Impact of existing and potential e-cigarette flavor restrictions on e-cigarette use among young adult e-cigarette users in 6 US metropolitan areas
Given the 2020 federal restrictions on flavored cartridge-based e-cigarettes and increasing state/local flavored e-cigarette sales restrictions, this mixed-methods study examined US young adult e-cigarette users’ responses to flavored e-cigarette sales restrictions (e.g., changes in use, products us...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-08-01
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| Series: | Preventive Medicine Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S221133552200208X |
| _version_ | 1828270358828941312 |
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| author | Katelyn F. Romm Lisa Henriksen Jidong Huang Daisy Le Michelle Clausen Zongshuan Duan Caroline Fuss Breesa Bennett Carla J. Berg |
| author_facet | Katelyn F. Romm Lisa Henriksen Jidong Huang Daisy Le Michelle Clausen Zongshuan Duan Caroline Fuss Breesa Bennett Carla J. Berg |
| author_sort | Katelyn F. Romm |
| collection | DOAJ |
| description | Given the 2020 federal restrictions on flavored cartridge-based e-cigarettes and increasing state/local flavored e-cigarette sales restrictions, this mixed-methods study examined US young adult e-cigarette users’ responses to flavored e-cigarette sales restrictions (e.g., changes in use, products used, access). We descriptively analyzed Fall 2020 survey data from 726 past 6-month e-cigarette users (Mage = 24.15, 51.1% female, 4.4% Black, 10.2% Asian, 12.1% Hispanic, 35.5% sexual minority), and qualitatively analyzed Spring 2021 semi-structured interview data among 40 participants (Mage = 26.30, 35.0% female, 5.0% Black, 22.5% Asian, 12.5% Hispanic, 45.0% sexual minority). Across all participants (i.e., survey and interview participants), ≥80% most commonly used non-tobacco flavors; ≥40% used tank-based devices. Survey participants most commonly reported that the federal restrictions did not impact their use: 35.8% used available flavors (i.e., tobacco, menthol), 30.4% continued to use tank-based e-cigarettes, and 10.1% switched to tank-based e-cigarettes. Only 8.4% reduced their e-cigarette use. Among interview participants, some indicated no impact on their e-cigarette use because they stocked up or obtained flavors from alternative sources (e.g., online). Some filled their own pods with e-liquids, switched to menthol/tobacco flavors, switched e-cigarette devices or brands, and/or reduced use. Regarding the anticipated impact of comprehensive flavor restrictions, some participants reported that they would: 1) quit vaping; 2) switch to cigarettes; or 3) not change their use (e.g., stock up on flavors). The potential unintended reactions to flavored e-cigarette sales restrictions (e.g., continued use of flavored cartridge-based e-cigarettes) underscore the need for ongoing surveillance of retail and consumer behavior to inform policy and compliance/enforcement efforts. |
| first_indexed | 2024-04-13T05:42:05Z |
| format | Article |
| id | doaj.art-431499e99c54449c8d196fa4d128b0cc |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-04-13T05:42:05Z |
| publishDate | 2022-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-431499e99c54449c8d196fa4d128b0cc2022-12-22T03:00:05ZengElsevierPreventive Medicine Reports2211-33552022-08-0128101901Impact of existing and potential e-cigarette flavor restrictions on e-cigarette use among young adult e-cigarette users in 6 US metropolitan areasKatelyn F. Romm0Lisa Henriksen1Jidong Huang2Daisy Le3Michelle Clausen4Zongshuan Duan5Caroline Fuss6Breesa Bennett7Carla J. Berg8Department of Prevention and Community Health, Milken Institute School of Public Health, Washington, DC, USA; George Washington Cancer Center, George Washington University, Washington, DC, USA; Corresponding author at: Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, 800 22nd Street NW, #7000, Washington, DC 20052, USA.Stanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA, USADepartment of Health Policy & Behavioral Sciences, School of Public Health, Georgia State University, Atlanta, GA, USAGeorge Washington Cancer Center, George Washington University, Washington, DC, USA; Department of Policy, Populations, and