Preferred flavors and reasons for e-cigarette use and discontinued use among never, current, and former smokers
- 1.3k Downloads
To compare e-cigarette flavors preferred and reasons for use and discontinued use across never, current, and former e-cigarette users and cigarette smokers.
We recruited 1567 participants aged 18–34 years through Facebook ads targeting tobacco users and nonusers in August 2014 to complete an online survey. We assessed tobacco use, preferred flavors, and reasons for e-cigarette use and discontinued use.
Our sample was 49 % male, 87 % White; 56 % current cigarette smokers; and 53 % e-cigarette users. Current e-cigarette users used an average of 20.9 days in the past 30 (SD = 11.7) and 55.2 puffs/day (SD = 37.3). Compared to never and current smokers, former smokers used e-cigarettes more frequently (p’s <0.001). Among users and nonusers, the most preferred was fruit flavors, and the most commonly reported reason for e-cigarette use was “they might be less harmful than cigarettes”. The most endorsed reason for discontinued e-cigarette use was “using other tobacco products instead”. Never, current, and former smokers had distinct reasons for e-cigarette use and discontinued use and differed in flavor preferences.
Regulating marketing and flavors may impact e-cigarette uptake by young adults.
KeywordsE-cigarettes Harm reduction Smoking cessation Tobacco marketing Tobacco control
Compliance with ethical standards
Conflict of interest
The authors declare no conflicts of interest.
Statement of ethical approval
The Emory University Institutional Review Board approved this study, IRB# 00073636.
This research was supported by the National Cancer Institute (1K07CA139114-01A1; PI: Berg) and the Georgia Cancer Coalition (PI: Berg).
- Berg CJ, Barr DB, Stratton E, Escoffery C, Kegler MC (2014) Attitudes toward e-cigarettes, reasons for initiating e-cigarette use, and changes in smoking behavior after initiation: a pilot longitudinal study of regular cigarette smokers. Open J Prev Med 4(10):789–800CrossRefPubMedPubMedCentralGoogle Scholar
- Berg CJ, Escoffery C, Bundy L, Haardoerfer R, Zheng P, Kegler MC (2015a) Cigarette users interest in using or switching to electronic nicotine delivery systems (ENDS) or smokeless tobacco for harm reduction, cessation, or novelty. Nicotine Tob Res 17(2):245–255CrossRefPubMedPubMedCentralGoogle Scholar
- Berg CJ, Stratton E, Schauer GL, Lewis M, Wang Y, Windle M, Kegler MC (2015b) Perceived harm, addictiveness, and social acceptability of tobacco products and marijuana among young adults: marijuana, hookah, and electronic cigarettes win. Subst Use Misuse 50(1):79–89CrossRefPubMedPubMedCentralGoogle Scholar
- Callahan-Lyon P (2014) Electronic cigarettes: human health effects. Tob Control 23(Suppl 2):ii36–ii40Google Scholar
- Lovato C, Linn G, Stead LF, Best A (2003). Impact of tobacco advertising and promotion on increasing adolescent smoking behaviours. Cochrane Database Syst Rev 4:CD003439Google Scholar
- Pearson JL, Richardson A, Niaura R, Abrams D, Vallone D (2011) Electronic cigarette awareness, use, and risk perceptions among current and former smokers. Society for Research on Nicotine and Tobacco, TorontoGoogle Scholar
- Stratton K, Shetty P, Wallace RB, Bondurant S (2001) Clearing the smoke: assessing the science base for tobacco harm reduction. DC, National Academy Press, WashingtonGoogle Scholar
- Substance Abuse and Mental Health Services Administration (SAMHSA) (2013) Results from the 2012 national survey on drug use and health: summary of national findings, NSDUH series H-46, HHS publication no. (SMA) 13-4795. Substance Abuse and Mental Health Services Administration, RockvilleGoogle Scholar
- Zhu SH, Sun JY, Bonnevie E, Cummins SE, Gamst A, Yin L, Lee M (2014) Four hundred and sixty brands of e-cigarettes and counting: implications for product regulation. Tob Control 23(Suppl 3):iii3–iii9Google Scholar