Evidence map›Paper›PMID 28381414›Full record

ArticleTobacco control2018

Comparison of a preferred versus non-preferred waterpipe tobacco flavour: subjective experience, smoking behaviour and toxicant exposure.

Eleanor L Leavens, Leslie M Driskill, Neil Molina, Thomas Eissenberg, Alan Shihadeh, Emma I Brett, Evan Floyd, Theodore L Wagener

Registry-linked trialOpen access · greenAbstract readComparative Study
In one paragraph

Article in Tobacco control, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05887947 (Impact of E-cigarette Nicotine Concentration on Compensation, Cigarette Smoking, and Biomarkers of Exposure and Harm in Diverse Smokers), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.2field-weighted citation impact, top 13% 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.

NCT05887947 nacompletednot on this mapstarted 2023, after this paper: background citation

Impact of E-cigarette Nicotine Concentration on Compensation, Cigarette Smoking, and Biomarkers of Exposure and Harm in Diverse Smokers

TypeinterventionalSponsorUniversity of Kansas Medical CenterRan2023 to 2024Enrolled52ConditionsSmoking CessationArmsElectronic Cigarette with 5% Nicotine Concentration, Electronic Cigarette with 1.8% Nicotine Concentration
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 32 citations in OpenAlex.

  1. Evaluating the Role of Nicotine Stereoisomer on Nicotine Pouch Abuse Liability: A Randomized Crossover Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Trial
  2. Trial
  3. Trial
  4. Concurrent Alcohol Use and Waterpipe Tobacco Smoking: Smoking Topography, Toxicant Exposure, and Abuse Liability.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Trial
  5. Trial
  6. Article
  7. Article
  8. Toxicity of waterpipe tobacco smoking: the role of flavors, sweeteners, humectants, and charcoal.Toxicological sciences : an official journal of the Society of Toxicology · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Waterpipe smoking: a review of pulmonary and health effects.European respiratory review : an official journal of the European Respiratory Society · 2021
    Review
  15. Quantification of Flavorants and Nicotine in Waterpipe Tobacco and Mainstream Smoke and Comparison to E-cigarette Aerosol.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2021
    Article
  16. Development and Pretesting of Hookah Tobacco Public Education Messages for Young Adults.International journal of environmental research and public health · 2020
    Article
  17. Article
  18. Article
  19. Article
  20. Article
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

8 authors at 4 institutions in 2 countries.

Eleanor L LeavensOklahoma Tobacco Research Center, Oklahoma City, Oklahoma, USA.
Leslie M DriskillOklahoma Tobacco Research Center, Oklahoma City, Oklahoma, USA.
Neil MolinaOklahoma Tobacco Research Center, Oklahoma City, Oklahoma, USA.
Thomas EissenbergDepartment of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA.
Alan ShihadehDepartment of Mechanical Engineering, American University of Beirut, Beirut, Lebanon.
Emma I BrettDepartment of Psychology, Oklahoma State University, Stillwater, Oklahoma, USA.
Evan FloydOklahoma Tobacco Research Center, Oklahoma City, Oklahoma, USA.
Theodore L WagenerOklahoma Tobacco Research Center, Oklahoma City, Oklahoma, USA.
University of Oklahoma Health Sciences Center · USAmerican University of Beirut · LBOklahoma State University · USVirginia Commonwealth University · US

Funding

Training and Education Core p270-287P50DA036105 · NIDA · VIRGINIA COMMONWEALTH UNIVERSITY · PI EISSENBERG, THOMAS EVAN · 2013 to 2017
$19.2M
The Impact of Waterpipe Tobacco Flavors on Waterpipe Smoking Intentions, Perceptions, Patterns, and Toxicant ExposureR03DA041928 · NIDA · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI WAGENER, THEODORE LEE · 2016 to 2017
$283k
Effect of Alcohol Use on Waterpipe Smoking Patterns and Toxicant ExposureF31DA042523 · NIDA · OKLAHOMA STATE UNIVERSITY STILLWATER · PI LEAVENS, ELEANOR LADD SCHNEIDER · 2016 to 2017
$87k
NIDA NIH HHS F31 DA042523NIDA NIH HHS P50 DA036105NIDA NIH HHS R03 DA041928
6 · The paper itself

Abstract

introductionOne possible reason for the rapid proliferation of waterpipe (WP) smoking is the pervasive use of flavoured WP tobacco. To begin to understand the impact of WP tobacco flavours, the current study examined the impact of a preferred WP tobacco flavour compared with a non-preferred tobacco flavoured control on user's smoking behaviour, toxicant exposure and subjective smoking experience.

methodThirty-six current WP smokers completed two, 45-minute ad libitum smoking sessions (preferred flavour vs non-preferred tobacco flavour control) in a randomised cross-over design. Participants completed survey questionnaires assessing subjective smoking experience, exhaled carbon monoxide (eCO) testing, and provided blood samples for monitoring plasma nicotine. WP smoking topography was measured continuously throughout the smoking session.

resultsWhile participants reported an enhanced subjective smoking experience including greater interest in continued use, greater pleasure derived from smoking, increased liking and enjoyment, and willingness to continue use after smoking their preferred WP tobacco flavour (p values <0.05), no significant differences were observed in nicotine and carbon monoxide boost between flavour preparations. Greater average puff volume (p=0.018) was observed during the non-preferred flavour session. While not significant, measures of flow rate, interpuff interval (IPI), and total number of puffs were trending towards significance (p values <0.10), with decreased IPI and greater total number of puffs during the preferred flavour session. DISCUSSION: The current study is the first to examine flavours in WP smoking by measuring preferred versus control preparations to understand the impact on subjective experience, smoking behaviour and toxicant exposure. The pattern of results suggests that even this relatively minor manipulation resulted in significant changes in subjective experience. These results indicate a possible need for regulations restricting flavours in WP tobacco as with combustible cigarettes.

Indexed as

Breath TestsAdolescentAdultCarbon MonoxideConsumer BehaviorFemaleFlavoring AgentsHumansInhalation ExposureMaleNicotineSmokingTobacco, WaterpipeYoung AdultCarbon MonoxideFlavoring AgentsNicotineflavored tobaccosmokingwaterpipe

Identifiers

PMID28381414
PMCPMC11163859
OpenAlexW2605162718

What OpenQuestion holds

Textmetadata
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Registered trials

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.