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