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August 30, 2026Scientific ReportsOpen Access

Public awareness, knowledge, and risk perceptions of nicotine pouches

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Authors

HAHajed M. Al-OtaibiHAHusam AlahmadiRARawan Aljedani

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Overview

Cross-sectional survey reveals high awareness of nicotine pouches alongside mixed harm perceptions among adults, indicating substantial interest but persistent confusion regarding health risks.

Key Points

  • To assess public awareness, knowledge, use patterns, and health risk perceptions associated with tobacco-free nicotine pouches.
  • Conducted a cross-sectional survey using a convenience sampling method, enrolling 1,112 participants with 1,105 eligible responses analyzed.
  • Evaluated sociodemographic factors, information sources, perceived safety relative to cigarettes and e-cigarettes, and motivations for use.
  • Overall awareness of nicotine pouches reached 75.6% (n = 836/1,105), with current use independently associated with awareness (aOR = 8.81, 95% CI: 4.70–16.54, p < 0.001), male sex (aOR = 8.00, 95% CI: 3.75–17.10, p < 0.001), and education level (aOR = 0.70, 95% CI: 0.50–0.99, p = 0.041).
  • Among aware respondents, 50.8% viewed nicotine pouches as safer than combustible cigarettes and 58.6% as safer than vaping, while 79.0% acknowledged addiction potential and 53.6% believed pouches contain carcinogens.
  • Former smokers comprised 58.6% (n = 194) of active pouch consumers, while 17.2% (n = 57) of current users reported no prior history of traditional cigarette smoking.

Cite This Study

Al-Otaibi et al. (2026) studied this question.

synapsesocial.com/papers/6a93f00a6c1a8fb52e79c06bhttps://doi.org/10.1038/s41598-026-68033-4
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Also Consider

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

  1. 1Prevalence and risk perceptions of nicotine pouch use: A systematic review of population‐based studies2026
  2. 2Perception, beliefs and health effects of nicotine pouches2024 · 1 citations
  3. 3Emerging tobacco use patterns in the United States: Tobacco use behaviors associated with current use of nicotine pouches2026
  4. 4Biomarkers of Exposure to Tobacco-Related Toxicants among Adult Nicotine Pouch Users.2025 · 6 citations
  5. 5Awareness and use of nicotine pouches among adults in the Kingdom of Saudi Arabia2026