{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T04:14:04Z","timestamp":1791346444228,"version":"4.3.1"},"reference-count":19,"publisher":"JCFCorp SG PTE LTD","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["am j health behav"],"published-print":{"date-parts":[[2023,6,30]]},"abstract":"<jats:p><jats:bold>Objectives: <\/jats:bold> Actual use of nicotine pouch products is not well studied. The objectives of this study were to characterize<jats:italic> on<\/jats:italic> \u00ae nicotine pouch (Test Products (TP)) use behavior, including association with cigarette and smokeless tobacco (ST) product use.<jats:bold> Methods:\n <\/jats:bold> Adults who smoke cigarettes (AS) and\/or adults who use ST (ASTU) (N=1147) that were not planning to quit and had expressed interest in trying and using TP after a 5-day trial were offered<jats:italic> ad libitum <\/jats:italic> use of TPs (7 flavors at 5 nicotine levels) for 6 weeks.<jats:bold> Results: <\/jats:bold>Participants\n used a median of ~5-6 pouches\/day of a variety of flavors and nicotine levels. In the final week of the study, 27% of AS and 71% of ASTU reported no use of cigarettes or ST respectively, while reporting continued use of TPs. Additionally, 39% of AS and 14% of ASTU reduced consumption of cigarettes\n or ST products respectively by 50%-99%, compared to reported use at screening. We found a statistically significant inverse relationship between TP flavor varieties and number of cigarettes\/ST.<jats:bold> Conclusions: <\/jats:bold>These data suggest that TPs can be potential substitutes for cigarettes\/ST products,\n and complete switching may offer harm reduction potential for AS and ASTU not interested in quitting.<\/jats:p>","DOI":"10.5993\/ajhb.47.3.1","type":"journal-article","created":{"date-parts":[[2023,8,19]],"date-time":"2023-08-19T04:58:36Z","timestamp":1692421116000},"page":"428-449","source":"Crossref","is-referenced-by-count":25,"title":["Characterization of <i>Ad Libitum<\/i> Use Behavior of <i>On!<\/i> Nicotine Pouches"],"prefix":"10.5993","volume":"47","author":[{"given":"Elizabeth","family":"Becker","sequence":"first","affiliation":[{"name":"Altria Client Services LLC, Richmond, VA, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacey","family":"McCaffrey","sequence":"additional","affiliation":[{"name":"Altria Client Services LLC, Richmond, VA, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Lewis","sequence":"additional","affiliation":[{"name":"Altria Client Services LLC, Richmond, VA, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Vansickel","sequence":"additional","affiliation":[{"name":"Altria Client Services LLC, Richmond, VA, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elsa","family":"Larson","sequence":"additional","affiliation":[{"name":"Altria Client Services LLC, Richmond, VA, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamadi","family":"Sarkar","sequence":"additional","affiliation":[{"name":"Altria Client Services LLC, Richmond, VA, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"26169","reference":[{"issue":"1","key":"R14_529_552","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1186\/s12955-021-01764-2","volume":"19","year":"2021","journal-title":"Health Qual Life Outcomes","ISSN":"https:\/\/id.crossref.org\/issn\/1477-7525","issn-type":"print"},{"issue":"1","key":"R14_424_357","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1186\/s12954-019-0293-7","volume":"16","year":"2019","journal-title":"Harm Reduct J","ISSN":"https:\/\/id.crossref.org\/issn\/1477-7517","issn-type":"print"},{"issue":"12","key":"R14_90_696","doi-asserted-by":"crossref","first-page":"2017","DOI":"10.1080\/10826084.2018.1455704","volume":"53","year":"2018","journal-title":"Subst Use Misuse","ISSN":"https:\/\/id.crossref.org\/issn\/1082-6084","issn-type":"print"},{"issue":"4","key":"R14_179_148","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1136\/tc.2008.027318","volume":"18","year":"2009","journal-title":"Tob Control","ISSN":"https:\/\/id.crossref.org\/issn\/0964-4563","issn-type":"print"},{"issue":"12","key":"R14_166_96","doi-asserted-by":"crossref","first-page":"1111","DOI":"10.1056\/NEJMp1707409","volume":"377","year":"2017","journal-title":"N