Tobacco-Free Oral Nicotine Product Use Among Youth in the U.S., 2019–2021
Introduction: Novel tobacco-free oral nicotine products are not combusted, easy to conceal, available in flavors, and do not contain tobacco leaf. Since 2016, oral nicotine product sales have increased and may be gaining popularity among youth. This study aims to examine the trends in the prevalence...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | AJPM Focus |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773065422000591 |
| _version_ | 1811161702049251328 |
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| author | Liane M. Schneller, PhD Nicholas J. Felicione, PhD David Hammond, PhD Maciej L. Goniewicz, PharmD, PhD Richard J. O'Connor, PhD |
| author_facet | Liane M. Schneller, PhD Nicholas J. Felicione, PhD David Hammond, PhD Maciej L. Goniewicz, PharmD, PhD Richard J. O'Connor, PhD |
| author_sort | Liane M. Schneller, PhD |
| collection | DOAJ |
| description | Introduction: Novel tobacco-free oral nicotine products are not combusted, easy to conceal, available in flavors, and do not contain tobacco leaf. Since 2016, oral nicotine product sales have increased and may be gaining popularity among youth. This study aims to examine the trends in the prevalence and correlates of oral nicotine product use among U.S. youth. Methods: Data from participants aged 16–19 years in the U.S. International Tobacco Control Policy Evaluation Project Youth Tobacco and Vaping Survey were analyzed cross-sectionally from August 2019, February 2020, August 2020, February 2021, and August 2021. Weighted descriptive statistics and logistic regressions were used to describe the use and correlates of oral nicotine products. Results: Oral nicotine product use significantly increased from 3.5% in August 2019 to 4.1% in August 2021. Oral nicotine product use was most prevalent among those aged 18 years, male, and non-Hispanic White. Those who used cigarettes (AOR=2.18, 95% CI=19.37, 40.88), nicotine vaping products (AOR=4.27, 95% CI=3.02, 6.04), and smokeless tobacco (AOR=28.14, 95% CI=19.37, 40.88) in the past 30 days were more likely to report recent use of oral nicotine products. Conclusions: Although oral nicotine products are less popular among U.S. youth than cigarettes, nicotine vaping products, and smokeless tobacco, their prevalence of use significantly increased. Oral nicotine product users are more likely to use other nicotine products, but the availability of flavors and easy-to-conceal design may be appealing to those who may not use nicotine products. Researchers should continue to observe the behaviors associated with oral nicotine product use to inform the need for future regulatory efforts. |
| first_indexed | 2024-04-10T06:18:39Z |
| format | Article |
| id | doaj.art-8a7a865213174699a1b0d08b4b69f2a3 |
| institution | Directory Open Access Journal |
| issn | 2773-0654 |
| language | English |
| last_indexed | 2024-04-10T06:18:39Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | AJPM Focus |
| spelling | doaj.art-8a7a865213174699a1b0d08b4b69f2a32023-03-02T05:03:35ZengElsevierAJPM Focus2773-06542023-03-0121100061Tobacco-Free Oral Nicotine Product Use Among Youth in the U.S., 2019–2021Liane M. Schneller, PhD0Nicholas J. Felicione, PhD1David Hammond, PhD2Maciej L. Goniewicz, PharmD, PhD3Richard J. O'Connor, PhD4Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, New York; Address correspondence to: Liane M. Schneller, PhD, Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Elm and Carlton Streets, Buffalo NY 14263.Community Health and Health Behavior, School of Public Health and Health Professions, University at Buffalo, State University of New York, Buffalo, New YorkSchool of Public Health Sciences, University of Waterloo, Waterloo, Ontario, CanadaDepartment of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, New YorkDepartment of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, New YorkIntroduction: Novel tobacco-free oral nicotine products are not combusted, easy to conceal, available in flavors, and do not contain tobacco leaf. Since 2016, oral nicotine product sales have increased and may be gaining popularity among youth. This study aims to examine the trends in the prevalence and correlates of oral nicotine product use among U.S. youth. Methods: Data from participants aged 16–19 years in the U.S. International Tobacco Control Policy Evaluation Project Youth Tobacco and Vaping Survey were analyzed cross-sectionally from August 2019, February 2020, August 2020, February 2021, and August 2021. Weighted descriptive statistics and logistic regressions were used to describe the use and correlates of oral nicotine products. Results: Oral nicotine product use significantly increased from 3.5% in August 2019 to 4.1% in August 2021. Oral nicotine product use was most prevalent among those aged 18 years, male, and non-Hispanic White. Those who used cigarettes (AOR=2.18, 95% CI=19.37, 40.88), nicotine vaping products (AOR=4.27, 95% CI=3.02, 6.04), and smokeless tobacco (AOR=28.14, 95% CI=19.37, 40.88) in the past 30 days were more likely to report recent use of oral nicotine products. Conclusions: Although oral nicotine products are less popular among U.S. youth than cigarettes, nicotine vaping products, and smokeless tobacco, their prevalence of use significantly increased. Oral nicotine product users are more likely to use other nicotine products, but the availability of flavors and easy-to-conceal design may be appealing to those who may not use nicotine products. Researchers should continue to observe the behaviors associated with oral nicotine product use to inform the need for future regulatory efforts.http://www.sciencedirect.com/science/article/pii/S2773065422000591Youthnicotine useprevalence of usenovel nicotine productsU.S |
| spellingShingle | Liane M. Schneller, PhD Nicholas J. Felicione, PhD David Hammond, PhD Maciej L. Goniewicz, PharmD, PhD Richard J. O'Connor, PhD Tobacco-Free Oral Nicotine Product Use Among Youth in the U.S., 2019–2021 AJPM Focus Youth nicotine use prevalence of use novel nicotine products U.S |
| title | Tobacco-Free Oral Nicotine Product Use Among Youth in the U.S., 2019–2021 |
| title_full | Tobacco-Free Oral Nicotine Product Use Among Youth in the U.S., 2019–2021 |
| title_fullStr | Tobacco-Free Oral Nicotine Product Use Among Youth in the U.S., 2019–2021 |
| title_full_unstemmed | Tobacco-Free Oral Nicotine Product Use Among Youth in the U.S., 2019–2021 |
| title_short | Tobacco-Free Oral Nicotine Product Use Among Youth in the U.S., 2019–2021 |
| title_sort | tobacco free oral nicotine product use among youth in the u s 2019 2021 |
| topic | Youth nicotine use prevalence of use novel nicotine products U.S |
| url | http://www.sciencedirect.com/science/article/pii/S2773065422000591 |
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