Young people are using multiple tobacco and nicotine products

Truth Initiative

Jan. 22, 2026

Multiple tobacco and nicotine product use is increasingly common among young people

A study published in Preventive Medicine Reports found a significant increase in the use of multiple tobacco and nicotine products among young people between 2021 and 2024, including dual use of e-cigarettes and oral nicotine pouches. These findings suggest that oral nicotine pouches are not replacing other tobacco products but rather supplementing existing use patterns and demonstrate how a rapidly expanding product landscape offers more avenues for nicotine use than ever before.

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How does vaping nicotine impact sleep?

Nicotine addiction can negatively impact mental health and poses a threat to a generation of young people already experiencing a mental health crisis. On top of that, research also suggests another way nicotine use can affect mental and physical health: by interfering with sleep. Sleep problems can include insufficient sleep, interrupted sleep, restlessness during sleep, nightmares, and daytime sleepiness.

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Quitting vaping benefits health – and the environment

Cheap, high-nicotine, disposable e-cigarettes are dominating the market – and contributing to tons of electronic waste. More than 27 vapes are thrown away every second, amounting to more than 850 million vapes that end up in the street or the landfill each year.

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This week in tobacco policy news

New Jersey: Governor Phil Murphy signed into law a bill which prohibits delivery of electronic smoking devices and tobacco products to individuals under 21 years old.
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Oklahoma: The Oklahoma Supreme Court ruled unconstitutional a law passed last year undermining the independence of the Tobacco Settlement Endowment Trust (TSET). Established by voters, TSET uses earnings from Master Settlement Agreement payments to fund programs that prevent cancer and cardiovascular disease, Oklahoma's leading causes of death.
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