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Nicotine pouch use in US youth: flavours and convenience linked to more frequent use

US youth who tried nicotine pouches mostly cited experimentation, but flavours, convenience and feeling addicted were tied to frequent use.

This study used the 2025 Monitoring the Future survey, in which 484 US youth (6.1%) reported ever using nicotine pouches. Experimentation (32.3%) and nicotine buzz (30.5%) were the commonest reasons, while quitting smoking (6.2%) and feeling addicted (2.1%) were rare. Citing flavours, convenience or feeling addicted was linked to past 30-day use (prevalence ratios 1.50-2.35). These reasons were also linked to more days of use (incidence rate ratios 1.60-2.55). Experimentation was linked to fewer days of use (incidence rate ratio 0.42). Reasons overlapped with e-cigarettes, but that comparison used subsamples of only 57 frequent pouch users and 397 frequent vapers.

Why it is interesting: Regular pouch users and regular vapers in this survey gave similar leading reasons: relaxation, convenience, nicotine buzz and flavours. Flavours and convenience were tied to both current use and frequency of use.

Source
Pediatrics, 26 October 2026
Paper
Reasons for Nicotine Pouch Use Among US Youth: 2025
Authors
Chang YC, Cho J, Bae D, Harlow AF, Sanchez LM, Han DH et al.
DOI
10.1542/peds.2026-076821
Type
Peer-reviewed article
Design
Cross-sectional analysis of the nationally representative 2025 Monitoring the Future survey; 484 US youth reporting ever nicotine pouch use, with comparison to 397 regular e-cigarette users
Verdict
New finding
Driver
Smoking and vaping
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