Tobacco and nicotine product use patterns and trends among United States youth and young adults (2021–2024)

IF 2.8 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Preventive Medicine Reports Pub Date : 2026-06-01 Epub Date: 2025-10-18 DOI:10.1016/j.pmedr.2025.103284

Elizabeth K. Do, Kristiann Koris, Tatum L. McKay, Joslynn A. Watkins, Gargi Panigrahi, Elizabeth C. Hair

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Abstract

Objective

To examine patterns of tobacco and nicotine product use, identify changes in usage trends, and determine the frequency of use across exclusive, dual, and polyuse patterns and the influence of sociodemographic variables among United States youth and young adults.

Methods

Data were collected from a repeated, cross-sectional survey of United States young people (aged 15–24 years) from 2021 to 2024. Joinpoint regression was used to determine quarter-year percentage change in usage trends. Chi-square tests and multinomial logistic regression were applied to 2024 data to assess associations with sociodemographic variables.

Results

The most common usage pattern was dual use of e-cigarettes and combustible tobacco products. Quarter-year percentage change for dual use of e-cigarettes and oral nicotine pouches increased by 14.75 % from Quarter 3 2023 to Quarter 3 2024. Quarter-year percentage change for polyuse of e-cigarettes, combustible tobacco products, and oral nicotine pouches increased by 6.82 % from Quarter 3 2022 to Quarter 3 2024. Use patterns varied by age, gender identity, race and ethnicity, and perceived financial status.

Conclusions

Results indicate significant changes in dual and polyuse of tobacco and nicotine products. These shifts underscore the importance of ongoing surveillance and targeted interventions to mitigate health risks and reduce the burdens of nicotine addiction in this vulnerable population.

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烟草和尼古丁产品在美国青年和年轻人中的使用模式和趋势（2021-2024）。

目的：研究烟草和尼古丁产品的使用模式，确定使用趋势的变化，并确定在美国青年和年轻人中使用单一、双重和多种使用模式的频率以及社会人口变量的影响。方法：数据收集自2021年至2024年对美国年轻人（15-24岁）的重复横断面调查。使用连接点回归来确定使用趋势的季度年度百分比变化。对2024年的数据进行卡方检验和多项逻辑回归，以评估与社会人口学变量的关联。结果：最常见的使用模式是电子烟和可燃烟草制品的双重使用。从2023年第三季度到2024年第三季度，双重用途电子烟和口服尼古丁袋的季度年度变化百分比增加了14.75%。从2022年第三季度到2024年第三季度，多用途电子烟、可燃烟草产品和口服尼古丁袋的季度百分比变化增加了6.82%。使用模式因年龄、性别认同、种族和民族以及感知到的财务状况而异。结论：结果表明烟草和尼古丁制品的双重和多重使用发生了显著变化。这些转变强调了持续监测和有针对性干预的重要性，以减轻这一弱势群体的健康风险和尼古丁成瘾负担。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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