Engl J Med","ISSN":"https:\/\/id.crossref.org\/issn\/0028-4793","issn-type":"print"},{"issue":"11","key":"R14_145_304","doi-asserted-by":"crossref","first-page":"397","DOI":"10.15585\/mmwr.mm7111a1","volume":"71","year":"2022","journal-title":"MMWR Morb Mortal Wkly Rep","ISSN":"https:\/\/id.crossref.org\/issn\/0149-2195","issn-type":"print"},{"issue":"2","key":"R15_406_343","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1080\/146222003100007385","volume":"5","year":"2003","journal-title":"Nicotine Tob Res","ISSN":"https:\/\/id.crossref.org\/issn\/1462-2203","issn-type":"print"},{"issue":"3","key":"R15_326_291","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1093\/ntr\/nts185","volume":"15","year":"2013","journal-title":"Nicotine Tob Res","ISSN":"https:\/\/id.crossref.org\/issn\/1462-2203","issn-type":"print"},{"issue":"1","key":"R15_406_122","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1093\/ntr\/nty011","volume":"21","year":"2019","journal-title":"Nicotine Tob Res","ISSN":"https:\/\/id.crossref.org\/issn\/1462-2203","issn-type":"print"},{"issue":"3","key":"R15_118_696","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1136\/tobaccocontrol-2014-052080","volume":"25","year":"2016","journal-title":"Tob Control","ISSN":"https:\/\/id.crossref.org\/issn\/0964-4563","issn-type":"print"},{"issue":"9","key":"R15_72_500","doi-asserted-by":"crossref","first-page":"1332","DOI":"10.1093\/ntr\/ntac073","volume":"24","year":"2022","journal-title":"Nicotine Tob Res","ISSN":"https:\/\/id.crossref.org\/issn\/1462-2203","issn-type":"print"},{"issue":"1","key":"R15_72_409","doi-asserted-by":"crossref","first-page":"1773","DOI":"10.1186\/s12889-021-11801-w","volume":"21","year":"2021","journal-title":"BMC Public Health","ISSN":"https:\/\/id.crossref.org\/issn\/1471-2458","issn-type":"print"},{"issue":"10","key":"R15_72_330","doi-asserted-by":"crossref","first-page":"1780","DOI":"10.1093\/ntr\/ntaa038","volume":"22","year":"2020","journal-title":"Nicotine Tob Res","ISSN":"https:\/\/id.crossref.org\/issn\/1462-2203","issn-type":"print"},{"issue":"12","key":"R15_256_148","doi-asserted-by":"crossref","first-page":"1505","DOI":"10.1001\/jama.294.12.1505","volume":"294","year":"2005","journal-title":"Jama","ISSN":"https:\/\/id.crossref.org\/issn\/0388-2888","issn-type":"print"},{"issue":"4","key":"R15_72_109","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1093\/ntr\/ntaa156","volume":"23","year":"2021","journal-title":"Nicotine Tob Res","ISSN":"https:\/\/id.crossref.org\/issn\/1462-2203","issn-type":"print"},{"key":"R15_512_174","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/j.addbeh.2018.11.011","volume":"91","year":"2019","journal-title":"Addict Behav","ISSN":"https:\/\/id.crossref.org\/issn\/0306-4603","issn-type":"print"},{"key":"R15_255_552","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1016\/j.addbeh.2016.07.008","volume":"63","year":"2016","journal-title":"Addict Behav","ISSN":"https:\/\/id.crossref.org\/issn\/0306-4603","issn-type":"print"},{"issue":"1","key":"R15_326_395","first-page":"47","volume":"23","journal-title":"Cochrane Database Syst Rev","ISSN":"https:\/\/id.crossref.org\/issn\/1361-6137","issn-type":"print"},{"issue":"2","key":"R15_185_617","first-page":"230","volume":"118","year":"2011","journal-title":"Drug Alcohol Depend","ISSN":"https:\/\/id.crossref.org\/issn\/0376-8716","issn-type":"print"}],"container-title":["American Journal of Health Behavior"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ingentaconnect.com\/content\/png\/ajhb\/2023\/00000047\/00000003\/art00001","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T04:40:52Z","timestamp":1693975252000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ingentaconnect.com\/content\/10.5993\/AJHB.47.3.1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,30]]},"references-count":19,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,6,30]]}},"alternative-id":["1087-3244(20230630)47:3L.428;1-"],"URL":"https:\/\/doi.org\/10.5993\/ajhb.47.3.1","relation":{},"ISSN":["1087-3244"],"issn-type":[{"value":"1087-3244","type":"print"}],"subject":[],"published":{"date-parts":[[2023,6,30]]}}}