Awareness and Use of Oral Tobacco and Nicotine Products Among People Who Smoke or Recently Stopped Smoking: Descriptive Findings From the 2024 EASE/ITC New Zealand Survey
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Ball, Jude
Zhang, Jane
Hoek, Janet
Stanley, James
Waa, Andrew
Tautolo, El-Shadan
Agar, Thomas
Quah, Anne CK
Fong, Geoffrey T
Edwards, Richard
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Oxford University Press
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INTRODUCTION: Aotearoa New Zealand (NZ) disallows sales of oral tobacco and nicotine products, although importation for personal use is permitted. The government proposes legalising sales, claiming this will aid smoking cessation among "older, long-term smokers." We examined awareness and use of tobacco-free oral nicotine products (ONPs), snus, and other oral tobacco products among adults who smoke or who recently stopped smoking. METHODS: We analysed Wave 5 (2024) data from the EASE/International Tobacco Control (ITC) NZ Survey (N=1,371) of adults who smoke or recently stopped smoking. We examined prevalence of awareness, ever, and current (at least monthly) use of oral tobacco and nicotine products, overall and by demographic factors and smoking status/cessation intentions. RESULTS: Awareness was 41.3% (95% confidence interval 37.7, 45.0) for ONPs, 31.5% (28.1, 35.2) for snus, and 70.2% (66.6, 73.5) for other oral tobacco products. Ever use was 12.5% (10.5, 14.8), 7.0% (5.5, 8.8), and 11.6% (9.6, 14.0) respectively. Current use was 4.1% (3.1, 5.6), 2.4% (1.5, 3.6), and 2.6% (1.9, 3.7) respectively. Weighted point estimates for awareness and use of snus and any oral product overall were lower among adults aged ≥45 than those aged 18-24 or 25-44. Current use of oral products was 5.8% (3.3, 10.1) among those who smoked daily with no intention to stop. CONCLUSIONS: Current policy settings allow meaningful levels of oral product use in NZ. Use is uncommon among adults aged ≥45 years and occurs among people without cessation intentions, highlighting the risk that use may complement rather than replace smoking.
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4206 Public Health, 42 Health Sciences, Health Disparities and Racial or Ethnic Minority Health Research, Tobacco, Prevention, Tobacco Smoke and Health, Lung, Substance Misuse, Health Disparities, Lung Cancer, Behavioral and Social Science, Cancer, 3.1 Primary prevention interventions to modify behaviours or promote wellbeing, Stroke, Cancer, Respiratory, Cardiovascular, 3 Good Health and Well Being, 1103 Clinical Sciences, 1117 Public Health and Health Services, 1505 Marketing, Public Health, 4202 Epidemiology, 4206 Public health
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Nicotine and Tobacco Research, ISSN: 1462-2203 (Print); 1469-994X (Online), Oxford University Press, ntag190-. doi: 10.1093/ntr/ntag190
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© The Author(s) 2026. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. This is an Open Access article.
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Except where otherwise noted, this item's license is described as Creative Commons Attribution-NonCommercial-NoDerivs licence