Emerging Trends in Nicotine Use Among US High School Students

Recent research from the University of Southern California and the University of Michigan indicates a notable shift in nicotine consumption patterns among American adolescents. While traditional e-cigarette use has decreased, there has been a significant rise in the use of nicotine pouches, especially in combination with e-cigarettes. The study highlights that although overall use of non-tobacco nicotine products remains relatively stable, specific forms like nicotine pouches are gaining popularity.

Nicotine pouches, a relatively new entrant into the tobacco product market, are non-tobacco flavored pouches that contain nicotine. Sold in varieties such as fruit, mint, and candy, they are designed to be discreet, requiring no spitting and offering a socially acceptable alternative to cigarettes or smokeless tobacco. Their marketing on social media platforms appeals particularly to youth, emphasizing flavors and convenience.

The study, published in JAMA Network Open, analyzed survey data from over 10,000 U.S. middle and high school students collected during 2023 and 2024. Results demonstrated a concerning increase in nicotine pouch use, with lifetime use rising from 3.0% to 5.4%, and past-12-month use from 2.4% to 4.6%. In contrast, exclusive e-cigarette use declined during this period. Meanwhile, dual use of both pouches and e-cigarettes increased significantly.

Differences in usage patterns were observed based on demographics; nicotine pouch use was higher among males, non-Hispanic white and rural students, and those without plans for college. Some subgroups, such as Hispanic students, showed even larger increases, especially in recent pouch use. These trends suggest a shift in youth nicotine consumption, emphasizing the importance of targeted public health strategies.

Experts believe that increased marketing, flavored options, and perceptions of reduced harm contribute to the rising popularity of nicotine pouches among youth. The findings call for enhanced surveillance, regulation, and preventive efforts to curb the rise of these products and their co-use with e-cigarettes.

Authoritative sources and further details are available from the study "Nicotine Pouch and E-Cigarette Use and Co-Use Among US Youths in 2023 and 2024," published in JAMA Network Open. The ongoing evolution of nicotine products among teenagers underscores the need for continuous monitoring and proactive public health responses.