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Prevalence and risk perceptions of nicotine pouch use: A systematic review of population-based studies - PubMed

4 hours ago
  • #prevalence
  • #nicotine-pouches
  • #risk-perception
  • Nicotine pouches (NPs) are a new class of non-combustible nicotine products gaining rapid popularity.
  • This systematic review synthesized global evidence on NP prevalence and risk perceptions from population-based studies.
  • From 6752 records, 16 studies were included, covering countries like the US, UK, Canada, Switzerland, the Netherlands, Finland, Poland, and Saudi Arabia.
  • Prevalence varied by country and demographic: in the US, ever use ranged 0.6%-17.9% and current use 0.8%-12.0%; in Europe, current use ranged 0.06%-4.3%.
  • Use was higher among adults aged 18-40 and males, often concurrent with cigarettes, e-cigarettes, and smokeless tobacco.
  • Perceptions indicated NPs as less harmful, less addictive, and more socially acceptable than cigarettes.
  • Marketing emphasizing flavors or cessation benefits increased appeal, especially among youth perceiving low risk.
  • Global NP prevalence remains low but varies, with higher use among younger adults and males, and common concurrent use with other nicotine products.