Evidence map›Paper›PMID 31351341›Full record

ArticleDrug and alcohol dependence2019

Initial e-cigarette flavoring and nicotine exposure and e-cigarette uptake among adolescents.

Janet Audrain-McGovern, Daniel Rodriguez, Stephen Pianin, Emily Alexander

Registry-linked trialAbstract read
In one paragraph

Article in Drug and alcohol dependence, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06965296 (AI-Enhanced App-based Intervention for Adolescent E-cigarette Cessation), which is not on this map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT06965296 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

AI-Enhanced App-based Intervention for Adolescent E-cigarette Cessation

TypeinterventionalSponsorState University of New York at BuffaloRan2026 to 2027Enrolled100ConditionsNicotine Dependence, CigarettesArmsAI-enhanced smartphone app, AI-enhanced smartphone app, but with delayed access
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  13. Dual Use of Nicotine and Cannabis Through Vaping Among Adolescents.American journal of preventive medicine · 2022
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  14. Article
  15. First E-Cigarette Flavor and Device Type Used: Associations With Vaping Persistence, Frequency, and Dependence in Young Adults.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022
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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

4 authors.

Janet Audrain-McGovernDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, 3535 Market Street, Suite 4100, Philadelphia, PA 19104, USA. Electronic address: audrain@pennmedicine.upenn.edu.
Daniel RodriguezSchool of Nursing and Health Sciences, LaSalle University, 1900 West Olney Avenue Philadelphia, PA 19141, USA.
Stephen PianinDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, 3535 Market Street, Suite 4100, Philadelphia, PA 19104, USA.
Emily AlexanderDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, 3535 Market Street, Suite 4100, Philadelphia, PA 19104, USA.

Funding

The impact of e-cigarette use on adolescent uptake and persistence of conventional smoking: Who is most vulnerable?R01CA202262 · NCI · UNIVERSITY OF PENNSYLVANIA · PI AUDRAIN-MCGOVERN, JANET E · 2016 to 2020
$2.8M
NCI NIH HHS R01 CA202262
6 · The paper itself

Abstract

objectiveE-cigarettes are the most prevalent tobacco product used by adolescents. We sought to determine whether the presence of flavoring and/or the presence of nicotine at the first e-cigarette exposure predicted progression to current e-cigarette use (use in past 30 days) as well as escalation in use (number of days in the past 30 days) among adolescents.

methodsAdolescents from public high schools outside of Philadelphia, PA completed in-classroom surveys at baseline (9

resultsWe employed a two-part Latent Growth Curve Model including flavor, nicotine, and other covariates. Initial use of a flavored (vs unflavored) e-cigarette was associated with progression to current e-cigarette use (β = 0.54, z = 2.09, p = 0.04) and escalation in the number of days of e-cigarette use (β = 0.35, z = 2.58, p = 0.01) across the following 18 months. Initial use of an e-cigarette with nicotine (vs without nicotine) was associated with a greater number of days of e-cigarette use at baseline (β = 0.49, z = 2.16, p = 0.03).

conclusionsThe findings underscore the risk that flavoring and nicotine pose for progression beyond initial e-cigarette use. Regulations addressing flavoring and nicotine in e-cigarettes have the potential to reduce the number of adolescents who become current as well as frequent e-cigarette users.

Indexed as

AdolescentDisease ProgressionElectronic Nicotine Delivery SystemsFemaleFlavoring AgentsHumansMaleNicotinePhiladelphiaSchoolsStudentsSurveys and QuestionnairesTasteVapingFlavoring AgentsNicotineAdolescentsE-CigarettesFlavoringNicotineSubjective effects

Identifiers

PMID31351341
PMCPMC7168773

What OpenQuestion holds

Textmetadata
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Read underepoch 390

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.