Cross-sectional analysis identifies connections between nicotine pouch, vaping, and cigarette initiation among youth, indicating peer influence trends.
Cigarette smoking appears to be associated with both nicotine pouch initiation and vaping initiation among United States adolescents and young adults. Current vaping appears to be associated with pouch initiation, but current pouch use does not appear to be associated with vaping initiation. Important peers using pouches appear to be associated with pouch initiation and vaping initiation but not cigarette smoking. Most pouch initiators in this study concurrently vaped at one-year follow-up.
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Erinoso et al. (2026) studied this question.
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