{"id":8851,"date":"2025-04-30T08:00:00","date_gmt":"2025-04-30T15:00:00","guid":{"rendered":"https:\/\/keck.usc.edu\/news\/?p=8851"},"modified":"2025-05-08T10:06:47","modified_gmt":"2025-05-08T17:06:47","slug":"use-of-nicotine-pouches-increases-significantly-among-u-s-teens","status":"publish","type":"post","link":"https:\/\/keck.usc.edu\/news\/use-of-nicotine-pouches-increases-significantly-among-u-s-teens\/","title":{"rendered":"Use of nicotine pouches increases significantly among U.S. teens"},"content":{"rendered":"\n  \n    \n\n\n\n\n\n\n<div\n  class=\"cc--component-container cc--article-hero \"\n\n  \n  \n  \n  \n  \n  \n  >\n  <div class=\"c--component c--article-hero\"\n    \n      >\n\n    \n  <div class=\"text-container\">\n              \n<div class=\"f--field f--eyebrow\">\n\n    \n  <span>Press Release<\/span>\n\n\n\n<\/div>\n    \n              \n<div class=\"f--field f--page-title\">\n\n    \n      <h1>Use of nicotine pouches increases significantly among U.S. teens<\/h1>\n\n\n<\/div>\n    \n              \n<div class=\"f--field f--description\">\n\n    \n  <p>In a nationally representative survey of more than 10,000 high school students, a team led by Keck School of Medicine of USC researchers found that about twice as many teens used nicotine pouches in 2024 than in 2023.<\/p>\n\n\n\n<\/div>\n    \n          <div class=\"meta\">\n                  <span class=\"author\">Zara Abrams<\/span>\n        \n                  <span class=\"date\">April 30, 2025<\/span>\n              <\/div>\n    \n              \n<div class=\"f--field f--embed\">\n\n    \n  <div class=\"heateor_sss_sharing_container heateor_sss_horizontal_sharing\" data-heateor-ss-offset=\"0\" data-heateor-sss-href='https:\/\/keck.usc.edu\/news\/use-of-nicotine-pouches-increases-significantly-among-u-s-teens\/'><div class=\"heateor_sss_sharing_ul\"><a aria-label=\"Facebook\" class=\"heateor_sss_facebook\" 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.26.015.37.046.114.03.23.09.346.175.117.085.202.153.256.2.054.05.15.148.29.29.14.146.222.23.25.258.294-.278.442-.606.442-.983zM27 21.177c0 1.078-.382 1.99-1.146 2.736l-1.982 1.968c-.745.75-1.658 1.12-2.736 1.12-1.087 0-2.004-.38-2.75-1.143l-2.777-2.79c-.75-.747-1.12-1.66-1.12-2.737 0-1.106.392-2.046 1.183-2.818l-1.186-1.185c-.774.79-1.708 1.186-2.805 1.186-1.078 0-1.995-.376-2.75-1.13l-2.803-2.81C5.377 12.82 5 11.903 5 10.826c0-1.08.382-1.993 1.146-2.738L8.128 6.12C8.873 5.372 9.785 5 10.864 5c1.087 0 2.004.382 2.75 1.146l2.777 2.79c.75.747 1.12 1.66 1.12 2.737 0 1.105-.392 2.045-1.183 2.817l1.186 1.186c.774-.79 1.708-1.186 2.805-1.186 1.078 0 1.995.377 2.75 1.132l2.804 2.804c.754.755 1.13 1.672 1.13 2.75z\"\/><\/svg><\/span><\/a><\/div><div class=\"heateorSssClear\"><\/div><\/div>\n\n\n<\/div>\n        \n  <\/div>\n\n          \n<div class=\"f--field f--image\">\n\n    \n    \n    \n        <figure>\n    \n    \n    \n              \n      <img\n                            data-src=\"https:\/\/keck.usc.edu\/news\/wp-content\/uploads\/sites\/68\/2025\/04\/iStock-1254873488-768x432.jpg\"\n          data-srcset=\"https:\/\/keck.usc.edu\/news\/wp-content\/uploads\/sites\/68\/2025\/04\/iStock-1254873488-1920x1080.jpg 1920w,https:\/\/keck.usc.edu\/news\/wp-content\/uploads\/sites\/68\/2025\/04\/iStock-1254873488-1280x720.jpg 1280w,https:\/\/keck.usc.edu\/news\/wp-content\/uploads\/sites\/68\/2025\/04\/iStock-1254873488-768x432.jpg 768w\"          data-sizes=\"(min-width:1200px) 75vw, (min-width:768px) 83vw, 100vw\"          class=\"lazyload\"\n        \n        alt=\"Caucasian person holds snus tobacco pouch over black background. copy space. alternative chewing nicotine smoking.\"\n        \n                                      \/>\n\n    \n          <figcaption><p>Photo\/iStock<\/p>\n<\/figcaption>\n    <\/figure>\n    \n  \n  \n\n<\/div>\n  \n\n  <\/div><\/div>\n\n\n\n\n  \n    \n\n\n\n\n\n\n<div\n  class=\"cc--component-container cc--rich-text white\"\n\n  \n  \n  \n  \n  \n  \n  >\n  <div class=\"c--component c--rich-text\"\n    \n      >\n\n    \n  <div class=\"inner-wrapper\">\n        \n<div class=\"f--field f--wysiwyg\">\n\n    \n  <div style=\"float: right;width: 240px;height: 427px;margin-left: 15px;margin-bottom: 10px\"><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/agBkQUnDKf4\" width=\"100%\" height=\"100%\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><br \/>\n<\/iframe><\/div>\n<p><span style=\"font-weight: 400\">The use of nicotine pouches \u2014 small, easily concealed sachets of nicotine and additives that are placed between the gum and lip \u2014 nearly doubled among U.S. high school students between 2023 and 2024, according to a new USC study.