Systems, School of Nursing, George Washington University, Washington, DC, USADepartment of Policy, Populations, and Systems, School of Nursing, George Washington University, Washington, DC, USADepartment of Prevention and Community Health, Milken Institute School of Public Health, Washington, DC, USADepartment of Global Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USADepartment of Epidemiology, Milken Institute School of Public Health, George Washington University, Washington, DC, USADepartment of Prevention and Community Health, Milken Institute School of Public Health, Washington, DC, USA; George Washington Cancer Center, George Washington University, Washington, DC, USAGiven the 2020 federal restrictions on flavored cartridge-based e-cigarettes and increasing state/local flavored e-cigarette sales restrictions, this mixed-methods study examined US young adult e-cigarette users’ responses to flavored e-cigarette sales restrictions (e.g., changes in use, products used, access). We descriptively analyzed Fall 2020 survey data from 726 past 6-month e-cigarette users (Mage = 24.15, 51.1% female, 4.4% Black, 10.2% Asian, 12.1% Hispanic, 35.5% sexual minority), and qualitatively analyzed Spring 2021 semi-structured interview data among 40 participants (Mage = 26.30, 35.0% female, 5.0% Black, 22.5% Asian, 12.5% Hispanic, 45.0% sexual minority). Across all participants (i.e., survey and interview participants), ≥80% most commonly used non-tobacco flavors; ≥40% used tank-based devices. Survey participants most commonly reported that the federal restrictions did not impact their use: 35.8% used available flavors (i.e., tobacco, menthol), 30.4% continued to use tank-based e-cigarettes, and 10.1% switched to tank-based e-cigarettes. Only 8.4% reduced their e-cigarette use. Among interview participants, some indicated no impact on their e-cigarette use because they stocked up or obtained flavors from alternative sources (e.g., online). Some filled their own pods with e-liquids, switched to menthol/tobacco flavors, switched e-cigarette devices or brands, and/or reduced use. Regarding the anticipated impact of comprehensive flavor restrictions, some participants reported that they would: 1) quit vaping; 2) switch to cigarettes; or 3) not change their use (e.g., stock up on flavors). The potential unintended reactions to flavored e-cigarette sales restrictions (e.g., continued use of flavored cartridge-based e-cigarettes) underscore the need for ongoing surveillance of retail and consumer behavior to inform policy and compliance/enforcement efforts.http://www.sciencedirect.com/science/article/pii/S221133552200208XE-cigarettesFlavor restrictionsYoung adultsMixed-methods |
| spellingShingle | Katelyn F. Romm Lisa Henriksen Jidong Huang Daisy Le Michelle Clausen Zongshuan Duan Caroline Fuss Breesa Bennett Carla J. Berg Impact of existing and potential e-cigarette flavor restrictions on e-cigarette use among young adult e-cigarette users in 6 US metropolitan areas Preventive Medicine Reports E-cigarettes Flavor restrictions Young adults Mixed-methods |
| title | Impact of existing and potential e-cigarette flavor restrictions on e-cigarette use among young adult e-cigarette users in 6 US metropolitan areas |
| title_full | Impact of existing and potential e-cigarette flavor restrictions on e-cigarette use among young adult e-cigarette users in 6 US metropolitan areas |
| title_fullStr | Impact of existing and potential e-cigarette flavor restrictions on e-cigarette use among young adult e-cigarette users in 6 US metropolitan areas |
| title_full_unstemmed | Impact of existing and potential e-cigarette flavor restrictions on e-cigarette use among young adult e-cigarette users in 6 US metropolitan areas |
| title_short | Impact of existing and potential e-cigarette flavor restrictions on e-cigarette use among young adult e-cigarette users in 6 US metropolitan areas |
| title_sort | impact of existing and potential e cigarette flavor restrictions on e cigarette use among young adult e cigarette users in 6 us metropolitan areas |
| topic | E-cigarettes Flavor restrictions Young adults Mixed-methods |
| url | http://www.sciencedirect.com/science/article/pii/S221133552200208X |
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