Electronic Nicotine Delivery System flavor use over time by age group in the US: A longitudinal analysis.

Autor:	Kaplan B; Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Baltimore, United States., Hardesty JJ; Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Baltimore, United States., Welding K; Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Baltimore, United States., Breland AB; Center for the Study of Tobacco Products, Virginia Commonwealth University, Richmond, United States., Eissenberg T; Center for the Study of Tobacco Products, Virginia Commonwealth University, Richmond, United States., Cohen JE; Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Baltimore, United States.
Jazyk:	angličtina
Zdroj:	Tobacco induced diseases [Tob Induc Dis] 2023 May 19; Vol. 21, pp. 67. Date of Electronic Publication: 2023 May 19 (Print Publication: 2023).
DOI:	10.18332/tid/162365
Abstrakt:	Introduction: The prevalence of flavor use in Electronic Nicotine Delivery Systems (ENDS) has been assessed in numerous studies, but limited research has focused on flavor use trends and maintenance of flavor preference over time. This study investigated the general trends and maintenance of ENDS flavor use for youth (aged 12-17 years), young adults (aged 18-24 years), and older adults (aged ≥25 years) between 2014 and 2019. Methods: Population Assessment of Tobacco and Health (PATH) Study Wave 2 (2014-2015), Wave 3 (2015-2016), Wave 4 (2016-2017), and Wave 5 (2018-2019) youth and adult data were used. Cross-sectional flavor use prevalence (trends) and flavor maintenance (using the same flavor category in at least three consecutive waves) were assessed. Results: The most reported primary flavor category was fruit among all age groups in all waves. Candy/desserts in waves two, three, four, and menthol/mint in wave five were the second most reported flavor in all age groups. The highest increase was observed for menthol/mint use among youth between wave two (21.9%) and five (58.1%) (OR=5.33; 95% CI: 3.58-7.96). Overall, 37.6% of fruit flavor users, 25.3% of candy/desserts users, 32.0% of menthol/mint users, and 33.4% of tobacco flavor users, maintained use of the same flavor in at least three consecutive waves. Conclusions: Fruit flavor had the highest percentages of use and maintenance between 2014 and 2019. While the maintenance of fruit and candy/desserts flavors were higher among youth, adults had substantially higher maintenance percentages for menthol/mint and tobacco flavor. There was a substantial increase in menthol/mint use in wave five among youth, which may affect ENDS flavor maintenance patterns in the future. Understanding maintenance of flavors over time can inform regulation of ENDS flavors. Competing Interests: The authors have each completed and submitted an ICMJE form for disclosure of potential conflicts of interest. The authors declare that they have no competing interests, financial or otherwise, related to the current work. B. Kaplan, J.J. Hardesty, K. Welding, A.B. Breland, and J.E. Cohen report that since the initial planning of the work, JHU was supported from NIH/FDA U54DA036105 via VCU’s U54, and that in the past 36 months grants or contracts were provided to JHU from Bloomberg Initiative to Reduce Tobacco Use – JHSPH. B. Kaplan and J.J. Hardesty, report that they were supported for partner meetings from Bloomberg Initiative to Reduce Tobacco Use – JHSPH and for professional conferences from NIH/FDA U54DA036105, and from an individual account and IRA accounts – mostly index ETFs from Fidelity and WSRC (no individual stock in tobacco companies) and 403b retirement account – Index ETFs from TIAA. J.J. Hardesty reports that he holds an individual account in cryptocurrency. A.B. Breland reports that since the initial planning of the work, JHU was supported from NIH/FDA U54DA036105 via VCU’s U54, and that in the past 36 months, she received payment from NIH grant review, in 2020, 2021, and 2022. Finally, she reports that in the past 36 months she is managing Vanguard Mutual funds. T. Eissenberg reports that since the initial planning of the work, JHU was supported from NIH/FDA U54DA036105 via VCU’s U54 and that in the past 36 months he received consulting fees as an expert, reported and prepared for the plaintiffs in litigation against the tobacco/ENDS industry 2021–2022, payments for consulting various academic institutions for tobacco-related work (U of Ark Med Sci; FL international U; UNC-Chapel Hill), payments as an expert witness for the plaintiffs in litigation against the tobacco/ENDS industry (2021–2022), reimbursement made to him or costs paid directly by WHO (two WHO meetings in 2022 in Geneva and Tbilisi; travel and food and hotel provided by WHO). He reports as named on one patent for a device that measures the puffing behavior of electronic cigarette users, on another patent application for a smartphone app that determines electronic cigarette device and liquid characteristics, and a third patent application for a smoking cessation intervention (no payment), and payment for participating at Yale’s TCORS external advisory board. Finally, he reports that he owns stocks in Bank of America and in Index fund; and professionally managed portfolios (various). J.E. Cohen reports that in the past 36 months she received a honorarium as editor of Tobacco Control journal, and honoraria for presentations at institutional grand rounds/seminar series, and that she was a Board member of Society for Research on Nicotine and Tobacco (no payment). (© 2023 Kaplan B. et al.)
Databáze:	MEDLINE
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