Correlates of current menthol cigarette and flavored other tobacco product use among U.S. young adults

Rath, Jessica M.; Villanti, Andrea C.; Williams, Valerie F; Richardson, Amanda; Pearson, Jennifer; Vallone, Donna

doi:10.1016/j.addbeh.2016.05.021

Cited by 45 publications

(36 citation statements)

References 39 publications

(41 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, there is not much in the literature detailing the smoking situation of Hispanic youth in Canada. This is an area that requires further study as evidence from Mexico [31, 32] and the US [9, 11] shows that Hispanic youth are at an increased risk for smoking behaviours, including the use of flavoured tobacco [33]. …”

Section: Discussionmentioning

confidence: 99%

Prevalence and characteristics of flavoured tobacco use among students in grades 10 through 12: a national cross-sectional study in Canada, 2012–2013

et al. 2017

View full text Add to dashboard Cite

BackgroundTobacco use is the leading cause of preventable death in Canada and the world. Despite documented decreases in the prevalence of smoking in Canada, increases in flavoured tobacco use by its youth poses a serious public health concern. This study examined the prevalence and characteristics of flavoured tobacco use among a national sample of Canadian students in grades 10 through 12.MethodsThis study used a cross-sectional design on a nationally generalizable, school-based, Youth Smoking Survey (YSS), 2012–2013. It incorporated data from a representative sample of 19,979 students in grades 10–12 from across Canada. Univariate and multivariate logistic regression models were used to examine differences in flavoured tobacco use (menthol cigarettes, flavoured little cigar or cigarillo, flavoured cigar, flavoured tobacco in water pipe [hookah]) by demographic (sex, grade and ethnicity) and social characteristics (friends, siblings, parents/guardians who are smokers and weekly personal spending money).ResultsThis study found that 14.8% of the participating students used flavoured tobacco in the past 30-days. Results of the logistic regression analysis show that flavoured tobacco use was significantly higher among male students [(OR = 1.63; 95% CI = 1.36–1.95)], who had at least one friend or sibling who smoke [(OR = 2.20; CI = 1.62 to 2.99) and (OR = 1.51; CI = 1.22 to 1.88), respectively] and who received greater than $20/week in personal spending money [(OR = 1.76; CI = 1.26 to 2.45)].ConclusionsThe results of our study indicate that flavoured tobacco use is a growing public health concern and has a strong appeal among youth in Canada. This is a particularly troubling finding, especially in light of the fact that there is a national ban on certain flavoured tobacco products. To be effective, strategies specifically tailored for youth using flavoured tobacco would require appropriate educational/prevention initiatives, more comprehensive legislation and better regulatory mechanisms.

show abstract

Section: Discussionmentioning

confidence: 99%

Prevalence and characteristics of flavoured tobacco use among students in grades 10 through 12: a national cross-sectional study in Canada, 2012–2013

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Youth are particularly susceptible to initiation and use of flavored tobacco products (Ambrose et al, 2015). Younger age predicts flavored tobacco product use (Rath et al, 2016), and use of flavored cigarettes was higher among smokers ages 17–19 than those over age 25 (Klein et al, 2008). Although cigarettes with characterizing flavors other than menthol are banned by the United States (U.S.) Food and Drug Administration (FDA), no such ban exists for e-cigarettes, sold in a variety of appealing flavors.…”

Section: Introductionmentioning

confidence: 99%

A fMRI study on the impact of advertising for flavored e-cigarettes on susceptible young adults

