Evidence map›Paper›PMID 38801769›Full record

ReviewOnline journal of public health informatics2024

e-Cigarette Tobacco Flavors, Public Health, and Toxicity: Narrative Review.

Yehao Sun, Prital Prabhu, Ryan Rahman, Dongmei Li, Scott McIntosh, Irfan Rahman

Abstract readReview
In one paragraph

Review in Online journal of public health informatics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. 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

6 authors.

Yehao SunDepartment of Environmental Medicine, University of Rochester Medical Center, Rochester, NY, United States.ORCID https://orcid.org/0009-0008-7030-6749
Prital PrabhuDepartment of Environmental Medicine, University of Rochester Medical Center, Rochester, NY, United States.ORCID https://orcid.org/0009-0000-4415-1781
Ryan RahmanDepartment of Environmental Medicine, University of Rochester Medical Center, Rochester, NY, United States.ORCID https://orcid.org/0009-0002-9949-9464
Dongmei LiDepartment of Clinical & Translational Research, University of Rochester Medical Center, Rochester, NY, United States.ORCID https://orcid.org/0000-0001-9140-2483
Scott McIntoshDepartment of Public Health Sciences, University of Rochester Medical Center, Rochester, NY, United States.ORCID https://orcid.org/0000-0002-5776-9617
Irfan Rahman *Department of Environmental Medicine, University of Rochester Medical Center, Rochester, NY, United States.ORCID https://orcid.org/0000-0003-2274-2454

Funding

VISUAL INDICES OF NEUROTOXICITYP30ES001247 · NIEHS · UNIVERSITY OF ROCHESTER · PI Martha Susiarjo · 1985 to 2026
$42.8M
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
NCI NIH HHS U54 CA228110NIEHS NIH HHS P30 ES001247
6 · The paper itself

Abstract

backgroundRecently, the US Food and Drug Administration implemented enforcement priorities against all flavored, cartridge-based e-cigarettes other than menthol and tobacco flavors. This ban undermined the products' appeal to vapers, so e-cigarette manufacturers added flavorants of other attractive flavors into tobacco-flavored e-cigarettes and reestablished appeal.

objectiveThis review aims to analyze the impact of the addition of other flavorants in tobacco-flavored e-cigarettes on both human and public health issues and to propose further research as well as potential interventions.

methodsSearches for relevant literature published between 2018 and 2023 were performed. Cited articles about the toxicity of e-cigarette chemicals included those published before 2018, and governmental websites and documents were also included for crucial information.

resultsBoth the sales of e-cigarettes and posts on social media suggested that the manufacturers' strategy was successful. The reestablished appeal causes not only a public health issue but also threats to the health of individual vapers. Research has shown an increase in toxicity associated with the flavorants commonly used in flavored e-cigarettes, which are likely added to tobacco-flavored e-cigarettes based on tobacco-derived and synthetic tobacco-free nicotine, and these other flavors are associated with higher clinical symptoms not often induced solely by natural, traditional tobacco flavors.

conclusionsThe additional health risks posed by the flavorants are pronounced even without considering the toxicological interactions of the different tobacco flavorants, and more research should be done to understand the health risks thoroughly and to take proper actions accordingly for the regulation of these emerging products.

Indexed as

e-cigaretteshealth riskmentholnicotinepublic healthregulationriskriskssmokingsocial mediasymptomsymptomstobaccotobacco flavorstoxicitytoxicologyvaping

Identifiers

PMID38801769
PMCPMC11165290

What OpenQuestion holds

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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.