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Influence of Electronic Cigarette Characteristics on Susceptibility, Perceptions, and Abuse Liability Indices among Combustible Tobacco Cigarette Smokers and Non-Smokers

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  • Cosima Hoetger

    (Department of Psychology, Virginia Commonwealth University, 806 W Franklin St, Richmond, VA 23284, USA
    Center for the Study of Tobacco Products, Virginia Commonwealth University, 100 W Franklin St, Richmond, VA 23220, USA)

  • Rose S. Bono

    (Department of Health Behavior and Policy, Virginia Commonwealth University, 830 E Main St, Richmond, VA 23219, USA)

  • Nicole E. Nicksic

    (Department of Health Behavior and Policy, Virginia Commonwealth University, 830 E Main St, Richmond, VA 23219, USA)

  • Andrew J. Barnes

    (Department of Health Behavior and Policy, Virginia Commonwealth University, 830 E Main St, Richmond, VA 23219, USA)

  • Caroline O. Cobb

    (Department of Psychology, Virginia Commonwealth University, 806 W Franklin St, Richmond, VA 23284, USA
    Center for the Study of Tobacco Products, Virginia Commonwealth University, 100 W Franklin St, Richmond, VA 23220, USA)

Abstract

This study assessed how electronic cigarette (ECIG) characteristics amenable to regulation—namely nicotine content, flavor, and modified risk messages—impact ECIG use susceptibility, harm/addiction perceptions, and abuse liability indices among combustible tobacco cigarette (CTC) smokers and non-smokers. CTC smokers and non-smokers varying in ECIG use recruited via Amazon Mechanical Turk (MTurk) completed an online survey in 2016 (analytic n = 706). Participants were randomly assigned to one of eight conditions differing in ECIG characteristics: nicotine content (no, low, high), flavor (menthol, tobacco, fruit), or modified risk message (reduced harm, reduced carcinogen exposure). Regressions assessed ECIG susceptibility, harm/addiction perceptions, and abuse liability indices (purchase task measures of breakpoint/intensity) within each regulatory domain (nicotine content, flavor, message) and their interactions with CTC/ECIG status. Differential effects on ECIG susceptibility, harm/addiction perceptions, and abuse liability indices were observed by regulatory domain with many effects moderated by CTC/ECIG status. ECIG nicotine content and flavor conditions were the most influential across outcomes. Greater nicotine content, tobacco-flavored and reduced carcinogen exposure ECIGs were more highly preferred by CTC smokers with some differing preferences for non-users. Findings reinforce consideration of discrete ECIG preferences across tobacco use status to improve regulatory efficacy.

Suggested Citation

  • Cosima Hoetger & Rose S. Bono & Nicole E. Nicksic & Andrew J. Barnes & Caroline O. Cobb, 2019. "Influence of Electronic Cigarette Characteristics on Susceptibility, Perceptions, and Abuse Liability Indices among Combustible Tobacco Cigarette Smokers and Non-Smokers," IJERPH, MDPI, vol. 16(10), pages 1-15, May.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:10:p:1825-:d:233552
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    References listed on IDEAS

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    1. Stefanie Scheffler & Hauke Dieken & Olaf Krischenowski & Christine Förster & Detlev Branscheid & Michaela Aufderheide, 2015. "Evaluation of E-Cigarette Liquid Vapor and Mainstream Cigarette Smoke after Direct Exposure of Primary Human Bronchial Epithelial Cells," IJERPH, MDPI, vol. 12(4), pages 1-11, April.
    2. Konstantinos E. Farsalinos & Giorgio Romagna & Dimitris Tsiapras & Stamatis Kyrzopoulos & Alketa Spyrou & Vassilis Voudris, 2013. "Impact of Flavour Variability on Electronic Cigarette Use Experience: An Internet Survey," IJERPH, MDPI, vol. 10(12), pages 1-11, December.
    3. Vincent Varlet & Konstantinos Farsalinos & Marc Augsburger & Aurélien Thomas & Jean-François Etter, 2015. "Toxicity Assessment of Refill Liquids for Electronic Cigarettes," IJERPH, MDPI, vol. 12(5), pages 1-20, April.
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