Awareness and beliefs about FDA e-cigarette regulation in the premarket application review era

Weiger, Caitlin; Chen-Sankey, Julia; Jeong, Michelle; Delnevo, Cristine D.; Wackowski, Olivia A

doi:10.1016/j.addbeh.2023.107748

Cited by 2 publications

(3 citation statements)

References 17 publications

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“…Results from two previous studies demonstrate that few participants were aware that e-cigarettes are regulated by the FDA 12 , 14 . Additionally, seeing messages or ads for FDA-authorized e-cigarettes was associated with the perception that FDA authorization means product approval or safety among adults who smoke and youth 12 , 14 . In contrast, findings from another study, which assessed perceptions of Vuse e-cigarette authorization on Twitter, convey that the general public has more negative than positive views of FDA e-cigarette authorization due to wariness of potential health risks 13 .…”

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

“…Few studies have assessed awareness, beliefs, and product perceptions surrounding e-cigarette authorization for market entry since the initiation of the PMTA review 12 - 14 . Results from two previous studies demonstrate that few participants were aware that e-cigarettes are regulated by the FDA 12 , 14 . Additionally, seeing messages or ads for FDA-authorized e-cigarettes was associated with the perception that FDA authorization means product approval or safety among adults who smoke and youth 12 , 14 .…”

Section: Introductionmentioning

confidence: 99%

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Perceptions of FDA-authorized E-cigarettes and Use Interest Among Young Adults Who Do Not Use Tobacco

La Capria,

Hamilton-Moseley,

Phan

et al. 2024

Tob. Prev. Cessation

Self Cite

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INTRODUCTION It is unclear how young adults who do not use tobacco perceive FDA-authorized e-cigarettes for market entry. This study explored the perceptions and use interests of FDA-authorized e-cigarettes among this population to inform policy decision-making. METHODS We conducted in-depth interviews with young adults in the US, aged 18–29 years, who do not use tobacco (n=25). Participants viewed images of FDA-authorized e-cigarettes and discussed their perceptions and interest in using these products. We used reflexive thematic analysis to analyze interview data. RESULTS Many participants stated that they were not interested in using FDA-authorized e-cigarettes because they had little interest in using e-cigarettes in general. Additionally, almost all participants found the tobacco flavor and product design of these products unappealing, which further added to their disinterest. Most reported high trust in the FDA and its authorization process for e-cigarette market entry and considered FDA-authorized e-cigarettes safe to use. Most considered FDA-authorized products less harmful than other (unauthorized) e-cigarettes they saw in daily life but were not more interested in using the authorized products. When given the hypothetical scenario where FDA-authorized products come with a variety of fruit and candy flavors, most participants still expressed little interest in using them, mainly due to the high perceived harm from using any e-cigarette products. CONCLUSIONS Although non-tobacco-using young adults in our study reported low interest in using FDA-authorized e-cigarettes for market entry and e-cigarettes in general, the FDA is recommended to continue to evaluate the impact of flavorings and packages on e-cigarette product appeal to reduce e-cigarette use among young people. The FDA should also examine strategies to effectively communicate the purpose of FDA authorization to the public and emphasize that it does not mean these products are ‘approved’ or safer than unauthorized products.

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Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Perceptions of FDA-authorized E-cigarettes and Use Interest Among Young Adults Who Do Not Use Tobacco

La Capria,

Hamilton-Moseley,

Phan

et al. 2024

Tob. Prev. Cessation

Self Cite

View full text Add to dashboard Cite

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The Impact of Exposure to Food and Drug Administration E-cigarette Authorization Messages on Product Perceptions and Interest—An Experiment With Adults Who Smoke and Youth

Wackowski,

Jeong,

Gratale

et al. 2024

Nicotine and Tobacco Research

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Introduction In the United States, e-cigarettes have entered a new regulatory era, needing authorizations from FDA to remain on or enter the marketplace. This study explored the impact of e-cigarette authorization messages on product perceptions and interest. Methods We conducted an online experiment in June 2022 with nationally-representative samples of adults (21+) who smoke cigarettes (n=866) and youth ages 15-20 (n=859). They were randomized to one of five conditions: viewing an ad for a fictional e-cigarette brand with no reference to FDA (control), an ad with an “authorized for sale by FDA” claim in varying presentation styles (plain text, FDA “approved” stamp, FDA logo), or reading a fictional news excerpt about the product’s authorization plus control ad. We compared group differences on product interest, susceptibility, harm perceptions and message perceptions. Results Among adults who smoke, there were no effects on product interest nor susceptibility, but ratings of the product’s harmfulness compared to cigarettes were lower among those in the news versus control condition (β=-0.25, p=.04). Among youth, odds of susceptibility were higher among ever e-cigarette users who viewed the ad with the FDA logo authorization message relative to the control ad (OR=6.3, 95% CI:1.67-23.9, p<0.01). About 40% of all participants agreed the authorization claim makes them think the product is safe to use, but fewer (14-19%) agreed it makes them more interested in trying it. Conclusions FDA e-cigarette authorization messages may impact some beliefs about product harm. More research is needed to track potential impacts on product use. IMPLICATIONS This study provides new data about the potential impact of messages about FDA authorization of e-cigarette products (presented as ad claims or a news story) on authorized product perceptions, interest and susceptibility among adults who smoke cigarettes and youth. Our results suggest that FDA e-cigarette authorization messages may impact harm-related beliefs among adults who smoke and product susceptibility among youth who have ever used e-cigarettes before, though real-world effects are likely to be impacted by message type and format, and perceived message source and credibility. Authorization messages are likely to be misinterpreted as “FDA approval” by some; therefore, providing clarifications about authorization meaning and standards are relevant where possible.

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Awareness and beliefs about FDA e-cigarette regulation in the premarket application review era

Cited by 2 publications

References 17 publications

Perceptions of FDA-authorized E-cigarettes and Use Interest Among Young Adults Who Do Not Use Tobacco

Perceptions of FDA-authorized E-cigarettes and Use Interest Among Young Adults Who Do Not Use Tobacco

The Impact of Exposure to Food and Drug Administration E-cigarette Authorization Messages on Product Perceptions and Interest—An Experiment With Adults Who Smoke and Youth

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