ArticleTobacco control2021
Do JUUL and e-cigarette flavours change risk perceptions of adolescents? Evidence from a national survey.
Article in Tobacco control, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
What it found
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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.
The trial behind it
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Who cites it
24 citing papers in PubMed, 36 citations in OpenAlex.
- Electronic Cigarette Usage and Psychological Distress: Insights from University Students Amidst the Armed Conflict in Southern Thailand.Healthcare (Basel, Switzerland) · 2026Article
- Developing and Applying a Typology of 'Better for You' Claims on Alcohol Products.Drug and alcohol review · 2026Article
- Neural Predictors of Vaping: Covert Emotional Engagement Versus Reactance to Overt Emotional Appeals in Vaping Prevention Message Processing.American journal of preventive medicine · 2026Article
- Restricting E-Cigarette Flavour Names to Reduce Youth Appeal: An Analysis of New Zealand's 2024 Regulations.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026Article
- Identifying Salient Beliefs Underlying Young Adults' Flavored E-Cigarette Use to Inform Campaign Development: Results from an Elicitation Survey.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026Article
- Social Influences Across Vaping Trajectories of Female Tertiary Students.Drug and alcohol review · 2026Article
- Exploring youth vaping in New Zealand intermediate and high schools: a mixed-methods study protocol.BMC public health · 2025Article
- Responses to e-cigarette nicotine source descriptors: results from a randomised experiment.Tobacco control · 2025Article
- Impact of flavorants on nicotine vapor self-administration in adolescent mice: Cherry on top?The Journal of pharmacology and experimental therapeutics · 2025Article
- Across the world availability of flavour accessories for tobacco products.Tobacco control · 2025Article
- Examining the impact of social media on youth vaping behavior in China: an analysis of the mediating role of perceptions of policy enforcement.Frontiers in public health · 2025Article
- Understanding e-Cigarette Addictiveness: Triangulation of Focus Group and Netnographic Data.Journal of medical Internet research · 2024Article
- Do Flavor Descriptions Influence Subjective Ratings of Flavored and Unflavored E-liquids Among Nonsmoking and Non-vaping UK Adolescents?Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024Observational
- First tobacco product tried and current use of cigarettes and electronic cigarettes among adolescents from Guatemala City.Salud publica de Mexico · 2023Article
- Factors associated with e-cigarette use among vocational students: A cross-sectional multistage cluster survey, Thailand.Tobacco induced diseases · 2023Article
- Association between Harmful and Addictive Perceptions of E-Cigarettes and E-Cigarette Use among Adolescents and Youth-A Systematic Review and Meta-Analysis.Children (Basel, Switzerland) · 2022Review
- E-cigarette addiction and harm perception: Does initiation flavor choice matter?BMC public health · 2022Article
- E-Cigarette Toxicology.Annual review of pharmacology and toxicology · 2022Review
- Who, me? Optimism bias about US teenagers' ability to quit vaping.Addiction (Abingdon, England) · 2021Article
- Determination of Benzoic Acid and Benzyl Alcohol in E-Liquids (JUULContributions to tobacco and nicotine research · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
Abstract
introductionUse of JUULs and e-cigarettes is growing rapidly, particularly among adolescents. Research suggests that flavours may increase the appeal of these products, but little is known about how flavours influence perception. We examined whether youth perceptions about the health risks of JUULs and e-cigarettes vary with flavours.
methodsWe conducted a national survey in 2018 of 1610 high-school students aged 14-18 who had ever heard of either JUULs or e-cigarettes. Respondents were asked to rate the lung cancer risk, the harm of second-hand vapour, potential for addiction and healthiness of differently flavoured JUUL and e-cigarette products. We investigated the relationship among flavour, risk perception and socio-demographic information.
resultsWe found that risk perceptions for both JUULs and e-cigarettes differ significantly by flavour type. Youths perceive fruit flavours to be less likely to lead to lung cancer (-0.909 (0.065)), have harmful second-hand vapour (-0.933 (0.060)) and be more addictive (1.104 (0.094)) relative to tobacco flavours. Candy, menthol/mint and alcohol flavours show similar patterns of risk association, although the magnitude is slightly smaller than for fruit flavours.
conclusionsYouths believe that flavours are related to the health risks of both JUULs and e-cigarettes despite the fact that these differences in risk by flavour have not been scientifically or systematically established. A policy concern is that misperceptions based on flavour may result in increased vaping by youths. The findings from this study support the assertion that banning fruit, menthol or mint and sweet flavours could reduce the appeal of JUULs and e-cigarettes to youth, with concomitant health protections.
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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.