Introduction:
Some studies indicate that tobacco use rates may increase during the SARS-Cov-2 (COVID-19) pandemic. This study aims to assess if the use of traditional tobacco products, e-cigarettes and heated tobacco has substantially changed during the pandemic in Poland.

Material and Methods:
The study presents Internet survey data from the National Health Test of Poles that was conducted in 2020 (before pandemic) and 2023(after pandemic) by Internet portal onet.pl in representative group of adult (aged 18 and older) Internet users. In each survey more than 200,000 people took part in the study. Results of the study were weighted to adult population in Poland with adjustment to gender, age, education and number of inhabitants in place of living.

Results:
The 2023 study results show that proportion of adult men and women who use daily traditional tobacco products reaches the same level of 21%. Comparison of data from 2020 and 2023 indicates that there are no substantial changes among tobacco users in daily use of traditional tobacco products between 2020 and 2023 (68% in 2020, 62% in 2023), also in age groups. However, the use of e-cigarettes and heated tobacco has dramatically increased at that time among young adult tobacco users (aged 18 to 44), in particular among the youngest segment of analysed population (among aged 18 to 24 from 59% to 79% for e-cigarette use and from 20% to 52% for heated tobacco use).

Conclusions:
Dramatic increase in proportion of e-cigarettes and heated tobacco users among young Polish tobacco users requires undertaking immediate and comprehensive counter-activities. These activities should be mostly addressed to teenagers and young adults and take into account both legislative and socio-economic tobacco control instruments.