Establishing consensus on survey measures for electronic nicotine and non-nicotine delivery system use: Current challenges and considerations for researchers

Weaver, Scott R.; Kim, Hyoshin; Glasser, Allison; Sutfin, Erin L.; Barrington‐Trimis, Jessica L.; Payne, Thomas J.; Saddleson, Megan L.; Loukas, Alexandra

doi:10.1016/j.addbeh.2017.11.016

Cited by 53 publications

(49 citation statements)

References 33 publications

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“…Those who reported using HTP ‘every day’, ‘some days’ or ‘rarely’ were classified as current users, while those who had ever used HTP, but now use it ‘not at all’, were classified as former users. 25 …”

Section: Methodsmentioning

confidence: 99%

Awareness and use of heated tobacco products among US adults, 2016–2017

et al. 2018

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IntroductionAlthough heated tobacco products (HTP) have been on and off the commercial market for the past three decades (eg, Premier, Eclipse and Accord), they have not received widespread consumer acceptance as an alternative to combustible cigarettes. This may change with recent product innovations, shifts in consumer preferences and the tobacco market landscape and a US regulatory environment that may permit an internationally available HTP to be sold in the USA, possibly with a reduced exposure or risk statement. This study examined the extent of awareness and use of HTP in the USA and assessed the characteristics of those aware of and using these products.MethodsData came from the 2016 and 2017 Tobacco Products and Risk Perceptions Surveys of national probability samples of US adults, conducted online during September–October 2016 (n=6014) and August– September 2017 (n=5992). Weighted χ2 tests and regression analyses examined changes in awareness and use of HTP between 2016 and 2017 and characteristics associated with awareness and use.ResultsFrom 2016 to 2017, awareness of HTP among US adults increased from 9.3% to 12.4% (p<0.001), ever use increased from 1.4% to 2.2% (p=0.005) and current use increased two fold, from 0.5% to 1.1% (p=0.004). Men and adults under age 45 years had higher rates of awareness than women and those 45 and older, respectively. Non-white adults, cigarette smokers and both current and former users of electronic nicotine delivery systems were more likely to be using HTP.ConclusionsAwareness and use of HTP in the USA are increasing. These products are more familiar to men and younger adults and may be being used disproportionately by racial/ethnic minorities. With increases in HTP availability and the potential for reduced-risk claims ahead, surveillance of patterns and consequences of use by both smokers and non-smokers is needed.

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Section: Methodsmentioning

confidence: 99%

Awareness and use of heated tobacco products among US adults, 2016–2017

et al. 2018

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“…Participants also reported whether they had ever heard of any type of ENDS products, whether they had ever used any ENDS product, and whether they had used any ENDS products in the past 30 days. Participants who had used ENDS in the past 30 days were defined as past 30-day ENDS users [42].…”

Section: Smoking Tobacco and Ends Usementioning

confidence: 99%

Use of Electronic Nicotine Delivery Systems (ENDS) in China: Evidence from Citywide Representative Surveys from Five Chinese Cities in 2018

Huang

Duan

Wang

et al. 2020

IJERPH

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China is the largest cigarette consuming country in the world. The emergence of electronic nicotine delivery systems (ENDS) in China may have important implications for the Chinese tobacco market. Unfortunately, research on ENDS in China, while growing, is still limited. This study was designed to examine the awareness and use of ENDS among adult urban residents in China. Data from five citywide representative surveys conducted in 2017–2018 were used. Percentages of residents who had ever heard of, ever used, or used ENDS in the past 30 days among all residents and smokers were estimated, in total and by demographic characteristics. Multiple logistic regression models were used to estimate the adjusted associations between awareness and use of ENDS and individual-level demographic characteristics and socioeconomic status (SES). Overall, 51.3% had ever heard, 4.8% ever used, and 0.9% used ENDS in the past 30 days. Men, young adults, those with high levels of education, and current smokers were more likely to be aware of and use ENDS. Among smokers, 67.8% had ever heard, 17.1% ever used, and 3.9% used ENDS in the past 30 days, respectively. Young adult smokers and smokers with high levels of education were more likely to be aware of and use ENDS. Our study results on ENDS awareness and use patterns and associated factors in China provide important evidence to inform research and policies related to ENDS manufacture, marketing, and sales in China.

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“…Studies may also be needed to assess the validity of measures of the use of chemicals other than nicotine, such as tetrahydrocannabinol, in electronic devices. Recent publications describe recommendations for measuring chemical exposures resulting from the use of e-cigarettes42 43 and water pipes 44…”

Section: Discussionmentioning

confidence: 99%

PhenX: Host: Biobehavioral measures for tobacco regulatory research

Giovino

Swan

Blount³

et al. 2020

Tob Control

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A working group (WG) of experts from diverse fields related to nicotine and tobacco addiction was constituted to identify constructs and measures for the PhenX (Phenotypes and eXposures) Tobacco Regulatory Research (TRR) Host: Biobehavioral Collection with potential relevance to users of both conventional and newer tobacco products. This paper describes the methods and results the WG used to identify, select, approve and place measures in the PhenX TRR Collection. The WG recognised 13 constructs of importance to guide their categorisation of measures already in the PhenX Toolkit (‘complementary measures’) and to identify novel or improved measures of special relevance to tobacco regulatory science. In addition to the 22 complementary measures of relevance to tobacco use already in the PhenX Toolkit, the WG identified and recommended nine additional Host: Biobehavioral measures characterising the use, exposure and health outcomes of tobacco products for application to TRR. Of these, five were self-administered or interviewer-administered measures: amount, type and frequency of recent tobacco use; flavor preference in e-cigarette users (adult and youth); pregnancy status and tobacco use; pregnancy status–mother and baby health and withdrawal from tobacco use. The remaining four measures were laboratory-based: cotinine in serum, expired carbon monoxide, 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol in urine and cue reactivity. Although a number of validated tools are now available in the Host: Biobehavioral Collection, several gaps were identified, including a need to develop and test the identified measures in adolescent samples and to develop or identify measures of nicotine dependence, tolerance and withdrawal associated with newer non-combusted tobacco products.

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Establishing consensus on survey measures for electronic nicotine and non-nicotine delivery system use: Current challenges and considerations for researchers

Cited by 53 publications

References 33 publications

Awareness and use of heated tobacco products among US adults, 2016–2017

Awareness and use of heated tobacco products among US adults, 2016–2017

Use of Electronic Nicotine Delivery Systems (ENDS) in China: Evidence from Citywide Representative Surveys from Five Chinese Cities in 2018

PhenX: Host: Biobehavioral measures for tobacco regulatory research

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