Name
#11 The Proof is in the Pouch: Understanding Tobacco and Nicotine Product Use and Beliefs
Content Presented On Behalf Of:
DHA
Services/Agencies represented
US Army, Defense Health Agency (DHA), Other/Not Listed
Session Type
Poster
Date
Tuesday, March 3, 2026
Start Time
5:00 PM
End Time
7:00 PM
Location
Prince Georges Expo Hall E
Focus Areas/Topics
Clinical Care, Wellbeing, Policy/Management/Administrative
Learning Outcomes
Objectives: After reviewing our ongoing work, the audience members will be able to:
• Describe the prevalence of tobacco and nicotine product use among the military
• Discuss Soldiers’ tobacco and nicotine product use patterns and beliefs of health impacts
• Analyze Soldiers’ perceptions of the acceptability of different tobacco products within their peers and leaders and how this impacts use
Session Currently Live
Description
The Fort Bragg Public Health Partnership (the Partnership) – comprised of local public health, academic, and military organizations – launched in 2019 to address the public health needs of the Fort Bragg community. We collaborate on an array of topics, including cancer prevention efforts such as tobacco prevention and cessation. Tobacco use is the leading preventable cause of death in the U.S., and it is well established that active-duty service members (ADSM) use tobacco products at higher rates than the general population. Fort Bragg is the largest military installation by population in the world. To better understand military patterns of use and tobacco-related disparities, Fort Bragg Department of Public Health (FBDPH) began an annual tobacco study in 2022. Soldiers completed an anonymous cross-sectional paper survey administered by the FBDPH from Fall 2022 – Winter 2024 at a readiness site. The assessment measured self-reported demographics, current (past 30-day) nicotine and tobacco product use and perceptions of tobacco use. All surveys were inputted into Qualtrics and analyzed using SAS and Stata. Across the three years surveyed the sample (N=3,112) was mostly male (91%), <35 (92%), white (~50%), and reported significant current and lifetime tobacco use. In 2022 and 2023 vapes were both perceived to be and were the most used product among soldiers. But, between 2022 to 2024 percentage of individuals who had tried nicotine pouches increased from 22.6% to 56.2% and the percentage of daily users increased from 5.2% of the population. In 2024, the percentage of respondents who indicated at least occasional use of nicotine pouches and vapes were almost equal. Nicotine pouches were the only product to see such widespread increase in use. More concerning is that nicotine pouches were the only tobacco product that more respondents believed would not harm their physical performance, with 56% saying no. Given the speed and increasing rate of widespread use among the population, nicotine pouches are proving to be the new addictive trend in the tobacco world. Drivers of use in this sample appear to be perceptions of harm and addictiveness as well as general cultural acceptability. This research should be used to inform programs and practice targeting the significant tobacco use among military personnel and civilian counterparts.