Evidence map›Paper›PMID 32568093›Full record

Observational studyJournal of medical Internet research2020

A Social Media Study on the Associations of Flavored Electronic Cigarettes With Health Symptoms: Observational Study.

Long Chen, Xinyi Lu, Jianbo Yuan, Joyce Luo, Jiebo Luo, Zidian Xie, Dongmei Li

Abstract readObservational Study
In one paragraph

Observational study in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 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.

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

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. What Strategies Do Healthcare Providers Use to Promote Adolescents' Vaping Cessation? A Scoping Review.International journal of environmental research and public health · 2025
    Article
  5. Article
  6. e-Cigarette Tobacco Flavors, Public Health, and Toxicity: Narrative Review.Online journal of public health informatics · 2024
    Review
  7. Vaping: Public Health, Social Media, and Toxicity.Online journal of public health informatics · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Potential Impact of FDA Flavor Enforcement Policy on Vaping Behavior on Twitter.International journal of environmental research and public health · 2022
    Article
  14. Article
  15. Article
  16. Observational
  17. Article
  18. Observational
  19. Observational
  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

7 authors.

Long ChenUniversity of Rochester, Rochester, NY, United States.ORCID 0000-0003-3772-4929
Xinyi LuUniversity of Rochester, Rochester, NY, United States.ORCID 0000-0002-5888-6647
Jianbo YuanUniversity of Rochester, Rochester, NY, United States.ORCID 0000-0001-7949-9841
Joyce LuoPrinceton University, Princeton, NJ, United States.ORCID 0000-0002-5487-0058
Jiebo LuoUniversity of Rochester, Rochester, NY, United States.ORCID 0000-0002-4516-9729
Zidian XieUniversity of Rochester Medical Center, Rochester, NY, United States.ORCID 0000-0002-5149-7710
Dongmei LiUniversity of Rochester Medical Center, Rochester, NY, United States.ORCID 0000-0001-9140-2483

Funding

WNY Center for Research on Flavored Tobacco Products (CRoFT)U54CA228110 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI OSSIP, DEBORAH J · 2018 to 2022
$19.8M
NCI NIH HHS U54 CA228110
6 · The paper itself

Abstract

backgroundIn recent years, flavored electronic cigarettes (e-cigarettes) have become popular among teenagers and young adults. Discussions about e-cigarettes and e-cigarette use (vaping) experiences are prevalent online, making social media an ideal resource for understanding the health risks associated with e-cigarette flavors from the users' perspective.

objectiveThis study aimed to investigate the potential associations between electronic cigarette liquid (e-liquid) flavors and the reporting of health symptoms using social media data.

methodsA dataset consisting of 2.8 million e-cigarette-related posts was collected using keyword filtering from Reddit, a social media platform, from January 2013 to April 2019. Temporal analysis for nine major health symptom categories was used to understand the trend of public concerns related to e-cigarettes. Sentiment analysis was conducted to obtain the proportions of positive and negative sentiment scores for all reported health symptom categories. Topic modeling was applied to reveal the topics related to e-cigarettes and health symptoms. Furthermore, generalized estimating equation (GEE) models were used to quantitatively measure potential associations between e-liquid flavors and the reporting of health symptoms.

resultsTemporal analysis showed that the Respiratory category was consistently the most discussed health symptom category among all categories related to e-cigarettes on Reddit, followed by the Throat category. Sentiment analysis showed higher proportions of positive sentiment scores for all reported health symptom categories, except for the Cancer category. Topic modeling conducted on all health-related posts showed that 17 of the top 100 topics were flavor related. GEE models showed different associations between the reporting of health symptoms and e-liquid flavor categories, for example, lower association of the Beverage flavors with Respiratory compared with other flavors and higher association of the Fruit flavors with Cardiovascular than other flavors.

conclusionsThis study identified different potential associations between e-liquid flavors and the reporting of health symptoms using social media data. The results of this study provide valuable information for further investigation of the health effects associated with different e-liquid flavors.

Indexed as

AdolescentElectronic Nicotine Delivery SystemsFemaleFlavoring AgentsHumansMaleSocial MediaVapingYoung AdultFlavoring Agentse-cigaretteeHealthsocial media

Identifiers

PMID32568093
PMCPMC7338924

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.