Evidence map›Paper›PMID 33320885›Full record

Trial reportPloS one2020

High school students' use of JUUL pod flavors before and after JUUL implemented voluntary sales restrictions on certain flavors in 2018.

Meghan E Morean, Krysten W Bold, Grace Kong, Deepa R Camenga, Asti Jackson, Patricia Simon, Danielle R Davis, Suchitra Krishnan-Sarin

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Discussions of Flavored ENDS Sales Restrictions: Themes Related to Circumventing Policies on Reddit.International journal of environmental research and public health · 2022
    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 1 institution in 1 country.

Meghan E MoreanDepartment of Psychiatry, Yale School of Medicine, New Haven, Connecticut, United States of America.ORCID 0000-0003-4865-1155
Krysten W BoldDepartment of Psychiatry, Yale School of Medicine, New Haven, Connecticut, United States of America.
Grace KongDepartment of Psychiatry, Yale School of Medicine, New Haven, Connecticut, United States of America.
Deepa R CamengaDepartments of Emergency Medicine and Pediatrics, Yale School of Medicine, New Haven, Connecticut, United States of America.
Asti JacksonDepartment of Psychiatry, Yale School of Medicine, New Haven, Connecticut, United States of America.
Patricia SimonDepartment of Psychiatry, Yale School of Medicine, New Haven, Connecticut, United States of America.
Danielle R DavisDepartment of Psychiatry, Yale School of Medicine, New Haven, Connecticut, United States of America.
Suchitra Krishnan-SarinDepartment of Psychiatry, Yale School of Medicine, New Haven, Connecticut, United States of America.
Yale University · US

Funding

Yale Center for the Study of Tobacco Product Use and Addiction (YCSTP) Project 2: Addictive Threshold of Nicotine and the Impact of SweetenersU54DA036151 · NIDA · YALE UNIVERSITY · PI SUCHITRA KRISHNAN-SARIN, STEPHANIE S O'MALLEY · 2018 to 2026
$41.6M
Yale Tobacco Center of Regulatory ScienceP50DA036151 · NIDA · YALE UNIVERSITY · PI KRISHNAN-SARIN, SUCHITRA, O'MALLEY, STEPHANIE S · 2013 to 2017
$20.6M
Research Training Fellowship in Substance use and Addiction (RTFSA)T32DA007238 · NIDA · YALE UNIVERSITY · PI BRIAN D. KILUK, ISMENE L. PETRAKIS · 1988 to 2026
$5.7M
NIDA NIH HHS P50 DA036151NIDA NIH HHS T32 DA007238NIDA NIH HHS U54 DA036151
6 · The paper itself

Abstract

objectivesIn November 2018, JUUL, Inc. restricted sales of mango, fruit medley, crème brûlée, and cucumber pods to its website. Physical/online sales of tobacco, menthol, and mint pods continued. We examined rates of adolescent JUUL device and flavored pod use before and after restrictions were implemented to examine their potential impact.

methodsStudents from 4 Connecticut high schools completed cross-sectional surveys in 2018 (N = 3170) and 2019 (N = 3074).

resultsCompared to 2018, current (past-month) JUUL use decreased in 2019 (30.2-25.6%). Among current JUUL users, restricted flavor use (mango [62.8-36.9%]; cucumber [27.7-11.9%]; fruit [23.5-11.4%]; crème brûlée [12.3-5.0%]) and the total number of flavors used (2.09[SD = 1.71]-1.51[SD = 1.33]) decreased (p-values < .001), while mint pod use increased (62.0-68.6%, p < .01). Tobacco and menthol pod use remained stable.

conclusionsFollowing voluntary sales restrictions implemented by JUUL, Inc., restricted flavor use and the total number of flavors used decreased among JUUL users while mint use increased. Results suggest flavor restrictions may impact adolescents' e-cigarette use. While 2020 Food and Drug Administration restrictions on mint pods may further limit youth JUUL use, research is needed to determine where youth acquire restricted flavors and if restrictions prompt increased popularity of unrestricted devices/e-liquids.

Indexed as

CommerceElectronic Nicotine Delivery SystemsFlavoring AgentsSchoolsStudentsVapingAdolescentCross-Sectional StudiesFemaleHumansMaleFlavoring Agents

Identifiers

PMID33320885
PMCPMC7737969
OpenAlexW3113298279

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.