Disposable E-Cigarette Use among U.S. Youth — An Emerging Public Health Challenge

Wang, Teresa W.; Gentzke, Andrea S.; Neff, Linda J.; Glidden, Emily; Jamal, Ahmed; Park-Lee, Eunice; Ren, Chunfeng; Cullen, Karen A.; King, Brian A.; Hacker, Karen

doi:10.1056/nejmc2033943

Cited by 65 publications

(46 citation statements)

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“…We confirm findings from other studies showing that the majority of European electronic cigarette users use rechargeable devices. 11 39 We found no indication of high use of disposable devices, although things might change rapidly as it has been recently shown among US youth 40 .…”

Section: Discussionmentioning

confidence: 64%

Electronic Cigarette Use in 12 European Countries: Results From the TackSHS Survey

Gallus

Lugo

Stival

et al. 2023

Journal of Epidemiology

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Background Limited data on electronic cigarette prevalence, patterns, and settings of use are available from several European countries. Methods Within the TackSHS project, a face-to-face survey was conducted in 2017–2018 in 12 European countries (Bulgaria, England, France, Germany, Greece, Ireland, Italy, Latvia, Poland, Portugal, Romania and Spain). Overall, 11,876 participants, representative of the population aged 15 years in each country, provided information on electronic cigarette. Results 2.4% (95% confidence interval [CI], 2.2–2.7%) of the subjects (2.5% among men and 2.4% among women; 0.4% among never, 4.4% among current- and 6.5% among ex-smokers) reported current use of electronic cigarette, ranging from 0.6% in Spain to 7.2% in England. Of the 272 electronic cigarette users, 52.6% were dual users (ie, users of both electronic and conventional cigarettes) and 58.8% used liquids with nicotine. In all, 65.1% reported using electronic cigarette in at least one indoor setting where smoking is forbidden; in particular, at workplaces (34.9%) and bars and restaurants (41.5%). Multivariable logistic regression analysis showed that electronic cigarette use was lower among older individuals ( P for trend <0.001) and higher among individuals with high level of education ( P for trend = 0.040). Participants from countries with higher tobacco cigarette prices more frequently reported electronic cigarette use (odds ratio 3.62; 95% CI, 1.80–7.30). Conclusion Considering the whole adult population of these 12 European countries, more than 8.3 million people use electronic cigarettes. The majority of users also smoked conventional cigarettes, used electronic cigarettes with nicotine, and consumed electronic cigarettes in smoke-free indoor areas.

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Section: Discussionmentioning

confidence: 64%

Electronic Cigarette Use in 12 European Countries: Results From the TackSHS Survey

Gallus

Lugo

Stival

et al. 2023

Journal of Epidemiology

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“…In 2020, an estimated 3.6 million (13.1%) U.S. middle and high school students reported using e-cigarettes within the past 30 days (current use); more than 80% of current users reported flavored e-cigarette use (2). Whereas the most commonly used device type in 2019 and 2020 was a prefilled pod or cartridge,* disposable e-cigarette use increased significantly during this time among youths who currently used e-cigarettes in middle school (from 3.0% to 15.2%) and high school (from 2.4% to 26.5%) (3). CDC and the Food and Drug Administration (FDA) analyzed nationally representative data from the 2021 National Youth Tobacco Survey (NYTS), a school-based, cross-sectional, self-administered survey of U.S. middle school (grades 6-8) and high school (grades 9-12) students conducted during January 18-May 21, 2021 (20,413 students from 279 schools; overall response rate = 44.6%).…”

mentioning

confidence: 99%

Notes from the Field: E-Cigarette Use Among Middle and High School Students — National Youth Tobacco Survey, United States, 2021

Park-Lee¹,

Ren²,

Sawdey³

et al. 2021

MMWR Morb. Mortal. Wkly. Rep.

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“…8 Further, another study demonstrated that the prevalence of disposable pod use has increased from 3.0% in 2019 to 15.2% in 2020 among middle school students and increased from 2.4% in 2019 to 26.5% in 2020 among high school students. 9 This study has several limitations. Our findings might not be generalisable to vapers who obtain their e-cigarette products online, or through other types of brickand-mortar retail outlets, and do not visit vape shops, including youth (<18 years of age) and those outside the Southern California.…”

Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

“… 7 They are priced as low as US$4.60 and are available in mango, mint, strawberry and many other fruit/candy novel flavours with attractive packaging that may be appealing to minors and young adults. 7 While there is some evidence suggesting that more e-cigarette users may be replacing the flavoured cartridge-based vaping devices with disposable pod devices, 8 and their prevalence is increasing among middle and high school youth, 9 little is known regarding the flavour preferences of disposable pod users.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of disposable pod use and consumer preference for e-cigarette product characteristics among vape shop customers in Southern California: a cross-sectional study

et al. 2021

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ObjectivesIn February 2020, the US Food and Drug Administration issued a guidance restricting the sales and distribution of cartridge-based e-cigarettes with flavours other than tobacco and menthol. Disposable devices were exempt from this guidance. This study examined the prevalence of disposable pod use and flavour preference compared with refillable pod and other e-cigarette users among vape shop customers.DesignCross-sectional study.SettingIn July 2019–March 2020, trained data collectors visited 44 vape shops in California with permission to recruit customers from shop owners.ParticipantsIntercept interviews with 276 customers were conducted.Outcomes and proceduresCustomers were grouped based on self-reported device type used most often (disposable pod, refillable pod and other e-cigarettes). Groups were compared on self-reported demographics, flavours preferred, daily e-cigarette use, preferred nicotine concentration levels and cigarette use.ResultsOf the 276 customers surveyed, 11.2% used disposable pods in the past 30 days. Among disposable pod users, fruit/candy (80.7%), mint (77.4%) and menthol (67.7%) were common preferred flavours, while tobacco flavours were less commonly preferred (19.4%). When compared with refillable pod and other non-pod e-cigarette device users, disposable pod users were younger, used higher nicotine concentration levels, were more likely to prefer mint and menthol flavours and use e-cigarettes as their first product, while less likely to ever use cigarettes and use e-cigarettes daily.DiscussionDespite using higher nicotine levels and preferred menthol/mint flavours more often than users of other devices, disposable pod users reported lower prevalence of lifetime smoking and daily vaping and were younger. Given the current findings, regulations addressing non-tobacco flavours and nicotine concentration in disposable pod devices merit consideration in efforts to reduce vaping in younger adult never smokers.

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Disposable E-Cigarette Use among U.S. Youth — An Emerging Public Health Challenge

Cited by 65 publications

References 3 publications

Electronic Cigarette Use in 12 European Countries: Results From the TackSHS Survey

Electronic Cigarette Use in 12 European Countries: Results From the TackSHS Survey

Notes from the Field: E-Cigarette Use Among Middle and High School Students — National Youth Tobacco Survey, United States, 2021

Prevalence of disposable pod use and consumer preference for e-cigarette product characteristics among vape shop customers in Southern California: a cross-sectional study

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