Changing patterns of first e-cigarette flavor used and current flavors used by 20,836 adult frequent e-cigarette users in the USA
Autor: | Neil McKeganey, Mitchell Nides, Christopher Russell, Tiffany Dickson |
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Rok vydání: | 2018 |
Předmět: |
Adult
Male Adolescent Population Medicine (miscellaneous) Electronic Nicotine Delivery Systems Food and drug administration Young Adult 03 medical and health sciences 0302 clinical medicine Flavors Cigarette smoking Environmental health Tobacco Humans Medicine 030212 general & internal medicine education Flavor Aged Harm reduction education.field_of_study Smokers 030505 public health Cigarettes business.industry Vaping Research lcsh:Public aspects of medicine Smoking Public Health Environmental and Occupational Health food and beverages Vapers lcsh:RA1-1270 Consumer Behavior Middle Aged Flavor preferences equipment and supplies Former Smoker United States Flavoring Agents E-cigarettes E-liquids Psychiatry and Mental health Taste Female 0305 other medical science business |
Zdroj: | Harm Reduction Journal, Vol 15, Iss 1, Pp 1-14 (2018) Harm Reduction Journal |
ISSN: | 1477-7517 |
DOI: | 10.1186/s12954-018-0238-6 |
Popis: | Background Understanding the role that flavors play in the population’s use of e-cigarettes and the impact that flavored e-cigarette products have on the population’s use of more harmful tobacco products, like conventional cigarettes, has been identified by the US Food and Drug Administration (FDA) as a public health research priority. The purpose of the study was to assess the first e-cigarette flavor and current e-cigarette flavors used by a large non-probabilistic sample of adult frequent users of e-cigarettes in the USA and assess how flavor preferences vary by cigarette smoking status and time since first e-cigarette purchase. Methods An online survey assessed the first e-cigarette flavor and current e-cigarette flavors used by a non-probabilistic sample of 20,836 adult frequent e-cigarette users in the USA. Differences in e-cigarette flavor preferences between current smokers, former smokers, and never-smokers and trends in the first flavor used across time of e-cigarette use initiation were assessed. Results The majority (n = 15,807; 76.4%) of sampled frequent e-cigarette users had completely substituted e-cigarettes for conventional cigarettes—“switchers”—and were currently using rechargeable, refillable vaping devices. Among them, the proportion of first e-cigarette purchases that were fruit-flavored increased from 17.8% of first purchases made before 2011 to 33.5% of first purchases made between June 2015 and June 2016. Tobacco-flavored first purchases almost halved during this time (46.0% pre-2011 to 24.0% between 2015 and 2016). Fruit/fruit beverage (73.9 to 82.9% of sampled users), dessert/pastry (63.5 to 68.5% of sampled users), and candy, chocolate, or sweets (48.7 to 53.4% of sampled users) were the most popular currently used e-cigarette flavors. Tobacco and menthol flavors, the two most popular flavors for initiating e-cigarette use prior to 2013, now rank as the 5th and 6th most popular currently used e-cigarette flavors, respectively. Conclusions Adult frequent e-cigarette users in the USA who have completely switched from smoking cigarettes to using e-cigarettes are increasingly likely to have initiated e-cigarette use with non-tobacco flavors and to have transitioned from tobacco to non-tobacco flavors over time. Restricting access to non-tobacco e-cigarette flavors may discourage smokers from attempting to switch to e-cigarettes. |
Databáze: | OpenAIRE |
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