Evidence map›Paper›PMID 34695685›Full record

ArticleAddictive behaviors2022

Responses to potential nicotine vaping product flavor restrictions among regular vapers using non-tobacco flavors: Findings from the 2020 ITC Smoking and Vaping Survey in Canada, England and the United States.

Shannon Gravely, Danielle M Smith, Alex C Liber, K Michael Cummings, Katherine A East, David Hammond, Andrew Hyland, Richard J O'Connor, Karin A Kasza, Anne C K Quah and 9 more

Open access · hybridAbstract read
In one paragraph

Article in Addictive behaviors, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. 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 · 2026
    Article
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  7. Reactions to a Hypothetical Ban of Open-System Electronic Cigarettes Among People Who Currently Use Electronic Cigarettes.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
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  10. Responses to Real-World and Hypothetical E-Cigarette Flavor Bans Among US Young Adults Who Use Flavored E-Cigarettes.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024
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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

19 authors at 7 institutions in 3 countries.

Shannon GravelyDepartment of Psychology, University of Waterloo, Waterloo, ON N2L 3G1, Canada. Electronic address: shannon.gravely@uwaterloo.ca.
Danielle M SmithDivision of Cancer Prevention and Population Sciences, Department of Health Behaviors, Roswell Park Comprehensive Cancer Center, USA.
Alex C LiberDepartment of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University, USA.
K Michael CummingsDepartment of Psychiatry & Behavioral Sciences, Medical University of South Carolina, USA.
Katherine A EastSchool of Public Health and Health Systems, University of Waterloo, Canada; Department of Addictions, Institute of Psychiatry, Psychology & Neuroscience, King's College London, UK.
David HammondSchool of Public Health and Health Systems, University of Waterloo, Canada.
Andrew HylandDivision of Cancer Prevention and Population Sciences, Department of Health Behaviors, Roswell Park Comprehensive Cancer Center, USA.
Richard J O'ConnorDivision of Cancer Prevention and Population Sciences, Department of Health Behaviors, Roswell Park Comprehensive Cancer Center, USA.
Karin A KaszaDivision of Cancer Prevention and Population Sciences, Department of Health Behaviors, Roswell Park Comprehensive Cancer Center, USA.
Anne C K QuahDepartment of Psychology, University of Waterloo, Waterloo, ON N2L 3G1, Canada.
Ruth LoewenDepartment of Psychology, University of Waterloo, Waterloo, ON N2L 3G1, Canada.
Nadia MartinDepartment of Psychology, University of Waterloo, Waterloo, ON N2L 3G1, Canada.
Gang MengDepartment of Psychology, University of Waterloo, Waterloo, ON N2L 3G1, Canada.
Janine OuimetDepartment of Psychology, University of Waterloo, Waterloo, ON N2L 3G1, Canada.
Mary E ThompsonDepartment of Statistics and Actuarial Science, University of Waterloo, Canada.
Christian BoudreauDepartment of Statistics and Actuarial Science, University of Waterloo, Canada.
Ann McNeillDepartment of Addictions, Institute of Psychiatry, Psychology & Neuroscience, King's College London, UK; Shaping Public Health Policies to Reduce Inequalities & Harm (SPECTRUM), UK.
David T SweanorFaculty of Law, University of Ottawa, Canada.
Geoffrey T FongDepartment of Psychology, University of Waterloo, Waterloo, ON N2L 3G1, Canada; Ontario Institute for Cancer Research, Canada.
University of Waterloo · CARoswell Park Comprehensive Cancer Center · USGeorgetown University · USKing's College London · GBMedical University of South Carolina · USOntario Institute for Cancer Research · CAUniversity of Ottawa · CA

Funding

Vaporized Nicotine Product Initiation Among Youth in the US, Canada, and England: Methods to Predict Uptake and Policy EfficacyP01CA200512 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI FONG, GEOFFREY T · 2016 to 2025
$25.3M
CIHR FDN-148477NCI NIH HHS P01 CA200512
6 · The paper itself

Abstract

introductionSome jurisdictions have implemented nicotine vaping product (NVP) flavor restrictions because of concerns about rising adolescent use. However, little is known how these restrictions may impact adult vapers. This study describes the level of support and predictive behavioral responses to a hypothetical NVP ban on non-tobacco flavors among regular adult vapers who only use flavors that would be banned.

methodsData came from 851 regular vapers (all current or ex-smokers) participating in the 2020 ITC Four Country Smoking and Vaping Survey in Canada, England, and the United States (US). A random sample of respondents in each country received and completed the questions about flavor bans: (1) do you support or oppose a ban on all non-tobacco flavors; and (2) what would you do if all flavors were banned, with the exception of tobacco in the US, and tobacco and menthol in Canada and England. Those who used tobacco-flavored or unflavored NVPs were excluded from all analyses, and additionally, vapers of menthol flavor in Canada and England were excluded from Aim 2.

resultsOverall, 53.6% of vapers were strongly opposed to flavor bans, 28.2% were opposed, 9.3% were in support, 3.6% were in strong support, and 5.2% did not know. Predicted behavioral responses were: 28.8% would continue vaping an available flavor, 28.3% would find a way to get their banned flavor(s), 17.1% would stop vaping and smoke instead, 12.9% said that they would stop vaping and not smoke, and 12.9% do not know what they would do. Responses to a potential flavor ban largely varied by smoking and vaping status, and by the level of support of a flavor restriction policy.

conclusionsAt this time, it is not clear what net population-level consequences would occur if non-tobacco flavored NVPs were prohibited. While a majority of vapers in this study opposed this policy, and many vapers would not be willing to switch to available flavors, there was considerable variability in predicted behavioral responses.

Indexed as

Electronic Nicotine Delivery SystemsVapingAdolescentAdultCanadaHumansNicotianaNicotineSmokersSmokingSurveys and QuestionnairesUnited StatesNicotineAdult vapersE-cigarettesFlavor bansNicotine vaping productsSmokingVaping

Identifiers

PMID34695685
PMCPMC9094050
OpenAlexW3207014790

What OpenQuestion holds

Textmetadata
LicenceTDM
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.