Impact of the Food and Drug Administration enforcement policy on flavored e-cigarettes on the online popularity of disposable e-cigarettes: analyses of Google search query data

Abstract Background The impact of the U.S. Food and Drug Administration's (FDA) initial enforcement policy on flavored cartridge-based e-cigarettes and subsequent notice for the removal of flavored disposable electronic cigarettes (e-cigarettes) such as Puff Bar from the market has not been wel...

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Main Authors: Ellen Boakye, Omar Dzaye, John Erhabor, Ngozi Osuji, Olufunmilayo Obisesan, Albert D. Osei, Aruni Bhatnagar, Rose Marie Robertson, Michael J. Blaha
Format: Article
Language:English
Published: BMC 2022-10-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-022-14367-3
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author Ellen Boakye
Omar Dzaye
John Erhabor
Ngozi Osuji
Olufunmilayo Obisesan
Albert D. Osei
Aruni Bhatnagar
Rose Marie Robertson
Michael J. Blaha
author_facet Ellen Boakye
Omar Dzaye
John Erhabor
Ngozi Osuji
Olufunmilayo Obisesan
Albert D. Osei
Aruni Bhatnagar
Rose Marie Robertson
Michael J. Blaha
author_sort Ellen Boakye
collection DOAJ
description Abstract Background The impact of the U.S. Food and Drug Administration's (FDA) initial enforcement policy on flavored cartridge-based e-cigarettes and subsequent notice for the removal of flavored disposable electronic cigarettes (e-cigarettes) such as Puff Bar from the market has not been well evaluated. We, therefore, sought to examine the impact of the e-cigarette flavor-related policy changes on the online popularity of Puff Bar, a prototypic disposable e-cigarette. Methods We tabulated the total weekly Google search queries originating from the U.S. for "Puff Bar" and "Puff Bars" from January 1, 2019, to December 31, 2021. We divided the three years into four (4) distinct periods using the dates of the initial announcement to ban non-tobacco flavored e-cigarettes (September 11, 2019), the finalization of the FDA enforcement policy on cartridge-based flavors (January 2, 2020), and the notice for the market withdrawal of flavored disposable e-cigarettes (July 20, 2020) as reference time points. Then, we used piecewise linear regression and autoregressive integrated moving average (ARIMA) to compare the trends in searches for Puff Bar for the four (4) periods. Results Before the initial announcement to ban non-tobacco flavored e-cigarettes, online search queries (per 10 million Google searches) for Puff Bar were slowly rising at a rate of 0.58 queries per week (95%CI: -0.80 – 1.97). Following the announcement, searches for Puff Bar increased significantly at a rate of 16.61 queries per week (95%CI: 12.13 – 21.10). The rate of searches for Puff Bar then increased exponentially at 40.08 queries per week (95%CI: 27.32 – 52.84) following the FDA flavor ban, which excluded disposable e-cigarettes. Then, the rate of increase declined but remained relatively stable at 3.67 queries per week (95%CI: 0.69–6.65) until the FDA's notice to remove flavored Puff Bar products from the market. Following this notice, the rate of searches for Puff Bar significantly declined (rate: -4.97 queries per week; 95%CI: -5.40—-4.54). Conclusions The tracking of online search data demonstrates rapid public recognition of the FDA's announcements of tobacco regulatory actions.
