Evidence map›Paper›PMID 36328457›Full record

ArticleTobacco control2022

Impact of the FDA flavour enforcement policy on flavoured electronic cigarette use behaviour changes.

Dongmei Li, Deborah J Ossip, Maansi Bansal-Travers, Zidian Xie

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 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Trial
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  4. Review
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  9. Article
  10. Review
  11. Article
  12. Guidance for Introducing the Tobacco-Free Generation Policy.The International journal of health planning and management · 2025
    Article
  13. Article
  14. Article
  15. Microbiota-Influenced Toxicological Responses inmicroPublication biology · 2025
    Article
  16. Article
  17. Article
  18. e-Cigarette Tobacco Flavors, Public Health, and Toxicity: Narrative Review.Online journal of public health informatics · 2024
    Review
  19. Article
  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

4 authors.

Dongmei LiDepartment of Clinical & Translational Research, University of Rochester Medical Center, Rochester, New York, USA Dongmei_Li@urmc.rochester.edu.ORCID 0000-0001-9140-2483
Deborah J OssipPublic Health Sciences, University of Rochester Medical Center, Rochester, New York, USA.
Maansi Bansal-TraversHealth Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA.
Zidian XieDepartment of Clinical & Translational Research, University of Rochester Medical Center, Rochester, New York, USA.

Funding

The University of Rochester's Clinical and Translational Science InstituteUL1TR002001 · NCATS · UNIVERSITY OF ROCHESTER · PI WILSON, KAREN M., ZAND, MARTIN S · 2016 to 2024
$34.6M
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
NCATS NIH HHS UL1 TR002001NCI NIH HHS U54 CA228110
6 · The paper itself

Abstract

introductionThis study aims to investigate electronic cigarette (e-cigarette) use behaviour changes after the implementation of the US Food and Drug Administration (FDA) restriction on the sale of all unauthorised flavoured cartridge-based e-cigarettes other than tobacco and menthol flavour on 6 February 2020, as well as factors associated with these changes.

methodsThrough Amazon's Mechanical Turk service, 3533 current adult flavoured e-cigarette users (who were not exclusive tobacco-flavoured or menthol-flavoured e-cigarette users) were recruited for an online survey from 8 July to 29 July 2021. Multiple logistic regression models were used to identify significant factors associated with quitting e-cigarette use, switching to other flavoured electronic nicotine delivery system (ENDS) products, switching to combustible tobacco products, switching to menthol-flavoured e-cigarettes and switching to tobacco-flavoured e-cigarettes.

resultsResulting from the FDA flavour enforcement policy, the top four e-cigarette use behaviour changes were: (1) switching to other flavoured ENDS products such as the tank system or disposable e-cigarettes (29.24%), (2) switching to menthol-flavoured pod systems (18.09%), (3) switching to combustible tobacco products (14.12%) and (4) switching to tobacco-flavoured pod systems (12.03%). There were 4.9% participants who indicated that they quit e-cigarette use. Overall, multiple factors, especially past 30-day use of certain flavours, were associated with different behaviour changes.

conclusionsThe implementation of the FDA flavour enforcement policy on cartridge-based e-cigarette was associated with significant e-cigarette behaviour changes, with multiple factors being associated with these changes. These results provide important information for future regulations of flavoured e-cigarette products.

Indexed as

Electronic Nicotine Delivery SystemsTobacco ProductsVapingAdultFlavoring AgentsHumansMentholPolicyUnited StatesUnited States Food and Drug AdministrationFlavoring AgentsMentholelectronic nicotine delivery devicesglobal healthpublic policy

Identifiers

PMID36328457
PMCPMC9664092

What OpenQuestion holds

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LicenceCC BY-NC
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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.