Evidence map›Paper›PMID 27872344›Full record

SynthesisTobacco control2017

Impact of non-menthol flavours in tobacco products on perceptions and use among youth, young adults and adults: a systematic review.

Li-Ling Huang, Hannah M Baker, Clare Meernik, Leah M Ranney, Amanda Richardson, Adam O Goldstein

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Tobacco control, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 7 pooled it
13.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

100 citing papers in PubMed, 7 syntheses or guidelines pooled it, 153 citations in OpenAlex.

  1. A systematic review investigating policy design and implementation of US state and local policy to restrict the sale of flavored tobacco products.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
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  5. An E-Liquid Flavor Wheel: A Shared Vocabulary Based on Systematically Reviewing E-Liquid Flavor Classifications in Literature.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2019
    Pooled it
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  8. Appeal and Sensory Characteristics of Oral Nicotine Products in Young Adults Who Vape E-Cigarettes.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Trial
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  15. Use of Flavored and Modified Risk Smokeless Tobacco Products Among American Indian Adults.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
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40 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Li-Ling HuangLineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, North Carolina, USA.ORCID 0000-0002-7558-603X
Hannah M BakerDepartment of Family Medicine, Tobacco Prevention and Evaluation Program, School of Medicine, University of North Carolina, Chapel Hill, North Carolina, USA.
Clare MeernikDepartment of Family Medicine, Tobacco Prevention and Evaluation Program, School of Medicine, University of North Carolina, Chapel Hill, North Carolina, USA.
Leah M RanneyLineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, North Carolina, USA.
Amanda RichardsonLineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, North Carolina, USA.
Adam O GoldsteinLineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, North Carolina, USA.
University of North Carolina at Chapel Hill · US

Funding

Training & Education Program p294-308P50CA180907 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RIBISL, KURT M. · 2013 to 2017
$20.2M
FDA HHSNCI NIH HHS P50 CA180907
6 · The paper itself

Abstract

objectiveThis systematic review examines the impact of non-menthol flavours in tobacco products on tobacco use perceptions and behaviours among youth, young adults and adults. DATA SOURCES: English-language peer-reviewed publications indexed in 4 databases were searched through April 2016. STUDY SELECTION: A search strategy was developed related to tobacco products and flavours. Of 1688 articles identified, we excluded articles that were not English-language, were not peer-reviewed, were qualitative, assessed menthol-flavoured tobacco products only and did not contain original data on outcomes that assessed the impact of flavours in tobacco products on perceptions and use behaviour. DATA EXTRACTION: Outcome measures were identified and tabulated. 2 researchers extracted the data independently and used a validated quality assessment tool to assess study quality. DATA SYNTHESIS: 40 studies met the inclusion criteria. Data showed that tobacco product packaging with flavour descriptors tended to be rated as more appealing and as less harmful by tobacco users and non-users. Many tobacco product users, especially adolescents, reported experimenting, initiating and continuing to use flavoured products because of the taste and variety of the flavours. Users of many flavoured tobacco products also showed decreased likelihood of intentions to quit compared with non-flavoured tobacco product users.

conclusionsFlavours in most tobacco products appear to play a key role in how users and non-users, especially youth, perceive, initiate, progress and continue using tobacco products. Banning non-menthol flavours from tobacco products may ultimately protect public health by reducing tobacco use, particularly among youth.

Indexed as

CommerceFlavoring AgentsHealth Knowledge, Attitudes, PracticeAdolescentAdultAge FactorsHumansMentholSmokingTobacco ProductsYoung AdultFlavoring AgentsMentholGlobal healthPreventionPublic policy

Identifiers

PMID27872344
PMCPMC5661267
OpenAlexW2555629257

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.