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spelling doaj.art-3ae7b7668d534797baf17a2c74b7e3192022-12-22T03:26:22ZengBMCBMC Public Health1471-24582022-10-012211510.1186/s12889-022-14367-3Impact of the Food and Drug Administration enforcement policy on flavored e-cigarettes on the online popularity of disposable e-cigarettes: analyses of Google search query dataEllen Boakye0Omar Dzaye1John Erhabor2Ngozi Osuji3Olufunmilayo Obisesan4Albert D. Osei5Aruni Bhatnagar6Rose Marie Robertson7Michael J. Blaha8Johns Hopkins Ciccarone Center for Prevention of Cardiovascular DiseaseJohns Hopkins Ciccarone Center for Prevention of Cardiovascular DiseaseJohns Hopkins Ciccarone Center for Prevention of Cardiovascular DiseaseJohns Hopkins Ciccarone Center for Prevention of Cardiovascular DiseaseDepartment of Medicine, MedStar Union Memorial HospitalDepartment of Medicine, MedStar Union Memorial HospitalThe American Heart Association Tobacco Regulation and Addiction CenterThe American Heart Association Tobacco Regulation and Addiction CenterJohns Hopkins Ciccarone Center for Prevention of Cardiovascular DiseaseAbstract Background The impact of the U.S. Food and Drug Administration's (FDA) initial enforcement policy on flavored cartridge-based e-cigarettes and subsequent notice for the removal of flavored disposable electronic cigarettes (e-cigarettes) such as Puff Bar from the market has not been well evaluated. We, therefore, sought to examine the impact of the e-cigarette flavor-related policy changes on the online popularity of Puff Bar, a prototypic disposable e-cigarette. Methods We tabulated the total weekly Google search queries originating from the U.S. for "Puff Bar" and "Puff Bars" from January 1, 2019, to December 31, 2021. We divided the three years into four (4) distinct periods using the dates of the initial announcement to ban non-tobacco flavored e-cigarettes (September 11, 2019), the finalization of the FDA enforcement policy on cartridge-based flavors (January 2, 2020), and the notice for the market withdrawal of flavored disposable e-cigarettes (July 20, 2020) as reference time points. Then, we used piecewise linear regression and autoregressive integrated moving average (ARIMA) to compare the trends in searches for Puff Bar for the four (4) periods. Results Before the initial announcement to ban non-tobacco flavored e-cigarettes, online search queries (per 10 million Google searches) for Puff Bar were slowly rising at a rate of 0.58 queries per week (95%CI: -0.80 – 1.97). Following the announcement, searches for Puff Bar increased significantly at a rate of 16.61 queries per week (95%CI: 12.13 – 21.10). The rate of searches for Puff Bar then increased exponentially at 40.08 queries per week (95%CI: 27.32 – 52.84) following the FDA flavor ban, which excluded disposable e-cigarettes. Then, the rate of increase declined but remained relatively stable at 3.67 queries per week (95%CI: 0.69–6.65) until the FDA's notice to remove flavored Puff Bar products from the market. Following this notice, the rate of searches for Puff Bar significantly declined (rate: -4.97 queries per week; 95%CI: -5.40—-4.54). Conclusions The tracking of online search data demonstrates rapid public recognition of the FDA's announcements of tobacco regulatory actions.https://doi.org/10.1186/s12889-022-14367-3E-cigarettesDisposableFlavorsFood and Drug AdministrationPuff BarGoogle Trends
spellingShingle Ellen Boakye
Omar Dzaye
John Erhabor
Ngozi Osuji
Olufunmilayo Obisesan
Albert D. Osei
Aruni Bhatnagar
Rose Marie Robertson
Michael J. Blaha
Impact of the Food and Drug Administration enforcement policy on flavored e-cigarettes on the online popularity of disposable e-cigarettes: analyses of Google search query data
BMC Public Health
E-cigarettes
Disposable
Flavors
Food and Drug Administration
Puff Bar
Google Trends
title Impact of the Food and Drug Administration enforcement policy on flavored e-cigarettes on the online popularity of disposable e-cigarettes: analyses of Google search query data
title_full Impact of the Food and Drug Administration enforcement policy on flavored e-cigarettes on the online popularity of disposable e-cigarettes: analyses of Google search query data
title_fullStr Impact of the Food and Drug Administration enforcement policy on flavored e-cigarettes on the online popularity of disposable e-cigarettes: analyses of Google search query data
title_full_unstemmed Impact of the Food and Drug Administration enforcement policy on flavored e-cigarettes on the online popularity of disposable e-cigarettes: analyses of Google search query data
title_short Impact of the Food and Drug Administration enforcement policy on flavored e-cigarettes on the online popularity of disposable e-cigarettes: analyses of Google search query data
title_sort impact of the food and drug administration enforcement policy on flavored e cigarettes on the online popularity of disposable e cigarettes analyses of google search query data
topic E-cigarettes
Disposable
Flavors
Food and Drug Administration
Puff Bar
Google Trends
url https://doi.org/10.1186/s12889-022-14367-3
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