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The research, involving surveys of more than 10,000 teens from around the country, appears in <\/span><i><span style=\"font-weight: 400\">JAMA Network Open<\/span><\/i><span style=\"font-weight: 400\">.<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u201cThis 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,\u201d said Dae-Hee Han, PhD, a postdoctoral scholar in population and public health sciences at the Keck School of Medicine of USC and first author of the study.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The findings come at a time of growing national concern over nicotine pouches like Zyn, which have surged in popularity on social media through a wave of young \u201cZynfluencers,\u201d who often link pouch use to confidence, masculinity and mental sharpness.\u00a0 Organizations such as the <\/span><a href=\"https:\/\/newsroom.heart.org\/news\/public-policies-are-vital-to-prevent-the-use-of-popular-oral-nicotine-products\"><span style=\"font-weight: 400\">American Heart Association<\/span><\/a><span style=\"font-weight: 400\"> and the <\/span><a href=\"https:\/\/www.tobaccofreekids.org\/what-we-do\/global\/nicotine-pouches\"><span style=\"font-weight: 400\">Campaign for Tobacco-Free Kids<\/span><\/a><span style=\"font-weight: 400\"> have called for regulation of nicotine pouches, citing concerns about use among teens.<\/span><\/p>\n<p><span style=\"font-weight: 400\">In January, the U.S. Food and Drug Administration (FDA) <\/span><a href=\"https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-authorizes-marketing-20-zyn-nicotine-pouch-products-after-extensive-scientific-review\"><span style=\"font-weight: 400\">authorized Zyn<\/span><\/a> <span style=\"font-weight: 400\">to market flavored nicotine pouches to adults 21 and older as commercial tobacco products. The rationale for the FDA decision was that nicotine pouches may be a less harmful alternative to cigarettes for adults who want to quit smoking; but unlike nicotine gum and patches, they are not FDA-approved as <\/span><a href=\"https:\/\/www.fda.gov\/consumers\/consumer-updates\/want-quit-smoking-fda-approved-and-fda-cleared-cessation-products-can-help\"><span style=\"font-weight: 400\">official smoking cessation products<\/span><\/a><span style=\"font-weight: 400\">. A 2024 Keck School of Medicine of USC study found that <\/span><a href=\"https:\/\/keck.usc.edu\/news\/few-u-s-adults-use-nicotine-pouches-study-finds\/\"><span style=\"font-weight: 400\">less than 1% of adults<\/span><\/a><span style=\"font-weight: 400\"> were using them, raising questions about who is buying them.\u00a0<\/span><\/p>\n<h3><b>Tracking trends in use<\/b><\/h3>\n<p><span style=\"font-weight: 400\">Funded in part by the National Institutes of Health, Han and his colleagues analyzed surveys from 10,146 10<\/span><span style=\"font-weight: 400\">th<\/span><span style=\"font-weight: 400\"> and 12<\/span><span style=\"font-weight: 400\">th<\/span><span style=\"font-weight: 400\"> graders around the country who participate in <\/span><a href=\"https:\/\/monitoringthefuture.org\/\"><span style=\"font-weight: 400\">Monitoring the Future<\/span><\/a><span style=\"font-weight: 400\">, an annual survey launched in 1975 that asks students about their substance use. In 2024, 5.4% of teens said they had used nicotine pouches, compared to 3.0% in 2023. More teens also reported using nicotine pouches in the past 30 days and past 12 months, as well as using both pouches and e-cigarettes in 2024, compared to 2023.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Over the same time period, the share of teens vaping decreased. In 2023, 20% of teens surveyed had used e-cigarettes in the past 12 months, compared to 17.6% in 2024. But dual use of both e-cigarettes and nicotine pouches increased: 3.6% of teens had used both products in the past 12 months in 2024, compared to 2.1% in 2023. Compared to the previous year, more teens also reported in 2024 that they had used both products in their lifetime.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Some teens faced a higher risk of nicotine pouch use than others. Those who are male, non-Hispanic white or living in a rural area were more likely than their counterpart peers to use nicotine pouches. Researchers say this demographic mirrors that of traditional smokeless tobacco products, such as those who use chewing tobacco, highlighting the need for a tailored prevention strategy.<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u201cWe\u2019re finding that the risk profile differs quite a bit between nicotine pouches and e-cigarettes, which means we need prevention approaches that are targeted for each,\u201d Han said.