking and/or vaping compared with adults who were exclusively smoking (p<0.001). There were non-significant increases in frequency of daily, non-daily and occasional use.

conclusionsWe found a significant increase in NP ever-use and current use between 2022 and 2024 among adults with established nicotine product use, consistent with national sales trends. Further research is needed to determine whether adults are using NPs as a tool to quit smoking or sustain abstinence after quitting.

Indexed as

Co-substance useElectronic nicotine delivery devicesHarm ReductionNicotine

Identifiers

PMID41203432
PMCPMC12751099

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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.