Evidence map›Paper›PMID 42879051›Full record

ArticleJournal of community health2026

Heated Tobacco Product Awareness and Use Among Young Adult Texas College Students During a Period of Renewed Market Activity, 2025-2026.

Caroline North, Alexandra Loukas, Jessica L Barington-Trimis, Yi-Chun Chang, Adam M Leventhal, Alyssa F Harlow

Abstract read
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In one paragraph

Article in Journal of community health, 2026. 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

6 authors.

Caroline NorthDepartment of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA. cnorth@usc.edu.ORCID http://orcid.org/0000-0002-7378-8228
Alexandra LoukasDepartment of Kinesiology and Health Education, College of Education, University of Texas at Austin, Austin, TX, USA.
Jessica L Barington-TrimisDepartment of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Yi-Chun ChangDepartment of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Adam M LeventhalDepartment of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Alyssa F HarlowDepartment of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

Funding

National Cancer Institute and US Food and Drug Administration Center for Tobacco Products U54CA180905Texas Department of State Health Services Texas Department of State Health Services
6 · The paper itself

Abstract

Little is known about heated tobacco product (HTP; e.g., IQOS) use among young adults following IQOS reentry to the US market, initially centered in Austin, Texas. We examined HTP awareness and use among Texas college students during renewed market activity. Repeated cross-sectional surveys included 17,750 participants (18-29y) attending 19 Texas colleges in 2025 and 2026. Mixed-effects logistic regression models examined changes in HTP awareness and use by survey year, campus location (Austin vs. non-Austin), and demographic, tobacco use, and cessation correlates. Overall, 14.8% reported HTP awareness, 2.5% lifetime use, and 0.6% past-30-day use. HTP outcomes did not change from 2025 to 2026 or differ by campus location. Males (vs. females) had higher odds of HTP awareness (OR = 1.48, 95%CI:1.36-1.61) and lifetime use (OR = 1.40, 95%CI:1.15-1.70). Asian (vs. non-Hispanic White) participants had lower odds of awareness (OR = 0.76, 95%CI:0.66-0.86) and lifetime use (OR = 0.54, 95%CI:0.37-0.79). Former and current (vs. never) smoking, smokeless tobacco, and nicotine pouch use were positively associated with awareness and use (OR range = 1.25-4.25). E-cigarette use was associated with lower odds of awareness (OR = 0.79, 95%CI:0.69-0.90) but higher odds of lifetime (OR = 2.13, 95%CI:1.69-2.69) and past 30-day use (OR = 10.40, 95%CI:6.09-17.60). Currently trying to quit tobacco was associated with greater odds of lifetime use (OR = 1.45, 95%CI:1.05-2.00); no other cessation associations were observed. HTP use was uncommon but more frequently reported among young adults using other tobacco products. Findings did not indicate a consistent pattern of HTP use in the context of tobacco cessation. Continued surveillance is warranted as HTP availability expands.

Indexed as

College studentsHeated tobacco productsIQOSTobacco surveillanceTobacco useYoung adults

Identifiers

PMID42879051

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.