Affiliation:
1. Department of Behavioural Science and Health, University College London , London , UK
2. SPECTRUM Consortium , UK
3. Addictions and Inclusion, Office for Health Improvement and Disparities , London , UK
Abstract
Abstract
Introduction
Tobacco-free nicotine pouches are products that are placed between the lip and gum, where they deliver nicotine to users. Little is known about nicotine pouch use in Great Britain since they entered the market in 2019.
Methods
Data came from a monthly representative survey of the adult (≥18 years) population in Great Britain (England, Scotland, and Wales) between November 2020 and October 2021 (n = 25 698). We estimated the weighted prevalence of pouch use, overall and stratified by demographics, smoking status, and other nicotine use.
Results
Nicotine pouch use was rare among adults, with a weighted prevalence of just 0.26% (95% compatibility interval [CI] = 0.19–0.35). Prevalence doubled from November 2020 to October 2021 (0.14%–0.32%; prevalence ratio [PR] = 2.22, 95% CI = 1.33–3.70). Pouch use was over four times more common among men than women (0.42% vs. 0.09%; PR = 4.55, 95% CI = 2.27–9.09) but less common in older age groups (p < .001). Pouch use was more prevalent among current smokers (0.87%; PR = 13.60, 95% CI = 5.46–33.89), recent former smokers (0.97%; PR = 15.21, 95% CI = 4.03–57.42), and long-term (>1 year) former smokers (0.24%; PR = 3.71, 95% CI = 1.36–10.15), compared with never smokers (0.06%). Prevalence was also elevated among e-cigarette (1.64% vs. 0.15%; PR = 10.59, 95% CI = 5.74–19.52) and nicotine replacement therapy users (2.02% vs. 0.21%; PR = 9.75, 95% CI = 4.64–20.49).
Conclusions
One in 400 adults in Great Britain use nicotine pouches, but the prevalence increased from 2020 to 2021.
Implications
Tobacco-free nicotine pouches were introduced to the market in Great Britain in 2019. We found that while pouch use is currently rare in Great Britain, these products have become more popular over time. Pouch use is largely concentrated among younger and middle-aged men who use other nicotine products and have a history of smoking. Continued monitoring of nicotine pouch use is needed.
Funder
CRUK
UK Prevention Research Partnership
British Heart Foundation
Cancer Research UK
Chief Scientist Office of the Scottish Government Health and Social Care Directorates
Engineering and Physical Sciences Research Council
Economic and Social Research Council
Health and Social Care Research and Development Division
Medical Research Council
National Institute for Health Research
Natural Environment Research Council
Public Health Agency
Health Foundation and Wellcome
Public Health England
Office for Health Improvement and Disparities
Publisher
Oxford University Press (OUP)
Subject
Public Health, Environmental and Occupational Health
Cited by
16 articles.
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