Battista Katelyn, Piché-Ayotte Mikael, Haddad Slim, Turcotte-Tremblay Anne-Marie, Leatherdale Scott T, Bélanger Richard E
School of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada.
VITAM - Centre de recherche en santé durable, Québec City, QC, Canada.
Can J Public Health. 2025 Sep 2. doi: 10.17269/s41997-025-01100-x.
Oral nicotine pouches are gaining global popularity as a novel alternative nicotine product. Our objective was to examine nicotine pouch use among a large sample of Québec adolescents, including sociodemographic and health-related risk factors, co-use with cigarettes and e-cigarettes, and risk perceptions.
We surveyed 13,914 Quebec secondary school students as part of the 2024 COMPASS study. Participants answered questions on past-month use of oral nicotine pouches, e-cigarettes, and cigarettes, as well as perceived addictiveness and health risks. Poisson regression was used to examine relative risks for current nicotine pouch use by sociodemographic and health factors, current smoking and vaping status, and risk perceptions. Risk perceptions were compared across nicotine products.
Nicotine pouches were the most used alternative nicotine product following e-cigarettes, with prevalence of current use (2.6%) comparable to cigarette smoking (3.0%). Older adolescents, cisgender boys, gender diverse adolescents, academically at-risk youth, and current cigarette and e-cigarette users had higher relative risks for nicotine pouch use. Nearly one-quarter of adolescents were unsure of the health risks of nicotine pouches and 16% did not know whether they were addictive. Lower risk perceptions were associated with increased likelihood of current use.
Nicotine pouches are an emerging nicotine product that appear to be gaining popularity among Canadian youth. Given their design features which allow for use in most situations and environments, nicotine pouches have considerable potential to follow the same popularity trajectory as e-cigarettes if not regulated appropriately.
口服尼古丁袋作为一种新型替代尼古丁产品在全球越来越受欢迎。我们的目的是在魁北克青少年的大样本中研究口服尼古丁袋的使用情况，包括社会人口统计学和健康相关风险因素、与香烟和电子烟的共同使用情况以及风险认知。
作为2024年COMPASS研究的一部分，我们对13914名魁北克中学生进行了调查。参与者回答了有关过去一个月口服尼古丁袋、电子烟和香烟使用情况的问题，以及感知到的成瘾性和健康风险。使用泊松回归来研究社会人口统计学和健康因素、当前吸烟和吸电子烟状况以及风险认知对当前使用尼古丁袋的相对风险。比较了不同尼古丁产品的风险认知。
尼古丁袋是仅次于电子烟使用最广泛的替代尼古丁产品，当前使用率（2.6%）与吸烟率（3.0%）相当。年龄较大的青少年、顺性别男孩、性别多样化的青少年、学业有风险的青年以及当前的香烟和电子烟使用者使用尼古丁袋的相对风险更高。近四分之一的青少年不确定尼古丁袋的健康风险，16%的青少年不知道它们是否会上瘾。较低的风险认知与当前使用可能性增加有关。
尼古丁袋是一种新兴的尼古丁产品，似乎在加拿大青少年中越来越受欢迎。鉴于其设计特点允许在大多数情况和环境中使用，如果监管不当，尼古丁袋很有可能沿着与电子烟相同的流行轨迹发展。
