Flavored Tobacco Product Use Among Middle and High School Students — United States, 2014–2018

Cullen, Karen A.; Liu, Sherry T.; Bernat, Jennifer K.; Slavit, Wendy I.; Tynan, Michael A.; King, Brian A.; Neff, Linda J.

doi:10.15585/mmwr.mm6839a2

Cited by 131 publications

(53 citation statements)

References 4 publications

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“…1,3 In addition, whereas flavors for combustible cigarettes are restricted to menthol, 35,36 an estimated 7700 e-cigarette flavors exist. 37 Because flavored tobacco is popular with adolescents, [19][20][21][38][39][40][41][42][43][44] education about flavors must be highlighted differently for e-cigarettes than for combustible cigarettes. Finally, although television advertising of combustible cigarettes has been banned since 1971, no such regulations exist for e-cigarettes, 1,35,36 resulting in the marketing of e-cigarettes via traditional (eg, print, television) and new social media channels with high rates of viewership among young persons.…”

Section: Development Of Catch My Breathmentioning

confidence: 99%

A Middle School Program to Prevent E-Cigarette Use: A Pilot Study of “CATCH My Breath”

Kelder

Mantey

Dusen³

et al. 2020

Public Health Rep

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Objectives: From 2017 to 2018, electronic cigarette (e-cigarette) use increased 78% among high school students and 48% among middle school students in the United States. However, few e-cigarette prevention interventions have been evaluated. We determined the feasibility and initial effectiveness of “CATCH My Breath,” an e-cigarette prevention program, among a sample of middle schools in central Texas. Methods: Twelve middle schools in Texas (6 intervention schools and 6 control schools) participated in the CATCH My Breath pilot program during 2016-2017. CATCH My Breath is rooted in social cognitive theory, consists of 4 interactive in-class modules, and is collaboratively administered via classroom and physical education teachers, student–peer leaders, and social messaging (eg, school posters). We collected 3 waves of data: baseline (January 2017), 4-month follow-up (May 2017), and 16-month follow-up (May 2018). Using school as the unit of analysis, we tested a repeated cross-sectional, condition-by-time interaction on e-cigarette ever use, psychosocial determinants of use, and other tobacco use behaviors. Analyses controlled for school-level sociodemographic characteristics (eg, sex, race/ethnicity, and percentage of students eligible for free or reduced-price lunch). Results: From baseline to 16-month follow-up, increases in ever e-cigarette use prevalence were significantly lower among intervention schools (2.8%-4.9%) than among control schools (2.7%-8.9%), controlling for covariates ( P = .01). Intervention schools also had significantly greater improvements in e-cigarette knowledge (β = 0.71; 95% confidence interval [CI], 0.21-1.21; P = .008) and perceived positive outcomes (β = –0.12; 95% CI, –0.23 to –0.02; P = .02) than control schools, controlling for covariates from baseline to 16-month follow-up. Conclusion: Ever e-cigarette use was lower among middle schools that implemented the CATCH My Breath program than among those that did not. Replication of findings among a larger sample of schools, using a group-randomized, longitudinal study design and a longer follow-up period, is needed.

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Section: Development Of Catch My Breathmentioning

confidence: 99%

A Middle School Program to Prevent E-Cigarette Use: A Pilot Study of “CATCH My Breath”

Kelder

Mantey

Dusen³

et al. 2020

Public Health Rep

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“…3 National data from 2018 indicated that 7.6% of young adults (18-24 years) reported past-month e-cigarette use. 4 Widespread advertising and marketing, [5][6][7][8] numerous flavors, [9][10][11] concealability of products, 12,13 curiosity, 10 and peer pressure 10 are some reasons why underage youth use e-cigarettes. e-Cigarettes weaken the respiratory and immune system [14][15][16] and tobacco and substance use are associated with users being more at risk of coronavirus disease 2019 (COVID-19).…”

Section: Introductionmentioning

confidence: 99%

Underage Youth and Young Adult e-Cigarette Use and Access Before and During the Coronavirus Disease 2019 Pandemic

