{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T17:52:54Z","timestamp":1791309174057,"version":"4.3.1"},"reference-count":0,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"Abstract<\/jats:title>\n \n Introduction<\/jats:title>\n Whether demographic and tobacco use characteristics differ between adults using new non-tobacco oral nicotine products (ONPs; e.g., nicotine pouches and other ONPs [e.g., gums, lozenges]) versus those using oral tobacco products (e.g., snus and other smokeless tobacco) is unknown but important to tobacco control.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Using cross-sectional nationally representative data from n=29,705 United States (US) adults (\u226518y) in wave 7 (2022-2023) of the Population Assessment of Tobacco and Health Study, we compared weighted distributions of sociodemographic and tobacco use characteristics among those reporting past 30-day use of non-tobacco ONPs and oral tobacco products.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Prevalence of past 30-day use was 1.4% for nicotine pouches, 0.66% for other ONPs, 0.95% for snus, and 2.4% for other smokeless tobacco products excluding snus. Adults who used nicotine pouches were more likely than those who used smokeless tobacco to be 18-24-year-olds (36.6%[95%CI:29.5-44.3] vs. 16.8%[95%CI:13.1-21.3]), be female (21.8%[95%CI:15.5-29.7] vs. 8.6%[95%CI:6.4-11.4]), have a college degree (35.2%[95%CI:27.8-43.3] vs. 15.9%[95%CI:12.1-20.7]), live in the Western US (29.5%[95%CI:22.6-37.5] vs. 16.0% [95%CI:12.1-21.0]), and currently vape nicotine (37.4%[95%CI:29.1-46.5] vs. 21.7%[95%CI:17.4-26.7]), and more likely to have a college degree than those who used snus (15.7%[95%CI:10.3-23.3]). Adults who used other ONPs were more likely to be female (48.7%[95%CI:37.8-59.7]) than all other use groups, and more likely to smoke cigarettes (53.5%[95%CI:43.1-63.5]) than those who used nicotine pouches (29.8%[95%CI:22.9-37.9]) or smokeless tobacco (33.1%[95%CI:27.5-39.2]).<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n ONP use may be expanding to populations who may otherwise not have used oral tobacco, including younger, female, and higher socioeconomic status populations.<\/jats:p>\n <\/jats:sec>","DOI":"10.1093\/ntr\/ntag218","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T11:32:40Z","timestamp":1791286360000},"source":"Crossref","is-referenced-by-count":0,"title":["Prevalence and Characteristics of Oral Nicotine and Tobacco Product Use among US Adults"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6744-6988","authenticated-orcid":false,"given":"Alyssa F","family":"Harlow","sequence":"first","affiliation":[{"name":"University of Southern California Keck School of Medicine, Department of Population and Public Health Sciences , Los Angeles, CA ,","place":["USA"]},{"name":"University of Southern California, Institute for Addiction Science , Los Angeles, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2929-5928","authenticated-orcid":false,"given":"Dae-Hee","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Behavioral, Social, and Health Education Sciences, Emory University , Atlanta, GA"},{"name":"Winship Cancer Institute of Emory University , Atlanta, GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steve","family":"Sussman","sequence":"additional","affiliation":[{"name":"University of Southern California Keck School of Medicine, Department of Population and Public Health Sciences , Los Angeles, CA ,","place":["USA"]},{"name":"University of Southern California, Institute for Addiction Science , Los Angeles, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1217-525X","authenticated-orcid":false,"given":"Adam","family":"Leventhal","sequence":"additional","affiliation":[{"name":"University of Southern California Keck School of Medicine, Department of Population and Public Health Sciences , Los Angeles, CA ,","place":["USA"]},{"name":"University of Southern California, Institute for Addiction Science , Los Angeles, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,10,6]]},"container-title":["Nicotine & Tobacco Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ntr\/advance-article-pdf\/doi\/10.1093\/ntr\/ntag218\/71628578\/ntag218.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ntr\/advance-article-pdf\/doi\/10.1093\/ntr\/ntag218\/71628578\/ntag218.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T17:06:26Z","timestamp":1791306386000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ntr\/advance-article\/doi\/10.1093\/ntr\/ntag218\/8869145"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,6]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1093\/ntr\/ntag218","relation":{},"ISSN":["1469-994X"],"issn-type":[{"value":"1469-994X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,6]]},"article-number":"ntag218"}}