Brose Leonie, Bunce Laura, Cheeseman Hazel
SPECTRUM Consortium, UK.
Addictions Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Nicotine Tob Res. 2025 Jan 10. doi: 10.1093/ntr/ntae295.
The public health impact of new nicotine products will depend on their use by different population groups. We assessed the prevalence of nicotine pouch use among youth and adults in Great Britain (GB).
Cross-sectional annual Action on Smoking and Health Smokefree GB Adult Surveys 2020-2024 (n: 12 247 to 13 266, 18+) and Action on Smoking and Health Smokefree GB Youth Survey 2024 (n = 2872 11-18-year-olds). Weighted proportions and 95% confidence intervals for pouch ever and current use among adults over time, and in 2024 among youth and adults overall, by socio-demographics, mental health, tobacco smoking, vaping, past-12-month gambling, cannabis, and alcohol use; for youth also family members' smoking and vaping. Multivariable logistic regression assessed the association with ever pouch use.
The prevalence of adult ever and current use doubled from 2020 to 2024, reaching 5.4% (95% confidence interval = 5.0 to 5.8) and 1.0% (0.8-1.1). Among youth, 3.3% (2.7-4.0) reported ever use, including 1.2% (0.8-1.6) reporting current use. Ever use was associated with the use of other addictive products. Among adults, ever use was also more common among younger groups (18-24, 25-34, 35-44 vs. 55+), males, and those in rented accommodation or receiving mental health treatment. Among youth, ever use was also more common among those in London than elsewhere in England.
Pouch use in GB is rare with about 1 in 100 youth and adults reporting current use. However, use appears to be increasing and is higher in some groups, including younger adults, males and people with experience of vaping, smoking, and use of other addictive products.
While currently low, close monitoring of pouch use is indicated. It is currently concentrated among those with experience of nicotine use. However, given the higher levels of use among young adults and teenagers, consideration of regulation may be required to minimize uptake among groups that would otherwise not have used nicotine-containing products.
新型尼古丁产品对公众健康的影响将取决于不同人群对其的使用情况。我们评估了英国（GB）青少年和成年人中使用尼古丁袋的流行情况。
2020 - 2024年年度横断面无烟英国成年人吸烟与健康行动调查（样本量：12247至13266人，年龄18岁及以上）以及2024年无烟英国青少年吸烟与健康行动调查（样本量 = 2872名11 - 18岁青少年）。按社会人口统计学、心理健康状况、吸烟情况、吸电子烟情况、过去12个月内的赌博情况、吸食大麻情况和饮酒情况，分析成年人随时间推移以及2024年青少年和成年人总体中曾经使用和当前使用尼古丁袋的加权比例及95%置信区间；对于青少年，还分析家庭成员的吸烟和吸电子烟情况。多变量逻辑回归分析曾经使用尼古丁袋的相关因素。
2020年至2024年，成年人曾经使用和当前使用尼古丁袋的流行率翻倍，分别达到5.4%（95%置信区间 = 5.0至5.8）和1.0%（0.8 - 1.1）。在青少年中，3.3%（2.7 - 4.0）报告曾经使用，其中1.2%（0.8 - 1.6）报告当前使用。曾经使用与使用其他成瘾性产品有关。在成年人中，曾经使用在较年轻群体（18 - 24岁、25 - 34岁、35 - 44岁与55岁及以上）、男性以及租房居住或接受心理健康治疗的人群中更为常见。在青少年中，曾经使用在伦敦的人群中比英格兰其他地区更为常见。
在英国，尼古丁袋的使用很少见，约每100名青少年和成年人中有1人报告当前使用。然而，使用情况似乎在增加，并且在一些群体中更高，包括较年轻的成年人、男性以及有吸电子烟、吸烟和使用其他成瘾性产品经历的人群。
虽然目前使用率较低，但仍需密切监测尼古丁袋的使用情况。目前其使用集中在有尼古丁使用经历的人群中。然而，鉴于年轻成年人和青少年中的使用水平较高，可能需要考虑进行监管，以尽量减少原本不会使用含尼古丁产品的群体的使用。
