TY - JOUR
T1 - Appeal of e-cigarette flavors
T2 - Differences between never and ever use of combustible cigarettes
AU - Tackett, Alayna P.
AU - Dai, Hongying Daisy
AU - Han, Dae Hee
AU - Vogel, Erin A.
AU - Coreas, Saida I.
AU - Jafarzadeh, Nikki
AU - Gonzalez Anaya, Maria J.
AU - Patel, Devaki
AU - Peraza, Natalia
AU - Mason, Tyler B.
AU - Leventhal, Adam M.
N1 - Publisher Copyright:
© 2023 Elsevier B.V.
PY - 2023/5/1
Y1 - 2023/5/1
N2 - Background: Characterizing the appeal of flavored e-cigarette solutions by tobacco product use status can inform regulations to reduce vaping in those who never smoked without discouraging adopting e-cigarettes as a quit-smoking aid. Methods: Adults aged 21+ who currently use tobacco products (N = 119) self-administered standardized puffs of eight non-tobacco flavored and two tobacco-flavored e-cigarette solutions using a pod-style device. Participants rated appeal (0–100 scale) following each administration. Mean differences in flavor appeal ratings were compared between four groups: people who never smoked/currently vape, formerly smoked/currently vape, currently smoke/currently vape, and currently smoke/do not vape (with interest in vaping). Results: The Global Flavor (all non-tobacco vs. tobacco)×Group interaction (p = .028) revealed higher appeal for non-tobacco vs. tobacco flavors in adults who never smoked/currently vape (B[95 %CI] = 13.6[4.1–23.1]), formerly smoked/currently vape (B[95 %CI] = 11.6[4.2–18.9]), and currently smoke/currently vape (B[95 %CI] = 9.3[2.5–11.6]), but not adults who currently smoke/never vaped (B[95 %CI] = −0.1[−5.1 to 4.9]). In flavor-specific analyses, adults who never smoked/currently vape rated strawberry (p = .022), peppermint (p = .028), and menthol (p = .028) more appealing than tobacco flavors. Among adults who formerly smoked/currently vape, strawberry (p < .001), peppermint (p = .009), and vanilla (p = .009), were more appealing than tobacco. Adults who currently smoked/currently vape rated peppermint (p = .022) and vanilla (p = .009) as more appealing than tobacco. No non-tobacco flavors were more appealing than tobacco in adults who currently smoke/never vaped. Conclusions: E-cigarette sales restrictions on non-tobacco flavors, including menthol, may eliminate products preferred by adults who vape, including those who never smoked, without discouraging adults who currently smoke and never vaped from trying e-cigarettes.
AB - Background: Characterizing the appeal of flavored e-cigarette solutions by tobacco product use status can inform regulations to reduce vaping in those who never smoked without discouraging adopting e-cigarettes as a quit-smoking aid. Methods: Adults aged 21+ who currently use tobacco products (N = 119) self-administered standardized puffs of eight non-tobacco flavored and two tobacco-flavored e-cigarette solutions using a pod-style device. Participants rated appeal (0–100 scale) following each administration. Mean differences in flavor appeal ratings were compared between four groups: people who never smoked/currently vape, formerly smoked/currently vape, currently smoke/currently vape, and currently smoke/do not vape (with interest in vaping). Results: The Global Flavor (all non-tobacco vs. tobacco)×Group interaction (p = .028) revealed higher appeal for non-tobacco vs. tobacco flavors in adults who never smoked/currently vape (B[95 %CI] = 13.6[4.1–23.1]), formerly smoked/currently vape (B[95 %CI] = 11.6[4.2–18.9]), and currently smoke/currently vape (B[95 %CI] = 9.3[2.5–11.6]), but not adults who currently smoke/never vaped (B[95 %CI] = −0.1[−5.1 to 4.9]). In flavor-specific analyses, adults who never smoked/currently vape rated strawberry (p = .022), peppermint (p = .028), and menthol (p = .028) more appealing than tobacco flavors. Among adults who formerly smoked/currently vape, strawberry (p < .001), peppermint (p = .009), and vanilla (p = .009), were more appealing than tobacco. Adults who currently smoked/currently vape rated peppermint (p = .022) and vanilla (p = .009) as more appealing than tobacco. No non-tobacco flavors were more appealing than tobacco in adults who currently smoke/never vaped. Conclusions: E-cigarette sales restrictions on non-tobacco flavors, including menthol, may eliminate products preferred by adults who vape, including those who never smoked, without discouraging adults who currently smoke and never vaped from trying e-cigarettes.
KW - Cigarette smoking
KW - Dual use
KW - E-cigarettes
KW - Non-tobacco flavors
KW - Tobacco use
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U2 - 10.1016/j.drugalcdep.2023.109849
DO - 10.1016/j.drugalcdep.2023.109849
M3 - Article
C2 - 37028103
AN - SCOPUS:85151868865
SN - 0376-8716
VL - 246
JO - Drug and Alcohol Dependence
JF - Drug and Alcohol Dependence
M1 - 109849
ER -