Beware, vaping e-cigarettes around children is adversely impacting their lung health

Fuentes, Ana Lucía; Alexander, Laura E. Crotty

doi:10.1136/thoraxjnl-2021-218168

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…The use of e-cigarettes, or vaping, among adolescents and young adults is a public health concern [ 1 , 2 ]. One factor contributing to e-cigarette use among adolescents and young adults is product diversity and the availability of appealing flavors [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Ice Flavor–Related Discussions on Twitter: Content Analysis

Galimov¹,

Vassey²,

Galstyan³

et al. 2022

J Med Internet Res

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Background The US Food and Drug Administration (FDA) recently restricted characterizing flavors in tobacco products. As a result, ice hybrid–flavored e-cigarettes, which combine a cooling flavor with fruit or other flavors (eg, banana ice), emerged on the market. Like menthol, ice-flavored e-cigarettes produce a cooling sensory experience. It is unclear if ice hybrid–flavored e-cigarettes should be considered characterizing flavors or menthol, limiting regulatory action. Monitoring the public’s conversations about ice-flavored e-cigarettes on Twitter may help inform the tobacco control community about these products and contribute to the US FDA policy targets in the future. Objective This study documented the themes pertaining to vaping and ice flavor–related conversations on Twitter. Our goal was to identify key conversation trends and ascertain users’ recent experiences with ice-flavored e-cigarette products. Methods Posts containing vaping-related (eg, “vape,” “ecig,” “e-juice,” or “e-cigarette”) and ice-related (ie, “Ice,” “Cool,” “Frost,” and “Arctic”) terms were collected from Twitter’s streaming application programming interface from January 1 to July 21, 2021. After removing retweets, a random sample of posts (N=2001) was selected, with 590 posts included in the content analysis. Themes were developed through an inductive approach. Theme co-occurrence was also examined. Results Many of the 590 posts were marked as (or consisted of) marketing material (n=306, 51.9%), contained positive personal testimonials (n=180, 30.5%), and mentioned disposable pods (n=117, 19.8%). Other themes had relatively low prevalence in the sample: neutral personal testimonials (n=45, 7.6%), cannabidiol products (n=41, 7%), negative personal testimonials (n=41, 7%), “official” flavor description (n=37, 6.3%), ice-flavored JUUL (n=19, 3.2%), information seeking (n=14, 2.4%), and comparison to combustible tobacco (n=10, 1.7%). The most common co-occurring themes in a single tweet were related to marketing and disposable pods (n=73, 12.4%). Conclusions Our findings offer insight into the public’s experience with and understanding of ice-flavored e-cigarette products. Ice-flavored e-cigarette products are actively marketed on Twitter, and the messages about them are positive. Public health education campaigns on the harms of flavored e-cigarettes may help to reduce positive social norms about ice-flavored products. Future studies should evaluate the relationship between exposure to personal testimonials of ice-flavored vaping products and curiosity, harm perceptions, and experimentation with these products among priority populations.

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Section: Introductionmentioning

confidence: 99%

Ice Flavor–Related Discussions on Twitter: Content Analysis

Galimov¹,

Vassey²,

Galstyan³

et al. 2022

J Med Internet Res

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show abstract

“…Furthermore, e-cigarette advertisement has heavily targeted adolescents; these include billboards advertisements, product packaging, and a wide distribution of social media advertisements. More than two-thirds (78%) of middle and high school students were exposed to at least one e-cigarette ad [ 90 ]. Pod-type e-cigarettes such as JUUL come in fun and attractive packaging, with USB-like form, pens, or inhalers.…”

Section: Discussionmentioning

confidence: 99%

Association between Harmful and Addictive Perceptions of E-Cigarettes and E-Cigarette Use among Adolescents and Youth—A Systematic Review and Meta-Analysis

2022

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Background: Recognising the association between the perceived risks of e-cigarettes and e-cigarette usage among youth is critical for planning effective prevention and intervention initiatives; thus, a systematic review and meta-analysis were performed. Methods: Fourteen databases were searched for eligible studies from the Inception of database until March 2022 to examine the effect estimates of the association between perceptions of harmfulness and addictiveness and overall e-cigarette usage among adolescents and youth. Results: The meta-analysis showed that in comparison to non-users, young people who were ever e-cigarette users were two times more likely to disagree that e-cigarettes are harmful (OR: 2.20, 95% CI: 1.41–3.43) and perceived e-cigarettes as less harmful than tobacco cigarettes (OR: 2.01, 95% CI 1.47–2.75). Youths who were ever e-cigarette users were also 2.3 and 1.8 times more likely to perceive e-cigarettes as less addictive (OR: 2.28, 95% CI: 1.81–2.88) or perceive e-cigarettes as more addictive (OR: 1.82, 95% CI: 1.22–2.73) than tobacco cigarettes, as compared with non-users. The subgroup analysis reported that adolescents were more likely to believe that e-cigarettes are less harmful than tobacco cigarettes, while youth users perceived otherwise. Conclusion: the risk perceptions of e-cigarettes are associated with e-cigarette use among adolescents and youth and could be the focus of health promotion to prevent and curb the uptake of e-cigarettes among young people.

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Beware, vaping e-cigarettes around children is adversely impacting their lung health

Abstract: Provenance and peer review Commissioned; externally peer reviewed.

Cited by 2 publications

References 9 publications

Ice Flavor–Related Discussions on Twitter: Content Analysis

Ice Flavor–Related Discussions on Twitter: Content Analysis

Association between Harmful and Addictive Perceptions of E-Cigarettes and E-Cigarette Use among Adolescents and Youth—A Systematic Review and Meta-Analysis

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