2020

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IMPORTANCE Understanding patterns of e-cigarette use and access during the coronavirus disease 2019 pandemic is important because e-cigarettes may put users at risk for more severe respiratory effects and other health problems.OBJECTIVE To examine whether underage youth and young adults who ever used e-cigarettes selfreported changes in access and use of e-cigarettes since the COVID-19 pandemic began. DESIGN, SETTING, AND PARTICIPANTSA national, cross-sectional online survey study was conducted from May 6 to May 14, 2020. This sample of 4351 participants aged 13 to 24 years across the US included 2167 e-cigarette ever-users. Quota sampling was used to balance for age, sex, race/ ethnicity, and 50% having ever used e-cigarettes. MAIN OUTCOMES AND MEASURESChange in e-cigarette use (increase, decrease, quit, no change, and switch to another product) and access to e-cigarettes (easier or harder, and change in point-ofpurchase) before and after the COVID-19 pandemic began, reasons for change, number of times e-cigarettes were used, nicotine dependence, and sociodemographic data. RESULTSThis study focused on 2167 e-cigarette ever-users among 4351 participants who completed the survey. Among 2167 e-cigarette users, a total of 1442 were younger than 21 years and 725 were aged 21 years or older; 1397 were female (64.5%) and 438 identified as lesbian, gay, bisexual, transgender, queer (20.2%). The survey completion rate was 40%. Since the COVID-19 pandemic began, 1198 of 2125 e-cigarette users (56.4%) changed their use: 388 individuals (32.4%) quit, 422 individuals (35.3%) reduced the amount of nicotine, 211 individuals (17.6%) increased nicotine use, 94 individuals (7.8%) increased cannabis use, and 82 individuals (6.9%) switched to other products. Participants reported that not being able to go to vape shops and product unavailability were the reasons accessing e-cigarettes was difficult after the pandemic began. Since the COVID-19 pandemic began, individuals reported purchasing from alternative retail stores (disposables, 150 of 632 [23.7%]; pod-based, 144 of 797 [18.1%]; and other e-cigarette, 125 of 560 [22.3%], ie, between 18.1% and 23.7%), purchasing online instead of retail (disposables, 115 of 632 [18.2%]; pod-based, 156 of 797 [19.6%]; and other e-cigarette, 111 of 560 [19.8%], ie, between 18.2% to 19.8%), and shifted to retail instead of online (disposables, 11 of 632 [1.7%]; pod-based, 17 of 797 [2.0%]; and other e-cigarette, 13 of 560 [2.3%], ie, between 1.7%-2.3%). Other individuals reported no change: from retail stores (disposables 262 of 632 [41.5%]; pod-based 344 of 797 [43.2%]; and other e-cigarette, 223 of 560 [39.8%], ie, between 39.8% and 43.2%) and online (disposables 94 of 632 [14.9%]; pod-based 136 of 797 [17.1%]; and other e-cigarette, 88 of 560 [15.8%], ie, between 14.9% and 17.1%). Underage youth reported e-cigarette deliveries from vape shops and/or dealers or friends who received such deliveries, and 63 of 229 (27.5%) self-reported accessing e-cigarettes without age verification. e-Cigarette ...

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“…Flavor use and preference among electronic nicotine delivery system (ENDS) users is an important public health issue with implications for tobacco use and harm [ 1 , 2 , 3 , 4 ]. Certain flavors such as tobacco and menthol may differentially appeal to adult cigarette smokers trying to transition from combustible tobacco use, whereas young ENDS users may tend to prefer sweeter flavors such as candy or fruit [ 5 , 6 , 7 , 8 , 9 , 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

ENDS Flavor Preference by Menthol Cigarette Smoking Status among US Adults, 2018–2019

Rostron

Chang

Jackson

2020

IJERPH

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E-cigarette flavor preference may differ among smokers using e-cigarettes, but little information is available on preferences by menthol cigarette status. Using nationally representative data for US adults from the 2018–2019 Tobacco Use Supplement to the Current Population Survey, we analyzed e-cigarette flavor preference by menthol cigarette status and e-cigarette device type for dual-cigarette and e-cigarette users and e-cigarette users who had recently quit smoking by trying to switch to e-cigarettes (“switchers”). Approximately half (52.2%) of dual users of menthol cigarettes and e-cigarettes reported using menthol/mint-flavored e-cigarettes as did 41.4% of “switchers” who had smoked menthol cigarettes; exclusive menthol/mint flavor use was 13.1% for dual users and 21.3% for “switchers.” A similar proportion (45.1%) of dual users who smoked nonmenthol cigarettes used tobacco-flavored e-cigarettes, but only 26.7% of “switchers” who had smoked nonmenthol cigarettes used tobacco-flavored e-cigarettes. Approximately 60% of dual users and “switchers” used fruit/other flavors, regardless of menthol cigarette use. By device type, 63.9% of dual users of cartridge-based e-cigarettes and menthol cigarettes used menthol/mint-flavored e-cigarettes. Approximately 75% of dual users and 85% of “switchers” who used tank or mod systems used fruit/other flavors. Menthol cigarette smokers may be particularly likely to use menthol/mint e-cigarettes, and a majority of dual users and “switchers” used fruit/other flavors. These results can inform policy measures concerning flavored electronic nicotine delivery system products.

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Flavored Tobacco Product Use Among Middle and High School Students — United States, 2014–2018

Cited by 131 publications

References 4 publications

A Middle School Program to Prevent E-Cigarette Use: A Pilot Study of “CATCH My Breath”

A Middle School Program to Prevent E-Cigarette Use: A Pilot Study of “CATCH My Breath”

Underage Youth and Young Adult e-Cigarette Use and Access Before and During the Coronavirus Disease 2019 Pandemic

ENDS Flavor Preference by Menthol Cigarette Smoking Status among US Adults, 2018–2019

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