Electronic nicotine delivery systems: adult use and awareness of the ‘e-cigarette’ in the USA

ObjectiveElectronic nicotine delivery systems (ENDS; including e-cigarettes) are rapidly evolving in the US marketplace. This study reports cross-sectional prevalence and longitudinal pathways of ENDS use across 3 years, among US youth (12–17 years), young adults (18–24 years) and adults 25+ (25 years and older).DesignData were from the first three waves (2013–2016) of the Population Assessment of Tobacco and Health Study, a nationally representative, longitudinal cohort study of US youth and adults. Respondents with data at all three waves (youth, n=11 046; young adults, n=6478; adults 25+, n=17 188) were included in longitudinal analyses.ResultsWeighted cross-sectional ever use of ENDS increased at each wave. Across all three waves, young adults had the highest percentages of past 12-month, past 30-day (P30D) and daily P30D ENDS use compared with youth and adults 25+. Only about a quarter of users had persistent P30D ENDS use at each wave. Most ENDS users were polytobacco users. Exclusive Wave 1 ENDS users had a higher proportion of subsequent discontinued any tobacco use compared with polytobacco ENDS users who also used cigarettes.ConclusionsENDS use is most common among young adults compared with youth and adults 25+. However, continued use of ENDS over 2 years is not common for any age group. Health education efforts to reduce the appeal and availability of ENDS products might focus on reducing ENDS experimentation, and on reaching the smaller subgroups of daily ENDS users to better understand their reasons for use.

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Product attributes important to US adult consumers’ use of electronic nicotine delivery systems: a discrete choice experiment

BMJ Open ◽

10.1136/bmjopen-2018-027247 ◽

2019 ◽

Vol 9 (8) ◽

pp. e027247 ◽

Cited By ~ 1

Author(s):

Christine E Kistler ◽

Leah M Ranney ◽

Erin L Sutfin ◽

Keith Chrzan ◽

Christopher J Wretman ◽

...

Keyword(s):

Discrete Choice Experiment ◽

Discrete Choice ◽

Choice Experiment ◽

Delivery Systems ◽

Product Attributes ◽

Worst Case ◽

Electronic Nicotine Delivery Systems ◽

Nicotine Delivery ◽

The Usa ◽

Choice Tasks

ObjectiveTo understand the importance of electronic nicotine delivery systems (ENDS) product attributes to adult consumers in the USA by age and gender.DesignCross-sectional survey with a discrete choice experiment (best–worst, case 2, scaling) of 19 choice tasks in which participants answered what would make them most want to use and least want to use an ENDS product.Setting and participantsA national sample of adults (aged 18+ years) in the USA who had tried an ENDS product at least once.MeasuresWe included 9 ENDS attributes with levels that varied across 19 choice tasks. We performed a multinomial logistic regression to obtain overall importance scores, attribute-level part-worth utilities and most important attribute.ResultsOf 660 participants, 81% were white, 51% women and 37% had at least a 4-year college degree with an average age of 42.0 years (SD ±19.4). The attributes had the following importance: harms of use 17.6%; general effects 14.1%; cessation aid 12.6%; purchase price 12.1%; monthly cost 12.0%; nicotine content 11.4%; flavour availability 8.4%; device design 7.2%; modifiability 4.6%. Harms of use was the most important attribute for all ages and genders (p<0.05); variation in other important attributes existed by age though not by gender.ConclusionThis study identified the importance of nine ENDS attributes. Perceived harms of use of ENDS use appeared most important, and modifiability was least important. Variation by consumer group existed, which may allow for targeted interventions to modify ENDS use.

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Electronic Nicotine Delivery Systems Rejection Measure

PsycTESTS Dataset ◽

10.1037/t77883-000 ◽

2020 ◽

Author(s):

Scott R. Weaver ◽

J. Wesley Heath ◽

David L. Ashley ◽

Jidong Huang ◽

Terry F. Pechacek ◽

...

Keyword(s):

Delivery Systems ◽

Electronic Nicotine Delivery Systems ◽

Nicotine Delivery

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Injuries associated with electronic nicotine delivery systems

Journal of Trauma and Acute Care Surgery ◽

10.1097/ta.0000000000002834 ◽

2020 ◽

Vol Publish Ahead of Print ◽

Author(s):

Tom Vyncke ◽

Edward De Wolf ◽

Henk Hoeksema ◽

Jozef Verbelen ◽

Petra De Coninck ◽

...

Keyword(s):

Delivery Systems ◽

Electronic Nicotine Delivery Systems ◽

Nicotine Delivery

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Guidance to Employers on Integrating E-Cigarettes/Electronic Nicotine Delivery Systems Into Tobacco Worksite Policy

Journal of Occupational and Environmental Medicine ◽

10.1097/jom.0000000000000420 ◽

2015 ◽

Vol 57 (3) ◽

pp. 334-343 ◽

Cited By ~ 5

Author(s):

Laurie P. Whitsel ◽

Neal Benowitz ◽

Aruni Bhatnagar ◽

Chris Bullen ◽

Fred Goldstein ◽

...

Keyword(s):

Delivery Systems ◽

Electronic Nicotine Delivery Systems ◽

Nicotine Delivery

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Statewide vaping product excise tax policy and use of electronic nicotine delivery systems among US young adults, 2014–2019

Tobacco Control ◽

10.1136/tobaccocontrol-2021-056653 ◽

2021 ◽

pp. tobaccocontrol-2021-056653

Author(s):

Dae-Hee Han ◽

Dong-Chul Seo ◽

Hsien-Chang Lin

Keyword(s):

Young Adults ◽

Tax Policy ◽

State Level ◽

Delivery Systems ◽

Electronic Nicotine Delivery Systems ◽

Us States ◽

Excise Tax ◽

Nicotine Delivery ◽

Logistic Regressions ◽

State Changes

ObjectivesAn increasing number of US states have required a tax on electronic nicotine delivery systems (ENDS) in the past few years. This study evaluated the effect of statewide vaping product excise tax policy on ENDS use among young adults.MethodsWe used the two recent waves (2014–2019) of the Tobacco Use Supplement to the Current Population Survey. A total of 17 896 US young adults were analysed. Difference-in-differences approach along with weighted multilevel logistic regressions were used to evaluate the association of vaping product excise tax policy adoption with current ENDS use, accounting for the clustering of respondents within the same states.ResultsThere was an increase in current ENDS use prevalence from 2014–2015 (3.4%) to 2018–2019 (5.4%). The presence of a tax on ENDS products was significantly associated with reduced current ENDS use (adjusted OR (AOR)=0.64, 95% CI=0.43 to 0.95). Importantly, respondents living in states with the policy showed significantly lower increase in ENDS use prevalence during the study period (interaction between within-state changes and between-state differences: AOR=0.57, 95% CI=0.35 to 0.91), controlling for other state-level policies and sociodemographic characteristics.ConclusionsOur findings suggest that adopting a vaping product excise tax policy may help reduce ENDS use and suppress the increase of ENDS use prevalence among young adults. Considering that there are still a number of US states that have not implemented vaping product excise tax policy, wider adoption of such policy across the nation would likely help mitigate ENDS use prevalence.

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