Awareness, susceptibility, and use of oral nicotine pouches and comparative risk perceptions with smokeless tobacco among young adults in the United States
Oral nicotine pouches (NPs) that contain nicotine but no tobacco leaves are rapidly gaining popularity. However, there is limited research on NPs, including within priority populations. In the current study, we examined awareness of, susceptibility to, and use of NPs in young adults as well as compa...
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| Veröffentlicht in: | PloS one 2023-01, Vol.18 (1), p.e0281235 |
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| creator | Morean, Meghan E Bold, Krysten W Davis, Danielle R Kong, Grace Krishnan-Sarin, Suchitra Camenga, Deepa R |
| description | Oral nicotine pouches (NPs) that contain nicotine but no tobacco leaves are rapidly gaining popularity. However, there is limited research on NPs, including within priority populations. In the current study, we examined awareness of, susceptibility to, and use of NPs in young adults as well as comparative risk perceptions with smokeless tobacco.
In 2021, 609 young adults (18-25 years) completed an online survey. Participants reported on NP awareness, susceptibility, and use as well as on comparative product perceptions for NPs versus smokeless tobacco. We ran unadjusted between-groups comparisons and an adjusted multinomial logistic regression to identify relationships between product perceptions and NP susceptibility and use.
41.5% of participants had heard of NPs before. Participants were non-susceptible (66.2%), susceptible (23.5%), or had used NPs (10.3%). Comparative product perceptions between NPs and smokeless tobacco suggested that young adults, as a whole, expressed uncertainty about the relative risk/benefit of using NPs versus smokeless tobacco. However, as expected, unadjusted and adjusted findings indicated that favorable perceptions of NPs versus smokeless tobacco were disproportionately observed among susceptible participants and NP users compared to non-susceptible individuals. Demographic differences were also observed (e.g., NP users were more likely than non-susceptible and susceptible individuals to have used smokeless tobacco).
Young adults reported awareness of, susceptibility to, and use of NPs, with findings indicating that favorable perceptions of NPs versus smokeless tobacco may contribute to NP susceptibility and use beyond known correlates like smokeless tobacco use. However, further research is needed to understand the full range of factors that are associated with NP susceptibility and use. It will be important to disentangle factors that are associated with potential positive public health impacts (e.g., switching from smokeless tobacco to exclusive NP use) from those associated with negative public health impacts (e.g., initiation among nicotine naïve individuals). |
| doi_str_mv | 10.1371/journal.pone.0281235 |
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In 2021, 609 young adults (18-25 years) completed an online survey. Participants reported on NP awareness, susceptibility, and use as well as on comparative product perceptions for NPs versus smokeless tobacco. We ran unadjusted between-groups comparisons and an adjusted multinomial logistic regression to identify relationships between product perceptions and NP susceptibility and use.
41.5% of participants had heard of NPs before. Participants were non-susceptible (66.2%), susceptible (23.5%), or had used NPs (10.3%). Comparative product perceptions between NPs and smokeless tobacco suggested that young adults, as a whole, expressed uncertainty about the relative risk/benefit of using NPs versus smokeless tobacco. However, as expected, unadjusted and adjusted findings indicated that favorable perceptions of NPs versus smokeless tobacco were disproportionately observed among susceptible participants and NP users compared to non-susceptible individuals. Demographic differences were also observed (e.g., NP users were more likely than non-susceptible and susceptible individuals to have used smokeless tobacco).
