Evidence map›Paper›PMID 40898003›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique2026

Emerging use of oral nicotine pouches among Canadian adolescents: Findings from the COMPASS-Quebec study.

Katelyn Battista, Mikael Piché-Ayotte, Slim Haddad, Anne-Marie Turcotte-Tremblay, Scott T Leatherdale, Richard E Bélanger

Abstract read
In one paragraph

Article in Canadian journal of public health = Revue canadienne de sante publique, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Katelyn Battista *School of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada. kbattist@uwaterloo.ca.ORCID http://orcid.org/0000-0002-8102-237X
Mikael Piché-Ayotte *VITAM - Centre de recherche en santé durable, Québec City, QC, Canada.
Slim HaddadVITAM - Centre de recherche en santé durable, Québec City, QC, Canada.
Anne-Marie Turcotte-TremblayVITAM - Centre de recherche en santé durable, Québec City, QC, Canada.
Scott T LeatherdaleSchool of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada.
Richard E BélangerVITAM - Centre de recherche en santé durable, Québec City, QC, Canada.

Funding

Canadian Centre on Substance Abuse OF7 B1-PCPEGT 410-10-9633CIHR PJT-148562CIHR PJT-149092Health Canada 1617-HQ-000012Institute of Nutrition, Metabolism and Diabetes OOP-110788Institute of Population and Public Health MOP-114875
6 · The paper itself

Abstract

objectivesOral nicotine pouches are gaining global popularity as a novel alternative nicotine product. Our objective was to examine nicotine pouch use among a large sample of Québec adolescents, including sociodemographic and health-related risk factors, co-use with cigarettes and e-cigarettes, and risk perceptions.

methodsWe surveyed 13,914 Quebec secondary school students as part of the 2024 COMPASS study. Participants answered questions on past-month use of oral nicotine pouches, e-cigarettes, and cigarettes, as well as perceived addictiveness and health risks. Poisson regression was used to examine relative risks for current nicotine pouch use by sociodemographic and health factors, current smoking and vaping status, and risk perceptions. Risk perceptions were compared across nicotine products.

resultsNicotine pouches were the most used alternative nicotine product following e-cigarettes, with prevalence of current use (2.6%) comparable to cigarette smoking (3.0%). Older adolescents, cisgender boys, gender diverse adolescents, academically at-risk youth, and current cigarette and e-cigarette users had higher relative risks for nicotine pouch use. Nearly one-quarter of adolescents were unsure of the health risks of nicotine pouches and 16% did not know whether they were addictive. Lower risk perceptions were associated with increased likelihood of current use.

conclusionNicotine pouches are an emerging nicotine product that appear to be gaining popularity among Canadian youth. Given their design features which allow for use in most situations and environments, nicotine pouches have considerable potential to follow the same popularity trajectory as e-cigarettes if not regulated appropriately.

Indexed as

Adolescent BehaviorElectronic Nicotine Delivery SystemsNicotineTobacco ProductsVapingAdministration, OralAdolescentFemaleHumansMaleQuebecRisk FactorsSurveys and QuestionnairesNicotineAdolescentHealth behaviourNicotineRisk factorsTobacco use

Identifiers

PMID40898003
PMCPMC13081800

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.