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Use of Flavored E-Cigarettes and the Type of E-Cigarette Devices Used among Adults and Youth in the US—Results from Wave 3 of the Population Assessment of Tobacco and Health Study (2015–2016)

Author

Listed:
  • Liane M. Schneller

    (Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA)

  • Maansi Bansal-Travers

    (Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA)

  • Maciej L. Goniewicz

    (Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA)

  • Scott McIntosh

    (Department of Public Health Sciences, University of Rochester Medical Center, Rochester, NY 14642, USA)

  • Deborah Ossip

    (Department of Public Health Sciences, University of Rochester Medical Center, Rochester, NY 14642, USA)

  • Richard J. O’Connor

    (Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA)

Abstract

The United States (U.S.) Food and Drug Administration has expressed concern about flavored e-cigarettes (e.g., JUUL brand) because they are appealing to youth who may be unaware that the product is addictive. The Population Assessment of Tobacco and Health Study Wave 3 provided data on flavor categories, type of e-cigarette product, and smoking status among past 30-day youth and adult e-cigarette users in the US. Most past 30-day youth and adult users reported using only one flavor category, with fruit (53% youth, 31% adult) being the most commonly reported category. Adults were far more likely to report using tobacco flavor alone, compared to any other individual flavor category or flavor category combinations (OR: 21.08, 95%CI: 5.92, 75.12). Whereas, youth were more likely to report using multiple flavor categories (OR: 2.03, 95%CI: 1.55, 2.65), with the most reported pairing being fruit and candy (36%). The variety of flavors on the market appeals to consumers of all ages. Although most past 30-day e-cigarette users reported only one flavor category, non-tobacco flavors were far more common among youth. Differences in flavor preferences among adult versus youth vapers may have implications for the role of flavors in both the initiation of youth vaping and adult vaping for smoking cessation.

Suggested Citation

  • Liane M. Schneller & Maansi Bansal-Travers & Maciej L. Goniewicz & Scott McIntosh & Deborah Ossip & Richard J. O’Connor, 2019. "Use of Flavored E-Cigarettes and the Type of E-Cigarette Devices Used among Adults and Youth in the US—Results from Wave 3 of the Population Assessment of Tobacco and Health Study (2015–2016)," IJERPH, MDPI, vol. 16(16), pages 1-12, August.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:16:p:2991-:d:259105
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    References listed on IDEAS

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    1. Carla J. Berg, 2016. "Preferred flavors and reasons for e-cigarette use and discontinued use among never, current, and former smokers," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(2), pages 225-236, March.
    2. Rabinoff, M. & Caskey, N. & Rissling, A. & Park, C., 2007. "Pharmacological and chemical effects of cigarette additives," American Journal of Public Health, American Public Health Association, vol. 97(11), pages 1981-1991.
    3. Sarah D. Kowitt & Clare Meernik & Hannah M. Baker & Amira Osman & Li-Ling Huang & Adam O. Goldstein, 2017. "Perceptions and Experiences with Flavored Non-Menthol Tobacco Products: A Systematic Review of Qualitative Studies," IJERPH, MDPI, vol. 14(4), pages 1-18, March.
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    Cited by:

    1. Cotti, Chad & Courtemanche, Charles & Maclean, Joanna Catherine & Nesson, Erik & Pesko, Michael F. & Tefft, Nathan W., 2022. "The effects of e-cigarette taxes on e-cigarette prices and tobacco product sales: Evidence from retail panel data," Journal of Health Economics, Elsevier, vol. 86(C).
    2. Brian L. Rostron & Joanne T. Chang & Cindy M. Chang & Rebecca A. Jackson & Bridget K. Ambrose, 2020. "ENDS Flavor Preference by Menthol Cigarette Smoking Status among US Adults, 2018–2019," IJERPH, MDPI, vol. 18(1), pages 1-8, December.

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