Evidence map›Paper›PMID 38580443›Full record

ArticleTobacco control2025

Across the world availability of flavour accessories for tobacco products.

Anne Havermans, Charlotte G G M Pauwels, Ingrid M E Bakker-'t Hart, Ranti Fayokun, Lotte E van Nierop, Ina M Hellmich, Reinskje Talhout

Registry-linked trialAbstract read
In one paragraph

Article in Tobacco control, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07092501 (An Experimental Evaluation of Menthol-Flavored Tobacco Accessories), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

NCT07092501 nacompletednot on this map

An Experimental Evaluation of Menthol-Flavored Tobacco Accessories: Subjective Effects and Purchasing Behavior

TypeinterventionalSponsorVirginia Polytechnic Institute and State UniversityRan2025 to 2025Enrolled24ConditionsCigarette, Smoking Behaviors, Cigarette Smoking BehaviorArmsMentholated cigarette sampling, Hypothetical Policy Scenarios, Subjective value assessment
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. From Menthol Cigarettes to Flavored Hookah: The Urgent Need for Stronger Policies.Iranian journal of psychiatry and behavioral sciences · 2025
    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

7 authors.

Anne HavermansCentre for Health Protection, National Institute for Public Health and the Environment, Bilthoven, The Netherlands anne.havermans@rivm.nl.ORCID 0000-0003-2874-6560
Charlotte G G M PauwelsCentre for Health Protection, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.ORCID 0000-0001-6727-0804
Ingrid M E Bakker-'t HartCentre for Health Protection, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.ORCID 0000-0001-6632-783X
Ranti FayokunNo Tobacco Unit, World Health Organization, Geneva, Switzerland.
Lotte E van NieropCentre for Health Protection, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
Ina M HellmichCentre for Health Protection, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
Reinskje TalhoutCentre for Health Protection, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.

Funding

FDA HHS U18 FD006317World Health Organization 001
6 · The paper itself

Abstract

objectiveThis study aimed to provide an inventory of different types of flavour accessories for combustible tobacco products in eight countries varying in their approaches to flavour legislation and cultural aspects, including tobacco use.

methodsA standardised search protocol was developed and shared with local informants to acquire information on the availability and marketing of flavour accessories in web shops accessible from Brazil, India, Italy, Singapore, South Africa, Switzerland, the UK and the USA. Characteristics of the products and web shops were reported, and flavours were categorised in a flavour wheel.

resultsFlavour accessories were available in all participating countries. Reported types are flavour capsules, cards, filter tips and tubes for make-your-own cigarettes, drops, sprays, rolling paper, aroma markers, a flavour stone and a flavour powder. In total, 118 unique flavours were reported, which were mostly fruity and sweet. Marketing of these products was often associated with (menthol) flavour bans.

conclusionsThe wide availability and variety of flavour accessories raise significant public health concerns, as they have attractive flavours, and thus hinder the regulatory aim of flavour bans. Flavour accessories are not tobacco products and thus not regulated as such. Therefore, it is recommended that policymakers include these products in comprehensive flavour bans, to close this loophole in existing tobacco control measures.

Indexed as

CommerceFlavoring AgentsMarketingTobacco ProductsBrazilHumansIndiaItalySingaporeSouth AfricaSwitzerlandUnited KingdomUnited StatesFlavoring AgentsAdvertising and PromotionPublic policySurveillance and monitoringTobacco industry

Identifiers

PMID38580443
PMCPMC12322433

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.