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Adult Electronic Nicotine Delivery System Use in the USA: a Scoping Review Through a Health Equity Lens

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Abstract 

Purpose of Review

The objective of this scoping review is to use a health equity lens to understand the extent and type of evidence that exists about the use of electronic nicotine delivery systems (ENDS) based on socioecological understandings of health influences (i.e., the US National Institute of Minority Health and Health Disparities’ (NIMHD) Research Framework). The research question guiding the review was as follows: What is the range and scope of research that exists to help characterize health disparities related to ENDS use?

Recent Findings

Ninety-eight articles published between 2019 and 2022 often examined racial/ethnic differences in ENDS use; however, other demographic characteristics, domains of influence across the life course, and levels of influence beyond individuals were rarely considered. As most studies were derived from large-scale, cross-sectional US national surveys, few longitudinal studies or intervention trials were published.

Summary

The use of the NIMHD framework to analyze recent literature helped identify research patterns and gaps that may be important to recognize for optimizing population health strategies to advance health equity. Future research on non-individual level factors influencing ENDS, interventions to effectively use ENDS for combustible cigarette cessation, and subpopulations susceptible to dual use may enhance existing science. Monitoring research using the NIMHD research framework can help researchers and policy makers to identify and when appropriate, prioritize support for overlooked but important research questions.

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Acknowledgements

The authors thank and acknowledge Syrena Carver, Whitney Allen, Angela DeLucia, Nicholas Franco, Juhan Lee, and Thomas Liss for assistance reviewing abstracts and articles and extracting article data for this review.

Funding

Research reported in this publication was supported by grant numbers U54DA036151 and R01 DA049878 from the National Institute on Drug Abuse (NIDA) and FDA Center for Tobacco Products (CTP). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH or the Food and Drug Administration.

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  1. Yale School of Public Health, Yale School of Medicine, PO Box 208093, New Haven, CT, 06520, USA

    Sakinah C. Suttiratana

  2. Department of Internal Medicine, Yale School of Medicine, New Haven, CT, 06520, USA

    Sakinah C. Suttiratana

  3. Department of Psychiatry, Yale Tobacco Center of Regulatory Science, Yale School of Medicine, New Haven, CT, 06520, USA

    Grace Kong, Wei Li, Rachel R. Ouellette, Lilanthi Balasuriya, Cole Arnold & Suchitra Krishnan-Sarin

  4. Harvey Cushing/John Hay Whitney Medical Library, Yale University, New Haven, CT, 06520, USA

    Melissa Funaro

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Contributions

The review study conception and design were contributed to by SS, LB, SK-S, and GK. MF helped design the search strategy. Material preparation, data collection, and analysis were performed by all authors except for LB and additional research assistants. The manuscript was written by SS. All authors helped refine the text and approved the submitted manuscript.

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Correspondence to Sakinah C. Suttiratana.

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Suttiratana, S.C., Kong, G., Li, W. et al. Adult Electronic Nicotine Delivery System Use in the USA: a Scoping Review Through a Health Equity Lens. Curr Addict Rep 10, 825–836 (2023). https://doi.org/10.1007/s40429-023-00521-3

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