Evidence map›Paper›PMID 41903399›Full record

ArticleDrug and alcohol dependence2026

Perceived neighborhood disadvantage and current nicotine pouch use among U.S. youth.

Delvon T Mattingly, Meman Diaby, Jing Zhang, Juhan Lee, Melinda Ickes

Abstract read
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Article in Drug and alcohol dependence, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Delvon T MattinglyDepartment of Behavioral Science, College of Medicine, University of Kentucky, Lexington, KY 40536, United States; Center for Health, Engagement, and Transformation, College of Medicine, University of Kentucky, Lexington, KY 40536, United States. Electronic address: delvonmattingly@uky.edu.
Meman DiabyCenter for Health, Engagement, and Transformation, College of Medicine, University of Kentucky, Lexington, KY 40536, United States.
Jing ZhangCollege of Nursing, University of Kentucky, Lexington, KY 40506, United States.
Juhan LeeDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY 10461, United States; Montefiore Einstein Comprehensive Cancer Center, Bronx, NY 10461, United States.
Melinda IckesCollege of Education, University of Kentucky, Lexington, KY 40506, United States.

Funding

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 Shyanika W Rose · 2023 to 2026
$19.2M
Local Flavor Policies to Enhance Equity in Tobacco - A Diversity SupplementR01CA251478 · NCI · UNIVERSITY OF KENTUCKY · PI ROSE, SHYANIKA W · 2021 to 2025
$3.0M
NCI NIH HHS R01 CA251478NIDA NIH HHS U54 DA058256
6 · The paper itself

Abstract

introductionNicotine pouches (NPs) are emerging nicotine products that appeal to youth due to their discreet use, tobacco-free formulation, and flavor availability. However, given their recent introduction to the market, little is known about how neighborhood environments may influence US youth NP use.

methodsWe imputed cross-sectional data from the 2023 National Youth Tobacco Survey (n = 22,069, ages 9 + years) and developed a neighborhood risk score (range: 1-4) by averaging 10 items related to neighborhood disorder, safety, and disadvantage. To estimate associations between the risk score and current (past 30-day) NP use, we fit logistic regression models adjusted for sociodemographic, school, environmental, and behavioral characteristics.

resultsThe prevalence of current NP use was 1.6% (95% CI=1.0-2.1). The mean neighborhood risk score was 1.6 (95% CI=1.6-1.7) and was higher among youth who currently used NPs (mean=2.1, 95% CI=1.8-2.3) vs. those who did not (mean=1.6, 95% CI=1.6-1.7). Adjusted results showed that for each unit increase in neighborhood disadvantage, the odds of current NP use increased by 77% (95% CI=1.08-2.91). Further, specific neighborhood items included in the risk score, such as violence and vandalism, were associated with NP use. DISCUSSION: This study found that youth living in high-risk neighborhoods had higher odds to use NPs, highlighting the influence of environmental factors on novel tobacco/nicotine use. The findings support the need for community-level prevention strategies to address youth use of emerging tobacco/nicotine products.

Indexed as

Neighborhood CharacteristicsResidence CharacteristicsTobacco ProductsAdolescentChildCross-Sectional StudiesFemaleHumansMaleUnited StatesHealth disparitiesNeighborhood environmentNeighborhood riskNicotineNicotine pouchTobaccoYouth

Identifiers

PMID41903399
PMCPMC13127341

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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.