Urban–rural disparities in oral nicotine pouch sales and flavors in the United States

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• Sales of oral nicotine pouches demonstrate significant urban-rural disparities, with rural areas having higher per capita sales.
• Urban areas show a stronger preference for flavored products, indicating a distinct consumer behavior compared to rural regions.
• Analysis of sales patterns indicates that urban consumers are more sensitive to price changes in flavored oral nicotine pouches.
• Regulatory measures aimed at flavors may produce a greater impact in urban settings, highlighting potential strategies for public health.