Young adults reported awareness of, susceptibility to, and use of NPs, with findings indicating that favorable perceptions of NPs versus smokeless tobacco may contribute to NP susceptibility and use beyond known correlates like smokeless tobacco use. However, further research is needed to understand the full range of factors that are associated with NP susceptibility and use. It will be important to disentangle factors that are associated with potential positive public health impacts (e.g., switching from smokeless tobacco to exclusive NP use) from those associated with negative public health impacts (e.g., initiation among nicotine naïve individuals).</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0281235</identifier><identifier>PMID: 36716297</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adults ; Behavior ; Biology and Life Sciences ; Chewing tobacco ; Comparative analysis ; Consent ; Disease Susceptibility ; Electronic cigarettes ; Electronic Nicotine Delivery Systems ; FDA approval ; Gender differences ; Humans ; Logistic Models ; Males ; Medicine and Health Sciences ; Nicotine ; People and Places ; Perceptions ; Physical Sciences ; Population studies ; Public health ; Risk perception ; Smokeless tobacco ; Smoking and youth ; Social Sciences ; Surveys ; Surveys and Questionnaires ; Susceptibility ; Teenagers ; Tobacco ; Tobacco Products ; Tobacco Use - epidemiology ; Tobacco, Smokeless - adverse effects ; United States - epidemiology ; Vaping ; Young Adult ; Young adults ; Youth</subject><ispartof>PloS one, 2023-01, Vol.18 (1), p.e0281235</ispartof><rights>Copyright: © 2023 Morean et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Morean et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 Morean et al 2023 Morean et al</rights><rights>2023 Morean et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-67061062b38361d812a7d98cb5075b768ba83129f29b66dc0d8ffca95ddc3c033</citedby><cites>FETCH-LOGICAL-c692t-67061062b38361d812a7d98cb5075b768ba83129f29b66dc0d8ffca95ddc3c033</cites><orcidid>0000-0003-4865-1155</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9886243/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9886243/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36716297$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morean, Meghan E</creatorcontrib><creatorcontrib>Bold, Krysten W</creatorcontrib><creatorcontrib>Davis, Danielle R</creatorcontrib><creatorcontrib>Kong, Grace</creatorcontrib><creatorcontrib>Krishnan-Sarin, Suchitra</creatorcontrib><creatorcontrib>Camenga, Deepa R</creatorcontrib><title>Awareness, susceptibility, and use of oral nicotine pouches and comparative risk perceptions with smokeless tobacco among young adults in the United States</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Oral nicotine pouches (NPs) that contain nicotine but no tobacco leaves are rapidly gaining popularity. However, there is limited research on NPs, including within priority populations. In the current study, we examined awareness of, susceptibility to, and use of NPs in young adults as well as comparative risk perceptions with smokeless tobacco.
In 2021, 609 young adults (18-25 years) completed an online survey. Participants reported on NP awareness, susceptibility, and use as well as on comparative product perceptions for NPs versus smokeless tobacco. We ran unadjusted between-groups comparisons and an adjusted multinomial logistic regression to identify relationships between product perceptions and NP susceptibility and use.
41.5% of participants had heard of NPs before. Participants were non-susceptible (66.2%), susceptible (23.5%), or had used NPs (10.3%). Comparative product perceptions between NPs and smokeless tobacco suggested that young adults, as a whole, expressed uncertainty about the relative risk/benefit of using NPs versus smokeless tobacco. However, as expected, unadjusted and adjusted findings indicated that favorable perceptions of NPs versus smokeless tobacco were disproportionately observed among susceptible participants and NP users compared to non-susceptible individuals. Demographic differences were also observed (e.g., NP users were more likely than non-susceptible and susceptible individuals to have used smokeless tobacco).
Young adults reported awareness of, susceptibility to, and use of NPs, with findings indicating that favorable perceptions of NPs versus smokeless tobacco may contribute to NP susceptibility and use beyond known correlates like smokeless tobacco use. However, further research is needed to understand the full range of factors that are associated with NP susceptibility and use. It will be important to disentangle factors that are associated with potential positive public health impacts (e.g., switching from smokeless tobacco to exclusive NP use) from those associated with negative public health impacts (e.g., initiation among nicotine naïve individuals).</description><subject>Adults</subject><subject>Behavior</subject><subject>Biology and Life Sciences</subject><subject>Chewing tobacco</subject><subject>Comparative analysis</subject><subject>Consent</subject><subject>Disease Susceptibility</subject><subject>Electronic cigarettes</subject><subject>Electronic Nicotine Delivery Systems</subject><subject>FDA approval</subject><subject>Gender differences</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Males</subject><subject>Medicine and Health Sciences</subject><subject>Nicotine</subject><subject>People and Places</subject><subject>Perceptions</subject><subject>Physical Sciences</subject><subject>Population studies</subject><subject>Public health</subject><subject>Risk perception</subject><subject>Smokeless tobacco</subject><subject>Smoking and youth</subject><subject>Social Sciences</subject><subject>Surveys</subject><subject>Surveys and Questionnaires</subject><subject>Susceptibility</subject><subject>Teenagers</subject><subject>Tobacco</subject><subject>Tobacco Products</subject><subject>Tobacco Use - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Morean, Meghan E</au><au>Bold, Krysten W</au><au>Davis, Danielle R</au><au>Kong, Grace</au><au>Krishnan-Sarin, Suchitra</au><au>Camenga, Deepa R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Awareness, susceptibility, and use of oral nicotine pouches and comparative risk perceptions with smokeless tobacco among young adults in the United States</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2023-01-30</date><risdate>2023</risdate><volume>18</volume><issue>1</issue><spage>e0281235</spage><pages>e0281235-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Oral nicotine pouches (NPs) that contain nicotine but no tobacco leaves are rapidly gaining popularity. However, there is limited research on NPs, including within priority populations. In the current study, we examined awareness of, susceptibility to, and use of NPs in young adults as well as comparative risk perceptions with smokeless tobacco.
