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Nicotine pouch use among U.S. tobacco users has tripled since 2021, study finds
A study published in the journal Addiction found that current nicotine pouch use among American adults who use tobacco rose from about 3% in 2021 to about 10% in 2024.
Nicotine pouch use among American adults who already use tobacco more than tripled in three years, rising from about 3% in 2021 to roughly 10% in 2024, according to a study published in the journal Addiction.
Nearly a third of tobacco users had tried a pouch at least once in 2024, almost double the roughly 16% recorded in 2021. The study, led by Ashley Merianos of the University of Cincinnati, analyzed two national online surveys conducted by YouGov.
Nicotine pouches, small packets placed between the lip and gum, reached the U.S. market in 2016. Sales climbed from 327 million units in 2021 to 1.046 billion in 2024. They are marketed as tobacco-free, but the researchers note that independent evidence on their health effects is limited.
Among all 3,200 adults surveyed in 2024, about 11% had tried a pouch and nearly 3% used one currently. Men were far more likely than women to have tried them, 15% versus 6%, and adults aged 21 to 45 outpaced those over 60.
Use was highest among people who also use smokeless tobacco such as chewing tobacco and snuff: current pouch use in that group jumped from about 13% in 2021 to roughly 44% in 2024.
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