Rising Trend of Nicotine Pouch Use Among U.S. Teenagers, New Study Finds

Recent research indicates a significant increase in the use of nicotine pouches among U.S. high school students, with nearly doubling the prevalence between 2023 and 2024. Nicotine pouches are small, discreet sachets containing nicotine and other additives, designed to be placed between the gum and lip, making them easily concealable. The study, conducted through surveys of over 10,000 adolescents nationwide and published in JAMA Network Open, reveals that in 2024, 5.4% of teens reported having used these products, compared to just 3.0% in 2023. The data also shows an uptick in recent use, with more teens engaging with nicotine pouches over the past 30 days and 12 months, often alongside e-cigarette use, although vaping rates have slightly declined during this period. Interestingly, dual use of both products increased, suggesting a possible shift towards multiple nicotine sources among youth.

Certain demographic groups, such as males, non-Hispanic white teens, and those living in rural areas, were identified as having higher usage rates, mirroring patterns seen with traditional smokeless tobacco products. Experts warn that the long-term health effects of nicotine pouches are still unknown, but potential risks include nicotine addiction and oral health issues like mouth sores and gum irritation. Moreover, adolescent exposure to nicotine may impair brain development, affecting learning, memory, and attention.

The rise of nicotine pouch popularity is partly fueled by social media influencers promoting the products as symbols of confidence, masculinity, and mental acuity. Despite the U.S. Food and Drug Administration's approval of Zyn, a popular nicotine pouch brand, for marketing to adults over 21, concerns remain about youth access and appeal. Public health advocates emphasize the need for regulatory action and targeted prevention strategies to curb increasing usage among vulnerable populations. Ongoing surveillance and research are crucial to understand long-term trends, health outcomes, and the effectiveness of policy measures aimed at reducing nicotine use among young people.