Evidence map›Paper›PMID 37173133›Full record

ArticleTobacco control2024

Synthetic nicotine descriptors: awareness and impact on perceptions of e-cigarettes among US youth.

Sarah D Kowitt, Andrew B Seidenberg, Nisha C Gottfredson O'Shea, Caroline Ritchie, Emily F Galper, Erin L Sutfin, Paschal Sheeran, Seth M Noar

Abstract read
In one paragraph

Article in Tobacco control, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

  1. Pooled it
  2. Article
  3. Trends in product characteristics of disposable e-cigarettes sold by US online stores between 2022 and 2024.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Preventive medicine reports · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Electronic Cigarette Harms: Aggregate Evidence Shows Damage to Biological Systems.International journal of environmental research and public health · 2023
    Review
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.

Sarah D KowittFamily Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA kowitt@email.unc.edu.ORCID 0000-0001-5216-3897
Andrew B SeidenbergTruth Initiative Schroeder Institute, Washington, District of Columbia, USA.ORCID 0000-0001-5001-2067
Nisha C Gottfredson O'SheaResearch Triangle Institute, Research Triangle Park, North Carolina, USA.
Caroline RitchieLineberger Comprehensive Cancer Center, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Emily F GalperHussman School of Journalism and Media, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Erin L SutfinDepartment of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.ORCID 0000-0003-2660-8383
Paschal SheeranLineberger Comprehensive Cancer Center, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Seth M NoarLineberger Comprehensive Cancer Center, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0002-3453-5391

Funding

Impact of e-cigarette prevention messages on adolescentsR01DA049155 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI NOAR, SETH MICHAEL · 2020 to 2024
$3.4M
Communication Messages to Reduce Youth Multiple Tobacco Product UseK01CA265886 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Sarah Kowitt · 2022 to 2026
$691k
NCI NIH HHS K01 CA265886NIDA NIH HHS R01 DA049155
6 · The paper itself

Abstract

backgroundElectronic cigarettes (e-cigarettes) are being advertised and sold with synthetic nicotine. Little research has examined youth awareness of synthetic nicotine or the impact of synthetic nicotine descriptors on perceptions of e-cigarettes.

methodsParticipants were a sample of 1603 US adolescents (aged 13-17 years) from a probability-based panel. The survey assessed knowledge of nicotine source in e-cigarettes (from 'tobacco plants' or 'other sources besides tobacco plants') and awareness of e-cigarettes containing synthetic nicotine. Then, in a between-subjects experiment with a 2×3 factorial design, we manipulated descriptors on e-cigarette products: (1) nicotine label (inclusion of the word 'nicotine': present or absent) and (2) source label (inclusion of a source: 'tobacco-free', 'synthetic' or absent).

resultsMost youth were either unsure (48.1%) or did not think (20.2%) that nicotine in e-cigarettes comes from tobacco plants; similarly, most were unsure (48.2%) or did not think (8.1%) that nicotine in e-cigarettes comes from other sources. There was low-to-moderate awareness of e-cigarettes containing synthetic nicotine (28.7%), with higher awareness among youth who use e-cigarettes (48.0%). While no main effects were observed, there was a significant three-way interaction between e-cigarette status and the experimental manipulations. The 'tobacco-free nicotine' descriptor increased purchase intentions relative to 'synthetic nicotine' (simple slope: 1.20, 95% CI 0.65 to 1.75) and 'nicotine' (simple slope: 1.20, 95% CI 0.67 to 1.73) for youth who use e-cigarettes.

conclusionsMost US youth do not know or have incorrect beliefs about the sources of nicotine in e-cigarettes and describing synthetic nicotine as 'tobacco-free nicotine' increases purchase intentions among youth who use e-cigarettes.

Indexed as

Electronic Nicotine Delivery SystemsHealth Knowledge, Attitudes, PracticeNicotineAdolescentAwarenessFemaleHumansMalePerceptionProduct LabelingSurveys and QuestionnairesUnited StatesVapingNicotineelectronic nicotine delivery devicesnicotinepackaging and Labelling

Identifiers

PMID37173133
PMCPMC10640660

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.