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. 2024 Sep 5;73(35):774-778.
doi: 10.15585/mmwr.mm7335a3.

Notes from the Field: E-Cigarette and Nicotine Pouch Use Among Middle and High School Students - United States, 2024

Eunice Park-Lee, Ahmed Jamal, Hannah Cowan, Michael D Sawdey, Maria R Cooper, Jan Birdsey, Andrenita West, Karen A Cullen

Notes from the Field: E-Cigarette and Nicotine Pouch Use Among Middle and High School Students - United States, 2024

Eunice Park-Lee et al. MMWR Morb Mortal Wkly Rep. .

Abstract

Current e-cigarette use among U.S. youth has declined considerably since 2019*; however, approximately 2.13 million youths used e-cigarettes in 2023 (1). As sales of nicotine pouches (small, dissolvable, flavored pouches containing nicotine derived from tobacco that users place in the mouth between the lip and gum)† have continued to rise nationally since 2016, their use among U.S. youths has become concerning (2,3). All pouches and most e-cigarettes contain nicotine,§ which is highly addictive and can harm the developing adolescent brain (4,5).

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Conflict of interest statement

All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. No potential conflicts of interest were disclosed.

References

    1. Birdsey J, Cornelius M, Jamal A, et al. Tobacco product use among U.S. middle and high school students—National Youth Tobacco Survey, 2023. MMWR Morb Mortal Wkly Rep 2023;72:1173–82. 10.15585/mmwr.mm7244a1 - DOI - PMC - PubMed
    1. Marynak KL, Wang X, Borowiecki M, et al. Nicotine pouch unit sales in the US, 2016–2020. JAMA 2021;326:566–8. 10.1001/jama.2021.10366 - DOI - PMC - PubMed
    1. Robichaud MO, Seidenberg AB, Byron MJ. Tobacco companies introduce ‘tobacco-free’ nicotine pouches. Tob Control 2020;29:e145–6. - PMC - PubMed
    1. CDC. E-cigarette use among youth and young adults: a report of the Surgeon General. Atlanta, GA: US Department of Health and Human Services, CDC; 2016. https://www.cdc.gov/tobacco/data_statistics/sgr/e-cigarettes/pdfs/2016_s...
    1. CDC. The health consequences of smoking—50 years of progress: a report of the Surgeon General. Atlanta, GA: US Department of Health and Human Services, CDC; 2014. https://www.ncbi.nlm.nih.gov/books/NBK179276/pdf/Bookshelf_NBK179276.pdf