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Adolescents, Young Adults, and Adults Continue to Use E-Cigarette Devices and Flavors Two Years after FDA Discretionary Enforcement

Author

Listed:
  • Devin M. McCauley

    (Reach Lab, Department of Pediatrics, Division of Adolescent Medicine, Stanford University, Palo Alto, CA 94304, USA)

  • Shivani Mathur Gaiha

    (Reach Lab, Department of Pediatrics, Division of Adolescent Medicine, Stanford University, Palo Alto, CA 94304, USA)

  • Lauren Kass Lempert

    (Reach Lab, Department of Pediatrics, Division of Adolescent Medicine, Stanford University, Palo Alto, CA 94304, USA
    Center for Tobacco Control Research and Education, University of California, San Francisco, CA 94143, USA)

  • Bonnie Halpern-Felsher

    (Reach Lab, Department of Pediatrics, Division of Adolescent Medicine, Stanford University, Palo Alto, CA 94304, USA)

Abstract

This study assesses the use of e-cigarette devices and flavors using a large, cross-sectional survey of adolescents, young adults, and adults (N = 6131; ages 13–40 years old; M age = 21.9) conducted from November to December 2021, 22 months after the FDA announced its prioritized enforcement policy against some flavored pod/cartridge-based e-cigarettes. We analyzed the patterns of use by age group: adolescents and young adults (AYAs) under 21 (minimum age of e-cigarette sales), young adults (21–24 years old), and adults (25–40 years old). The participants reported using e-cigarettes ever (44.2% < 21; 67.1% 21–24; 58.0% > 24), in the past 30 days (29.8% < 21; 52.6% 21–24; 43.3% > 24), and in the past 7 days (24.5% < 21; 43.9% 21–24; 36.5% > 24). Disposables were the most used e-cigarette device type across age groups (39.1% < 21; 36.9% 21–24; 34.5% > 24). Fruit, sweet, mint, and menthol flavors were popular across age groups; however, chi-squared tests for trends in proportions revealed age-related trends in past 30-day flavor use by device type. Findings suggest current AYA e-cigarette use may be higher than recorded by the NYTS 2021. The FDA, states, and localities should adopt more comprehensive restrictions on flavored e-cigarette products in order to reduce adolescent and young adult e-cigarette use.

Suggested Citation

  • Devin M. McCauley & Shivani Mathur Gaiha & Lauren Kass Lempert & Bonnie Halpern-Felsher, 2022. "Adolescents, Young Adults, and Adults Continue to Use E-Cigarette Devices and Flavors Two Years after FDA Discretionary Enforcement," IJERPH, MDPI, vol. 19(14), pages 1-15, July.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:14:p:8747-:d:865657
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    References listed on IDEAS

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    1. Crystal Lin & Shivani Mathur Gaiha & Bonnie Halpern-Felsher, 2022. "Nicotine Dependence from Different E-Cigarette Devices and Combustible Cigarettes among US Adolescent and Young Adult Users," IJERPH, MDPI, vol. 19(10), pages 1-9, May.
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