In 2021, 609 young adults (18-25 years) completed an online survey. Participants reported on NP awareness, susceptibility, and use as well as on comparative product perceptions for NPs versus smokeless tobacco. We ran unadjusted between-groups comparisons and an adjusted multinomial logistic regression to identify relationships between product perceptions and NP susceptibility and use.
41.5% of participants had heard of NPs before. Participants were non-susceptible (66.2%), susceptible (23.5%), or had used NPs (10.3%). Comparative product perceptions between NPs and smokeless tobacco suggested that young adults, as a whole, expressed uncertainty about the relative risk/benefit of using NPs versus smokeless tobacco. However, as expected, unadjusted and adjusted findings indicated that favorable perceptions of NPs versus smokeless tobacco were disproportionately observed among susceptible participants and NP users compared to non-susceptible individuals. Demographic differences were also observed (e.g., NP users were more likely than non-susceptible and susceptible individuals to have used smokeless tobacco).
Young adults reported awareness of, susceptibility to, and use of NPs, with findings indicating that favorable perceptions of NPs versus smokeless tobacco may contribute to NP susceptibility and use beyond known correlates like smokeless tobacco use. However, further research is needed to understand the full range of factors that are associated with NP susceptibility and use. It will be important to disentangle factors that are associated with potential positive public health impacts (e.g., switching from smokeless tobacco to exclusive NP use) from those associated with negative public health impacts (e.g., initiation among nicotine naïve individuals).</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>36716297</pmid><doi>10.1371/journal.pone.0281235</doi><tpages>e0281235</tpages><orcidid>https://orcid.org/0000-0003-4865-1155</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Public Library of Science (PLoS) Journals Open Access; MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adults Behavior Biology and Life Sciences Chewing tobacco Comparative analysis Consent Disease Susceptibility Electronic cigarettes Electronic Nicotine Delivery Systems FDA approval Gender differences Humans Logistic Models Males Medicine and Health Sciences Nicotine People and Places Perceptions Physical Sciences Population studies Public health Risk perception Smokeless tobacco Smoking and youth Social Sciences Surveys Surveys and Questionnaires Susceptibility Teenagers Tobacco Tobacco Products Tobacco Use - epidemiology Tobacco, Smokeless - adverse effects United States - epidemiology Vaping Young Adult Young adults Youth |
| title | Awareness, susceptibility, and use of oral nicotine pouches and comparative risk perceptions with smokeless tobacco among young adults in the United States |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-07T04%3A15%3A17IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Awareness,%20susceptibility,%20and%20use%20of%20oral%20nicotine%20pouches%20and%20comparative%20risk%20perceptions%20with%20smokeless%20tobacco%20among%20young%20adults%20in%20the%20United%20States&rft.jtitle=PloS%20one&rft.au=Morean,%20Meghan%20E&rft.date=2023-01-30&rft.volume=18&rft.issue=1&rft.spage=e0281235&rft.pages=e0281235-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0281235&rft_dat=%3Cgale_plos_%3EA735192279%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2770992710&rft_id=info:pmid/36716297&rft_galeid=A735192279&rft_doaj_id=oai_doaj_org_article_69e584236b7843f6874a56b91604d143&rfr_iscdi=true |