Evidence map›Paper›PMID 41510182›Full record

ArticleTobacco use insights2026

Patterns and Perception of Nicotine Pouches Use Among Adults in Saudi Arabia.

Abdulrhman S Alghamdi, Abdulaziz F Albukhait, Faisal S Aldosari, Adel S Alkahtani, Khalid S Alwadeai, Saleh S Algarni, Abdulelah M Aldhahir, Mushabbab A Alahmari, Wayil H Alanazi, Rayan A Siraj

Abstract read
In one paragraph

Article in Tobacco use insights, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

10 authors.

Abdulrhman S AlghamdiDepartment of Health Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.ORCID https://orcid.org/0000-0001-6413-5746
Abdulaziz F AlbukhaitDepartment of Health Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.
Faisal S AldosariDepartment of Health Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.
Adel S AlkahtaniDepartment of Health Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.
Khalid S AlwadeaiDepartment of Health Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.
Saleh S AlgarniDepartment of Respiratory Therapy, College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Abdulelah M AldhahirRespiratory Therapy Program, Department of Nursing, College of Nursing and Health Sciences, Jazan University, Jazan, Saudi Arabia.
Mushabbab A AlahmariDepartment of Respiratory Therapy, College of Applied Medical Sciences, University of Bisha, Bisha, Saudi Arabia.
Wayil H AlanaziRespiratory Care Services, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Rayan A SirajDepartment of Respiratory Therapy, College of Applied Medical Sciences, King Faisal University, Al-Ahsa, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Nicotine pouches (NPs) are smokeless, tobacco-free products gaining global popularity, particularly among youth, for perceived harm reduction. However, many concerns remain regarding their side effects, addictive potential and cardiovascular risks as they avoid the inhalation of smoke but still pose toxicity. Research on NP use patterns in regions such as Saudi Arabia is lacking. Methods: A cross-sectional survey was conducted online from March to August 2025 targeting NP users aged 18 years or older in Saudi Arabia. The employed questionnaire evaluated demographics, usage habits, health impacts, dependency levels and risk perception. Descriptive statistics and Chi-square tests ( Results: Most participants were male (92.17%), aged 18-24 (46.18%), and Saudi (97.85%), with 88.45% reporting no chronic disease. Nearly half were former smokers (49.51%), 29.35% current, and 21.14% never smokers. The most used NP strength was 10 mg (59.16%), with 61.45% using 1-5 pouches/day; 72.41% reported adequate craving control. Main perceived benefits included being smoke-free (61.45%), odor-free (61.25%), and aiding cessation (58.12%). Common symptoms were nausea (47.55%) and dizziness (32.68%). Craving control was associated with dosage ( Conclusion: Nicotine pouch consumption in Saudi Arabia is prevalent among young current and former smokers, valued for perceived safety, affordability, and cessation support. Stronger strengths and frequent use correlated with greater dependency and motivation to quit. While effective for craving control, reported side effects highlight the need to raise awareness of potential health risks from long-term use.

Indexed as

harm reductionnicotine dependencepublic health awareness

Identifiers

PMID41510182
PMCPMC12775347

What OpenQuestion holds

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Registered trials

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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.