{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T23:53:47Z","timestamp":1791158027961,"version":"4.1.0"},"reference-count":46,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MR\/X004279\/1"],"award-info":[{"award-number":["MR\/X004279\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Addiction"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aim<\/jats:title>\n                    <jats:p>Nicotine pouches are novel products with rapid global sales growth. Our aim was to explore use and perceptions of nicotine pouches among adolescents in Latin America.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross\u2010sectional school surveys between March and August 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Sixteen cities, four each in Argentina, Guatemala, Mexico and Peru.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Adolescents aged 12\u201317\u2009years (n\u2009=\u200912\u2009785).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Use of, and susceptibility to, nicotine pouches, through survey questions about frequency of use, brands and flavours used, access, and harm compared to cigarettes and e\u2010cigarettes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Self\u2010reported ever use was 6.0%, highest in Peru (9.1%) and lowest in Argentina (3.2%). Ever use was higher among males, those with higher family affluence scores, and those who had ever vaped or smoked tobacco. The rate of current (past 30\u2009day) nicotine pouch use was 2.4%. Those reporting current use typically used pouches infrequently (1\u20133\u00a0days in the last month). The most commonly used brands were Velo (24.4%) and Zyn (18.1%), with pouches most likely to be given to them by someone (26.3%) or giving someone else money to buy them (15.8%). Fruit (20.3%) and mint\/menthol (17.3%) were the most common flavours reported. More than one\u2010third of the sample indicated that nicotine pouches were more harmful (somewhat\/a lot) than cigarettes (38.7%) and e\u2010cigarettes (36.7%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Summary<\/jats:title>\n                    <jats:p>Nicotine pouch use among adolescents in four Latin American countries appears to be relatively uncommon but higher than in previous youth surveys. Access to nicotine pouches appears to be largely informal, fruit and mint\/menthol flavours are most common, and many adolescents appear uncertain about harm compared with cigarettes and e\u2010cigarettes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/add.70617","type":"journal-article","created":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T23:50:38Z","timestamp":1791157838000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Adolescent use of nicotine pouches in four Latin American countries: A cross\u2010sectional survey"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-8084-2116","authenticated-orcid":false,"given":"Georgia","family":"Alexandrou","sequence":"first","affiliation":[{"name":"Institute for Social Marketing and Health University of Stirling  Stirling UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1805-2509","authenticated-orcid":false,"given":"Crawford","family":"Moodie","sequence":"additional","affiliation":[{"name":"Institute for Social Marketing and Health University of Stirling  Stirling UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3652-2498","authenticated-orcid":false,"given":"Catherine","family":"Best","sequence":"additional","affiliation":[{"name":"Institute for Social Marketing and Health University of Stirling  Stirling UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9094-8185","authenticated-orcid":false,"given":"Inti","family":"Barrientos\u2010Gutierrez","sequence":"additional","affiliation":[{"name":"Evaluation and Survey Research Center National Institute of Public Health  Cuernavaca Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8855-5251","authenticated-orcid":false,"given":"Carlos Miguel","family":"Aguilar","sequence":"additional","affiliation":[{"name":"Evaluation and Survey Research Center National Institute of Public Health  Cuernavaca Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariel","family":"Palacios","sequence":"additional","affiliation":[{"name":"Evaluation and Survey Research Center National Institute of Public Health  Cuernavaca Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6418-4863","authenticated-orcid":false,"given":"James F.","family":"Thrasher","sequence":"additional","affiliation":[{"name":"Department of Health Promotion, Education &amp; Behavior, Arnold School of Public Health University of South Carolina  Columbia South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,4]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"40","article-title":"Tobacco Asia unmasking fake nicotine pouches","volume":"5","year":"2024","journal-title":"Tob Asia"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/tc-2022-057360"},{"issue":"5","key":"e_1_2_9_4_1","doi-asserted-by":"crossref","first-page":"708","DOI":"10.1136\/tc-2024-058679","article-title":"Chasing a buzz: Developments in the nicotine pouch market in the United Kingdom","volume":"34","author":"Moodie C","year":"2025","journal-title":"Tob Control"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntab198"},{"key":"e_1_2_9_6_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.drugalcdep.2021.109136","article-title":"Awareness, use and perceptions of cigarillos, heated tobacco products and nicotine pouches: A survey among Dutch adolescents and adults","volume":"229","author":"Havermans A","year":"2021","journal-title":"Drug Alc Dep"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntae295"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.6739"},{"key":"e_1_2_9_9_1","unstructured":"Food and Drug Administration.Results from the Annual National Youth Tobacco Survey;2024.www.fda.gov\/tobacco-products\/youth-and-tobacco\/results-annual-national-youth-tobacco-survey#2024%20Findings%20on%20Youth%20Use%20for%20Nicotine%20Pouch%20ProductsAccessed 18 December 2025."},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntaf069"},{"key":"e_1_2_9_11_1","first-page":"1","article-title":"Content analysis of marketing features in US nicotine pouch ads from 2021 to 2023","author":"Czaplicki L","journal-title":"Tob Control"},{"issue":"1","key":"e_1_2_9_12_1","doi-asserted-by":"crossref","DOI":"10.2196\/73032","article-title":"Examining how oral nicotine pouches are trending on TikTok: A qualitative descriptive study","volume":"9","author":"Mand A","year":"2025","journal-title":"JMIR Form Res"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/tc-2024-058691"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/14550725241270227"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/tc-2024-058916"},{"key":"e_1_2_9_16_1","first-page":"28","article-title":"The rise of nicotine pouches","volume":"3","author":"Tobacco Asia","year":"2024","journal-title":"Tob Asia"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19052685"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntae131"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/daae159"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.3389\/fphar.2024.1392027"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/tc-2023-058382"},{"issue":"2","key":"e_1_2_9_22_1","doi-asserted-by":"crossref","DOI":"10.1037\/pha0000755","article-title":"A comprehensive review on oral nicotine pouches: Available scientific evidence and future research needs","volume":"33","author":"Zamarripa CA","year":"2025","journal-title":"Exp Clin Psychopharmacol"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntab030"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.perped.2024.07.008"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2025.108415"},{"issue":"6","key":"e_1_2_9_26_1","doi-asserted-by":"crossref","first-page":"950","DOI":"10.1093\/ntr\/ntaf223","article-title":"The perceptions of nicotine pouches among adolescents in Pakistan: A qualitative study","volume":"28","author":"Khan SA","year":"2026","journal-title":"Nicotine Tob Res"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/tc-2022-057734"},{"key":"e_1_2_9_28_1","unstructured":"Campaign for Tobacco\u2010Free Kids.Law No. 32159 Law on the Consumption Control of Tobacco and Nicotine Products or their Substitutes for the Protection of Life and Health \u2013 Peru. 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