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The long-term health effects of nicotine pouches are unknown, but they carry the risk of nicotine addiction, and some users report symptoms such as mouth sores and gum irritation after using them. Other<\/span><span style=\"font-weight: 400\"> research has suggested that exposure to nicotine during adolescence may harm brain development and cause problems with learning, memory and attention.<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u201cParents, teachers, and pediatricians should be aware that teen nicotine pouch use is increasing across the nation,\u201d said the study\u2019s senior author, <\/span><a href=\"https:\/\/keck.usc.edu\/faculty-search\/adam-matthew-leventhal\/\"><span style=\"font-weight: 400\">Adam Leventhal, PhD<\/span><\/a><span style=\"font-weight: 400\">, a University Professor of Population and Public Health Sciences at the Keck School of Medicine and executive director of the\u00a0<\/span><a href=\"https:\/\/ias.usc.edu\/\"><span style=\"font-weight: 400\">USC Institute for Addiction Science<\/span><\/a><span style=\"font-weight: 400\">. \u201cTo reverse this trend, we need to heighten public awareness about pouches and educate youth about them.\u00a0Policymakers might also consider ramping up regulation of the booming pouch market\u2014including cinnamon, fruit and other attractive flavors\u2014to protect youth.\u201d<\/span><\/p>\n<h3><b>Regulation and prevention<\/b><\/h3>\n<p><span style=\"font-weight: 400\">The FDA\u2019s decision to authorize Zyn nicotine pouch marketing relied partly on data from the <\/span><a href=\"https:\/\/www.fda.gov\/tobacco-products\/youth-and-tobacco\/results-annual-national-youth-tobacco-survey\"><span style=\"font-weight: 400\">National Youth Tobacco Survey<\/span><\/a><span style=\"font-weight: 400\"> (NYTS), which surveyed a different group of teens and found that the increase in teens who used nicotine pouches in the past month between 2023 and 2024 was not statistically significant.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Like the USC-led survey, the NYTS also found significant increases in lifetime use of nicotine pouches between 2023 and 2024 among U.S. high school students. The FDA did not address this increase in lifetime use in its decision to authorize the marketing of Zyn pouches. Further examining changes in lifetime and past-year use is critical for understanding trends in experimental substance use, Han said.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Tracking nicotine pouch use in 2025 will be key for assessing the effects of that authorization, the researchers said. Future studies should also assess long-term trends in use, initiation of use, <\/span><a href=\"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2831999\"><span style=\"font-weight: 400\">nicotine concentration<\/span><\/a><span style=\"font-weight: 400\"> and potential negative health outcomes linked to nicotine pouches.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Studying the effectiveness of regulatory policies and prevention efforts is also important, particularly among high-risk groups, such as teens in rural areas and those who are using both nicotine pouches and e-cigarettes.<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u201cNicotine pouches are relatively new, so we need time to collect data on prevalence, policy and prevention,\u201d Han said.<\/span><\/p>\n<h3><b>About this research<\/b><\/h3>\n<p><span style=\"font-weight: 400\">In addition to Han and Leventhal, the study\u2019s other authors are Alyssa F. Harlow, Dayoung Bae, Junhan Cho, Steven Y. Sussman, Louisiana M. Sanchez and Leah Meza from the Department of Population and Public Health Sciences, Keck School of Medicine of USC, University of Southern California; Richard A. Miech from the Institute for Social Research, University of Michigan, Ann Arbor, Michigan and Hongying D. Dai from the Department of Biostatistics, University of Nebraska Medical Center, Omaha, Nebraska.<\/span><\/p>\n<p><span style=\"font-weight: 400\">This work was supported by the National Cancer Institute and the Food and Drug Administration and the National Institute on Drug Abuse.<\/span><\/p>\n\n\n\n<\/div>\n  <\/div>\n\n\n  <\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":278,"featured_media":8852,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":true,"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[6],"tags":[81,169,20,445],"class_list":["post-8851","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-press-release","tag-department-of-population-and-public-health-sciences","tag-latest","tag-research","tag-usc-institute-for-addiction-science"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Use of nicotine pouches increases significantly among U.S. teens<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, 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