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June 14, 2026Addiction

Prevalence and risk perceptions of nicotine pouch use: A systematic review of population‐based studies

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Authors

SMSalma MahmoodianfardSSSpencer ShahenJHJavad Heshmati

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Overview

Systematic review synthesized prevalence and risk perceptions of nicotine pouch use in global populations, indicating varying levels of awareness and use.

Key Points

  • This review aims to gather and summarize population-based studies on nicotine pouch prevalence and the associated risk perceptions.
  • Conducted a systematic review of four databases: Scopus, Medline, EMBASE, and Cochrane CENTRAL.
  • Included observational studies examining nicotine pouch use across various countries.
  • Assessed study quality using the Newcastle-Ottawa Scale and synthesized findings narratively.
  • Included 16 studies with a total sample size of 184,497 from several countries.
  • US ever use of nicotine pouches ranged from 0.6% to 17.9%; current use ranged from 0.8% to 12.0%.
  • Perceptions of nicotine pouches suggested they are viewed as less harmful and more socially acceptable than traditional cigarettes.

Cite This Study

Mahmoodianfard et al. (2026) studied this question.

synapsesocial.com/papers/6a2e4704b1cc60ccdea8ba02https://doi.org/10.1111/add.70506
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Public awareness, knowledge, and risk perceptions of nicotine pouches2026
  2. 2Perception, beliefs and health effects of nicotine pouches2024 · 1 citations
  3. 3Awareness and use of oral nicotine pouches among youth and young adults, 2022–2024: repeat cross-sectional surveys in Canada, England, the USA and New Zealand2025 · 9 citations
  4. 4Nicotine pouches and clinical outcomes related to smoking cessation: A systematic review of randomized trials2025 · 7 citations
  5. 5Emerging tobacco use patterns in the United States: Tobacco use behaviors associated with current use of nicotine pouches2026