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cross-sectional

Tobacco Use Among Middle and High School Students: 2025 National Youth Tobacco Survey.

Glantz SA · Pediatrics, 2026

e-cigarettenicotine-pouch

A 2025 survey of American middle and high school students found that overall tobacco use continued to decline to 7.2%, but nicotine pouches—a newer product—doubled in use since 2021 and became the second-most popular tobacco product after e-cigarettes. Daily e-cigarette use among youth has increased significantly, and most young users prefer flavored tobacco products.

Relevance to India: None stated.