{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T16:08:22Z","timestamp":1789402102393,"version":"build-2803163510"},"reference-count":22,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100012118","name":"Ontario Institute for Cancer Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012118","id-type":"DOI","asserted-by":"publisher"}]},{"name":"US National Cancer Center Institute","award":["P01 CA200512"],"award-info":[{"award-number":["P01 CA200512"]}]},{"name":"Canadian Institute for Health Research Foundation Grant","award":["FDN-148477"],"award-info":[{"award-number":["FDN-148477"]}]},{"DOI":"10.13039\/501100001505","name":"New Zealand Health Research Council","doi-asserted-by":"crossref","award":["HRC 19\/641"],"award-info":[{"award-number":["HRC 19\/641"]}],"id":[{"id":"10.13039\/501100001505","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Aotearoa New Zealand (NZ) disallows sales of oral tobacco and nicotine products, although importation for personal use is permitted. The government proposes legalizing sales, claiming this will aid smoking cessation among \u201colder, long-term smokers.\u201d We examined awareness and use of tobacco-free oral nicotine products (ONPs), snus, and other oral tobacco products among adults who smoke or who recently stopped smoking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analyzed Wave 5 (2024) data from the EASE\/International Tobacco Control (ITC) NZ Survey (N\u2009=\u20091371) of adults who smoke or recently stopped smoking. We examined prevalence of awareness, ever, and current (at least monthly) use of oral tobacco and nicotine products, overall and by demographic factors and smoking status\/cessation intentions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Awareness was 41.3% (95% confidence interval 37.7, 45.0) for ONPs, 31.5% (28.1, 35.2) for snus, and 70.2% (66.6, 73.5) for other oral tobacco products. Ever use was 12.5% (10.5, 14.8), 7.0% (5.5, 8.8), and 11.6% (9.6, 14.0), respectively. Current use was 4.1% (3.1, 5.6), 2.4% (1.5, 3.6), and 2.6% (1.9, 3.7), respectively. Weighted point estimates for awareness and use of snus and any oral product overall were lower among adults aged \u226545 than those aged 18\u201324 or 25\u201344. Current use of oral products was 5.8% (3.3, 10.1) among those who smoked daily with no intention to stop.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Current policy settings allow meaningful levels of oral product use in NZ. Use is uncommon among adults aged \u226545\u00a0years and occurs among people without cessation intentions, highlighting the risk that use may complement rather than replace smoking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications<\/jats:title>\n                    <jats:p>Our findings are consistent with international evidence that recent growth in oral product use is concentrated among younger age groups, use is uncommon among older age groups and often occurs alongside, rather than instead of, other tobacco product use. Together, this evidence calls into question the policy rationale that legalizing these products in NZ will primarily support smoking cessation among older adults. A plausible concern is that legalization could increase poly-use of tobacco and nicotine products and further concentrate uptake among younger people (most of whom do not smoke), particularly given youth-oriented marketing observed on social media.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ntr\/ntag190","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T17:30:25Z","timestamp":1787851825000},"source":"Crossref","is-referenced-by-count":0,"title":["Awareness and use of oral tobacco and nicotine products among people who smoke or recently stopped smoking: descriptive findings from the 2024 EASE\/ITC New Zealand survey"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4717-5495","authenticated-orcid":false,"given":"Jude","family":"Ball","sequence":"first","affiliation":[{"name":"Department of Public Health, University of Otago , Wellington 6021 ,","place":["New 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Waterloo, ON N2L 3G1 ,","place":["Canada"]},{"name":"School of Public Health Sciences, University of Waterloo , Waterloo, ON N2L 3G1 ,","place":["Canada"]},{"name":"Ontario Institute for Cancer Research , Toronto, ON M5G 0A3 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Edwards","sequence":"additional","affiliation":[{"name":"Department of Public Health, University of Otago , Wellington 6021 ,","place":["New Zealand"]},{"name":"College of Medicine and Public Health, Flinders University , Adelaide, SA 5042 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,27]]},"reference":[{"key":"2026091412004403600_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2025.106272","article-title":"Pathology of oral nicotine pouches and their addiction mechanisms","volume":"166","author":"Zou","year":"2025","journal-title":"J 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