Use of Emerging and Conventional Oral Tobacco Among Adolescent and Young Adult E-Cigarette Users

Introduction: This article discusses the use of emerging and conventional oral tobacco products among adolescent and young adult e-cigarette users. The study aims to assess oral tobacco behaviors in a sample of adolescent and young adult e-cigarette users, including use prevalence, dual/poly use with other products, and associated demographics.

Key Points:

* The study found that nearly 44% of the participants reported ever using any oral tobacco product, with nicotine pouches being the most commonly ever used (29%).
* Novel oral tobacco product use was more common among older participants, male participants, and past 30-day users of e-cigarettes, combustible tobacco, and conventional oral tobacco.
* Female participants and combustible tobacco non-users were over twice and four times as likely, respectively, to use novel oral tobacco products than conventional oral tobacco products.
* Nearly 73% of past 30-day conventional oral tobacco users were past 30-day novel oral tobacco users.
* Compared to conventional oral tobacco products, novel oral tobacco products likely have greater appeal to females and combustible tobacco non-users.

Main Message: The study highlights the importance of monitoring the use of emerging tobacco products among youth and young adults, especially those who use e-cigarettes. The findings suggest that action is needed to restrict access and reduce interest in oral tobacco products to prevent use among this population.

Couch, E. T., Halpern-Felsher, B., Werts, M., & Chaffee, B. W. (2023). Use of Emerging and Conventional Oral Tobacco Among Adolescent and Young Adult E-Cigarette Users. Substance Use & Misuse, 58(2), 283–288. https://doi.org/10.1080/10826084.2022.2161314