Young people’s awareness and use of nicotine pouches explored in first UK qualitative study

Nicotine pouches entered the UK market in 2019 and, while overall use among young people remains low, it is reported to be rising and is a growing cause for concern. The new study is the first in the UK to explore young people’s understanding and use of nicotine pouches through in-depth qualitative research. 

Researchers conducted focus groups with 77 pupils aged 14–16 across four Scottish schools and interviewed 13 school staff members. The study forms part of the wider NIPS Study, which investigates the marketing and use of new nicotine products (NNPs) in Scotland. 

The research found that pupils were knowledgeable about nicotine pouches and believed them to be easy to access. Many reported trying them, and some - particularly older boys - described regular use. Young people said they liked that nicotine pouches could be used discreetly and produced a quick ‘nicotine rush’, but also spoke of negative side effects including gum pain, sickness and fainting. 

In contrast, school staff were largely unaware of nicotine pouch use among pupils, with most perceiving that students were not using them. Staff reported greater awareness of vaping, which has received more attention in school settings. 

The authors highlight a clear need for increased awareness among educators and parents, and for public health responses to consider the growing availability and appeal of nicotine pouches to young people.