Adolescent Use of Flavored Non-tobacco Oral Nicotine Products.
Thursday, August 18, 2022
Posted by: Natalia Gromov
Harlow
AF, Vogel EA, Tackett AP, et al.
Adolescent Use of Flavored
Non-tobacco Oral Nicotine Products.
[published online ahead of print, 2022 Aug 8]. Pediatrics.
2022;e2022056586. doi:10.1542/peds.2022-056586
Background and
objectives. Flavored non-tobacco oral nicotine products
(eg, nicotine pouches and nontherapeutic nicotine gum, lozenges, tablets,
gummies), are increasingly marketed in the United States. Prevalence of
non-tobacco oral nicotine product use among adolescents is unknown.
Methods. We
calculated prevalence of ever and past 6-month use of nicotine pouches, other
non-tobacco oral nicotine products (ie, gum, lozenges, tablets, and/or
gummies), e-cigarettes, cigarettes, hookah or waterpipe, cigars, cigarillos,
and snus among high school students in Southern California between September
and December 2021. Generalized linear mixed models tested associations of
sociodemographic factors and tobacco-product use with use of any non-tobacco
oral nicotine product.
Results. Among
the sample (n = 3516), prevalence was highest for e-cigarettes (ever: 9.6%,
past 6-month: 5.5%), followed by non-tobacco oral nicotine products (ever:
3.4%, past 6-month: 1.7%), and <1% for other products. Ever users of
combustible tobacco (adjusted odds ratio [aOR] = 77.6; 95% confidence interval
[CI] = 39.7-152) and ever users of noncombustible tobacco (aOR = 40.4; 95% CI=
24.3-67.0) had higher odds of ever using non-tobacco oral nicotine products,
compared to never users of combustible and noncombustible tobacco. Use of any
non-tobacco oral nicotine product was greater for Hispanic (versus all other
races/ethnicities except Asian, aOR = 2.58; 95% CI = 1.36-4.87), sexual
minority (versus heterosexual, aOR=1.63; 95% CI = 1.03-2.57), gender minority (versus
male, aOR = 2.83; 95% CI = 1.29-6.19), and female (versus male, aOR=1.92, 95%
CI = 1.20-3.06) participants.
Conclusions. Non-tobacco
oral nicotine products were the second most prevalent nicotine product used by
adolescents. They were disproportionately used by certain racial or ethnic,
sexual, or gender minority groups, and those with a history of nicotine use.
Adolescent non-tobacco oral nicotine product use surveillance should be a
public health priority.
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