Researchers Find Pouches Shifting Nicotine Delivery Trend with Youth

Researchers at USC’s Keck School of Medicine offered a press release titled “Use of nicotine pouches increases significantly among U.S. teens.” It begins by saying, “The use of nicotine pouches nearly doubled among U.S. high school students between 2023 and 2024,” with Dae-Hee Han, first author of the study, saying, “This growing public health issue needs more attention. Like flavored e-cigarettes when they first emerged, use of this new oral nicotine product is becoming more widespread, particularly among adolescents.”

Randomly selected responses from one-third of the 10,000 high school students surveyed found that between 2023 and 2024, nicotine pouch use increased from 3.0% to 5.4% all-time, and from 1.3% to 2.6% in the last 30 days. Dual use of nicotine pouches and e-cigarettes also increased, going from 2.7% to 4.7% lifetime and 1.1% to 1.7% in the last 30 days.

On the other hand, exclusive e-cigarette use declined from 25.7% to 22.0% lifetime, and from 12.3% to 10.1% in the last 30 days. And the use of non-tobacco nicotine products declined from 28.8% to 27.4% lifetime, and from 13.6% to 12.7% in the last 30 days.

Researchers said the trends reflect a shift in nicotine delivery products rather than a change in the overall prevalence of non-tobacco nicotine use among the students.