TY - JOUR
T1 - Factors associated with changes in flavored tobacco products used
T2 - Findings from wave 2 and wave 3 (2014–2016) of the population assessment of tobacco and health (PATH) study
AU - Bansal-Travers, Maansi
AU - Rivard, Cheryl
AU - Silveira, Marushka L.
AU - Kimmel, Heather
AU - Poonai, Karl
AU - Bernat, Jennifer K.
AU - Jackson, Kia
AU - Rudy, Susan
AU - Johnson, Amanda
AU - Cullen, Karen A.
AU - Goniewicz, Maciej
AU - Travers, Mark
AU - Hyland, Andrew
AU - Villanti, Andrea
AU - Hrywna, Mary
AU - Abrams, David
AU - Fong, Geoffrey
AU - Elton-Marshall, Tara
AU - Stanton, Cassandra
AU - Sharma, Eva
N1 - Publisher Copyright:
© 2022
PY - 2022/7
Y1 - 2022/7
N2 - Introduction: Flavored non-cigarette tobacco product use is widespread in the U.S. The availability of flavor options could be playing a role in recent increases in use, especially for non-cigarette tobacco products, among youth and young adults. Little is known about specific flavor preferences of youth and adult flavored tobacco product users, as well as how preferences may change over time. Methods: This study analyzes PATH Study data from completed Wave 2 (2014–2015) and Wave 3 (2015–2016) youth (12–17 years), and adult (18 + years) interviews to estimate the prevalence of flavored non-cigarette tobacco product use. We assess flavor switching by examining changes between flavors and characteristics of those who changed flavors between waves. Results: Across age groups, and at both waves, fruit-flavored products were the most frequently used flavor by past 30-day electronic nicotine delivery systems (ENDS), cigar, cigarillo, and hookah users. In the past 30 days, a higher proportion of youth and young adults used candy/sweets-flavored ENDS than adults. Among adult ENDS users, the odds of changing flavors were highest among younger users and decreased with increasing age. Conclusions: Flavored tobacco product use is prevalent across non-cigarette tobacco products. Stability in the number of flavors used, as well as specific flavors, is higher among adult tobacco users, while the use of multiple flavors, and change in specific flavor, is more prevalent among youth tobacco users. Additional longitudinal research can further examine the role flavors play in appeal, product trial, and switching.
AB - Introduction: Flavored non-cigarette tobacco product use is widespread in the U.S. The availability of flavor options could be playing a role in recent increases in use, especially for non-cigarette tobacco products, among youth and young adults. Little is known about specific flavor preferences of youth and adult flavored tobacco product users, as well as how preferences may change over time. Methods: This study analyzes PATH Study data from completed Wave 2 (2014–2015) and Wave 3 (2015–2016) youth (12–17 years), and adult (18 + years) interviews to estimate the prevalence of flavored non-cigarette tobacco product use. We assess flavor switching by examining changes between flavors and characteristics of those who changed flavors between waves. Results: Across age groups, and at both waves, fruit-flavored products were the most frequently used flavor by past 30-day electronic nicotine delivery systems (ENDS), cigar, cigarillo, and hookah users. In the past 30 days, a higher proportion of youth and young adults used candy/sweets-flavored ENDS than adults. Among adult ENDS users, the odds of changing flavors were highest among younger users and decreased with increasing age. Conclusions: Flavored tobacco product use is prevalent across non-cigarette tobacco products. Stability in the number of flavors used, as well as specific flavors, is higher among adult tobacco users, while the use of multiple flavors, and change in specific flavor, is more prevalent among youth tobacco users. Additional longitudinal research can further examine the role flavors play in appeal, product trial, and switching.
KW - Flavored tobacco
KW - Flavors
KW - Tobacco
KW - Young adults
KW - Youth
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U2 - 10.1016/j.addbeh.2022.107290
DO - 10.1016/j.addbeh.2022.107290
M3 - Article
C2 - 35220150
AN - SCOPUS:85125153105
SN - 0306-4603
VL - 130
JO - Addictive Behaviors
JF - Addictive Behaviors
M1 - 107290
ER -