PDF(Pubmed)
Abstract：
Background: National surveillance assessing use of novel oral tobacco products (OTPs; nicotine pouches, lozenges, and gums not approved for tobacco cessation) among adolescents and young adults is limited. Objectives: To assess OTP behaviors in a sample of adolescent and young adult e-cigarette users, including use prevalence, dual/poly use with other products, and associated demographics. Methods: A national (United States) cross-sectional survey was conducted from March to April 2021 among 2253 participants (ages 14-20; 65% female) who ever used e-cigarettes ≥3 times. Demographics, lifetime use, and past 30-day use of 10 tobacco and cannabis products, including novel and conventional (chew, moist snuff, or snus) OTPs was assessed. Analysis was descriptive, examining use prevalence (lifetime and past 30-day) of each product, including by demographics and other product use. Results: Nearly 44% reported ever using any OTP, with nicotine pouches being the most commonly ever used (29%) and used in the past month (11%). Novel OTP use was more common among older participants (18-20 years), male participants, and past 30-day users of e-cigarettes, combustible tobacco, and conventional oral tobacco. However, female participants and combustible tobacco non-users were over twice and 4-times as likely, respectively, to use novel OTPs than conventional OTPs. Nearly 73% of past 30-day conventional OTP users were past 30-day novel OTP users. Conclusion: Novel OTP use was prevalent among adolescent and young adult e-cigarette users. Compared to conventional OTPs, novel OTPs likely have greater appeal to females and combustible tobacco non-users. Action to restrict access and reduce interest in OTPs is needed to prevent use among this population.
摘要：
背景：评估新型口服烟草产品（OTP；尼古丁袋，锭剂,和未批准戒烟的牙龈）在青少年和年轻人中是有限的。目标：评估青少年和年轻成人电子烟使用者样本中的OTP行为，包括使用率，与其他产品双重/多重使用，和相关的人口统计学。方法：2021年3月至4月，对2253名使用电子烟≥3次的参与者（年龄14-20岁；65％为女性）进行了一项全国（美国）横断面调查。人口统计,终身使用,以及过去30天使用10种烟草和大麻产品，包括新颖和传统的(咀嚼，潮湿的鼻烟，或鼻烟)OTP进行了评估。分析是描述性的，检查每种产品的使用率(终生和过去30天)，包括人口统计和其他产品用途。结果：近44%的人报告曾经使用过任何OTP，尼古丁袋是有史以来最常用的（29％），并在过去一个月中使用（11％）。新的OTP使用在老年参与者(18-20岁)中更常见，男性参与者,以及过去30天的电子烟用户，可燃烟草,和传统的口服烟草。然而,女性参与者和不使用可燃烟草的人的可能性超过两倍和四倍，分别,使用比传统OTP新的OTP。近73%的过去30天的传统OTP用户是过去30天的新OTP用户。结论：新型OTP使用在青少年和年轻成人电子烟使用者中普遍存在。与传统的OTP相比，新的OTP可能对女性和不使用可燃烟草的人有更大的吸引力。需要采取行动限制访问并减少对OTP的兴趣，以防止在该人群中使用。
