06/02/2026
Adults with low incomes smoke at higher rates than their wealthier counterparts—and face steeper barriers to quitting. Could less harmful ni****ne alternatives help close the gap?
That is a key question NYU Silver Assistant Professor Dale Maglalang and colleagues explore in a new article deemed an Editor’s Choice by the journal Ni****ne and To***co Research.
Their randomized controlled trial pilot study examined what low-income adults who smoke daily say helps and hinders them when they try switching to e-ci******es (ECs) or oral ni****ne pouches (ONPs). Participants pointed to three key facilitators to EC and ONP use: the convenience of using them in places where smoking isn’t allowed, their effectiveness at satisfying ni****ne cravings, and the perception that they’re less harmful than ci******es. Barriers included delayed ni****ne delivery, missing the sensory experience of smoking, and—with ONPs especially—limited knowledge and misconceptions about the products.
As a May 2026 Editor’s Choice article, the study will be available with free access for the next six months. Read it now at https://doi.org/10.1093/ntr/ntaf250.
AbstractIntroduction. Adults with low-income (LI) are more likely to smoke. Alternative Ni****ne Delivery Systems (ANDS) like electronic ci******es (EC) an