Garrison

O’Malley

Gueorguieva³

et al. 2018

Drug and Alcohol Dependence

View full text Add to dashboard Cite

Background E-cigarettes are sold in flavors such as “Skittles,” “strawberrylicious,” and “juicy fruit,” and no restrictions are in place on marketing e-cigarettes to youth. Sweets/fruits depicted in e-cigarette advertisements may increase their appeal to youth and interfere with health warnings. This study tested a brain biomarker of product preference for sweet/fruit versus tobacco flavor e-cigarettes, and whether advertising for flavors interfered with warning labels. Methods Participants (N=26) were college-age youth who had tried an e-cigarette and were susceptible to future e-cigarette use. They viewed advertisements in fMRI for sweet/fruit and tobacco flavor e-cigarettes, menthol and regular cigarettes, and control images of fruits/sweets/mints with no tobacco product. Cue-reactivity was measured in the nucleus accumbens, a brain biomarker of product preference. Advertisements randomly contained warning labels, and recognition of health warnings was tested post-scan. Visual attention was measured using eye-tracking. Results There was a significant effect of e-cigarette condition (sweet/tobacco/control) on nucleus accumbens activity, that was not found for cigarette condition (menthol/regular/control). Nucleus accumbens activity was greater for sweet/fruit versus tobacco flavor e-cigarette advertisements and did not differ compared with control images of sweets and fruits. Greater nucleus accumbens activity was correlated with poorer memory for health warnings. Conclusions These and exploratory eye-tracking findings suggest that advertising for sweet/fruit flavors may increase positive associations with e-cigarettes and/or override negative associations with tobacco, and interfere with health warnings, suggesting that one way to reduce the appeal of e-cigarettes to youth and educate youth about e-cigarette health risks is to regulate advertising for flavors.

show abstract

“…12 Among young adults, women, African Americans, Hispanics, social smokers, and sexual minorities are also more likely to use menthol cigarettes. 13 Since 2010, menthol cigarette prevalence has increased among whites, Asians and Hispanics as a whole. 14 …”

Section: Introductionmentioning

confidence: 99%

Trends in Sales of Flavored and Menthol Tobacco Products in the United States During 2011–2015

Kuiper

Gammon

Loomis

et al. 2017

Nicotine &Amp; Tobacco Research

View full text Add to dashboard Cite

Introduction Flavors can mask the harshness of tobacco and make it appealing to young people. This study assessed flavored and menthol tobacco product sales at the national and state levels. Methods Universal Product Code (UPC) tobacco sales data collected by Nielsen were combined for convenience stores and all-outlets-combined during October 22, 2011–January 9, 2016. Products were characterized as flavored, menthol, or non-flavored/non-menthol. Total unit sales, and the proportion of flavored and menthol unit sales, were assessed nationally and by state for seven tobacco products. Joinpoint Regression was used to assess trends in average monthly percentage change. Results Nationally, the proportion of flavored and menthol sales in 2015 was as follows: cigarettes (32.5% menthol), large cigars (26.1% flavored), cigarillos (47.5% flavored, 0.2% menthol), little cigars (21.8% flavored, 19.4% menthol), chewing tobacco (1.4% flavored, 0.7% menthol), moist snuff (3.0% flavored, 57.0% menthol), and snus (88.5% menthol). From 2011-2015, sales increased for flavored cigarillos and chewing tobacco, as well as for menthol cigarettes, little cigars, moist snuff and snus. Sales decreased for flavored large cigars, moist snuff and snus, and for menthol chewing tobacco. State-level variations were observed by product; for example, flavored little cigar sales ranged from 4.4% (Maine) to 69.3% (Utah) and flavored cigarillo sales ranged from 26.6% (Maine) to 63.0% (Maryland). Conclusions Menthol and flavored sales have increased since 2011, particularly for the products with the highest number of units sold, and significant state variation exists. Efforts to restrict flavored tobacco product sales could reduce overall U.S. tobacco consumption.

show abstract

Correlates of current menthol cigarette and flavored other tobacco product use among U.S. young adults

Cited by 45 publications

References 39 publications

Prevalence and characteristics of flavoured tobacco use among students in grades 10 through 12: a national cross-sectional study in Canada, 2012–2013

Prevalence and characteristics of flavoured tobacco use among students in grades 10 through 12: a national cross-sectional study in Canada, 2012–2013

A fMRI study on the impact of advertising for flavored e-cigarettes on susceptible young adults

Trends in Sales of Flavored and Menthol Tobacco Products in the United States During 2011–2015

Contact Info

Product

Resources

About