Evidence map›Paper›PMID 33608466›Full record

ArticleTobacco control2022

Google shopping queries for vaping products, JUUL and IQOS during the E-cigarette, or Vaping, product use Associated Lung Injury (EVALI) outbreak.

Eric C Leas, Natalie H Moy, Alicia L Nobles, John Ayers, Shu-Hong Zhu, Vidya Purushothaman

Abstract read
In one paragraph

Article in Tobacco control, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Awareness and Perceptions of US Food and Drug Administration's JUUL Marketing Denial Order: A National Study of US Adolescents.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Public interest in ∆The International journal on drug policy · 2022
    Article
  8. Availability and Promotion of Cannabidiol (CBD) Products in Online Vape Shops.International journal of environmental research and public health · 2021
    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

6 authors.

Eric C LeasDepartment of Family Medicine and Public Health, University of California San Diego, La Jolla, California, USA ecleas@gmail.com.ORCID 0000-0001-9221-0336
Natalie H MoyDepartment of Family Medicine and Public Health, University of California San Diego, La Jolla, California, USA.
Alicia L NoblesDivision of Infectious Diseases and Global Public Health, Department of Medicine, University of California San Diego, La Jolla, California, USA.
John AyersDivision of Infectious Diseases and Global Public Health, Department of Medicine, University of California San Diego, La Jolla, California, USA.ORCID 0000-0002-8831-8691
Shu-Hong ZhuDepartment of Family Medicine and Public Health, University of California San Diego, La Jolla, California, USA.ORCID 0000-0002-4149-3441
Vidya PurushothamanDepartment of Anesthesiology, University of California, San Diego, La Jolla, CA, USA.

Funding

The role of ENDS use in changing rates of escalation and quitting of cigarette smoking in those under age 35 years in US populationR01CA234539 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BENMARHNIA, TARIK, PIERCE, JOHN P · 2018 to 2020
$1.2M
The effect of switching on or off menthol use on cigarette consumption, dependence, nicotine exposure and quitting successR21DA051356 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI LEAS, ERIC · 2020 to 2021
$316k
NCI NIH HHS R01 CA234539NIDA NIH HHS R21 DA051356
6 · The paper itself

Abstract

objectivesTo assess whether the late 2019 US outbreak of pulmonary disease linked to vaping ('E-cigarette, or Vaping, product use Associated Lung Injury' (EVALI)) impacted online shopping queries for vaping products and the Philip Morris 'IQO' brand of heated tobacco.

methodsWe tracked online shopping queries for vape(s), JUUL and IQOS by analysing rates of Google queries indicative of shopping (eg, buy IQOS) after news of the outbreak was first reported (the week of 29 July 2019) until hospitalisations ceased (the week of 16 February 2020). We compared observed rates of shopping during the outbreak to counterfactual expected rates that were predicted using an autoregressive iterative moving average model fit to queries from 1 January 2014 to the week of 21 July 2019.

resultsDuring the outbreak, vape shopping queries were 34% (95% CI 30% to 38%) lower than expected and JUUL shopping queries were 39% (95% CI 34% to 45%) lower than expected, translating into about 7.2 and 1.0 million fewer searches. IQOS shopping queries were 58% (95% prediction interval (PI): 34-87) higher than expected, translating into 35 000 more searches. Moreover, IQOS shopping queries reached a historic high the week they were discussed as a potentially safe alternative to vaping (the week of 29 September 2019), when they were 382% (95% PI: 219-881) above expected rates for the week.

conclusionsThese results suggest that unplanned events, such as the EVALI outbreak, can provoke changes in the epidemiology of product usage. Tobacco companies should be prohibited from using events such as disease outbreaks to position their products as less harmful without prior approval.

Indexed as

Electronic Nicotine Delivery SystemsLung InjuryTobacco ProductsVapingDisease OutbreaksHumansSearch Engineadvertising and promotionmediasmoking caused diseasesocial marketingsurveillance and monitoring

Identifiers

PMID33608466
PMCPMC8373990

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Registered trials

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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.