Evidence map›Paper›PMID 39348776›Full record

ArticleAddictive behaviors2025

Flavored combustible tobacco product initiation in two longitudinal youth cohorts in the US Population Assessment of Tobacco and Health Study: 2013-2016 and 2016-2019.

Shannon Lea Watkins, Simon Page, Yoonsang Kim, Ganna Kostygina, Sherry Emery

Abstract read
In one paragraph

Article in Addictive behaviors, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

5 authors.

Shannon Lea WatkinsUniversity of Iowa, 145 N. Riverside Drive, Iowa City, IA 52242, USA. Electronic address: shannon-watkins@uiowa.edu.
Simon PageNORC at the University of Chicago, 55 E Monroe St 30th Floor, Chicago, IL 60603, USA. Electronic address: Page-Simon@norc.org.
Yoonsang KimNORC at the University of Chicago, 55 E Monroe St 30th Floor, Chicago, IL 60603, USA. Electronic address: Kim-Yoonsang@norc.org.
Ganna KostyginaNORC at the University of Chicago, 55 E Monroe St 30th Floor, Chicago, IL 60603, USA. Electronic address: Kostygina-Anna@norc.org.
Sherry EmeryNORC at the University of Chicago, 55 E Monroe St 30th Floor, Chicago, IL 60603, USA. Electronic address: Emery-Sherry@norc.org.

Funding

The Effects of Branded and Influencer Social Media Promotion of Flavored Tobacco Products (FTP) on FTP Use Among Youth and Young AdultsR01DA051000 · NIDA · NATIONAL OPINION RESEARCH CENTER · PI EMERY, SHERRY L, KOSTYGINA, GANNA · 2021 to 2023
$1.4M
NIDA NIH HHS R01 DA051000
6 · The paper itself

Abstract

introductionFlavored tobacco products increase appeal and lower barriers to nicotine addiction for young people. We compared environmental, psychosocial, behavioral, and demographic characteristics between youth who started with flavored and non-flavored (i.e., tobacco-flavored) combustible tobacco products (CTPs).

methodsWe analyzed two representative US youth cohorts (baseline age 12-15) from the Population Assessment of Tobacco and Health (PATH) Study (Wave 1 Cohort (W1) 2013-2016; Wave 4 Cohort (W4) 2016-2019). We first assessed baseline characteristics associated with any subsequent CTP initiation among youth with baseline never CTP use (W1 n=5,946; W4 n=8,240). Then, for baseline CTP-naïve youth with subsequent CTP initiation (new experimentation; W1 n=519; W4 n=538), we assessed baseline characteristics associated with subsequent initiation with flavored CTPs versus non-flavored.

resultsMost youth reporting new CTP experimentation initiated with flavored CTPs (W1:67.8%; W4:74.2%). Household norms, susceptibility, baseline experimentation with vaping, alcohol, and/or cannabis; and White race were associated with CTP experimentation. For both cohorts, frequent social media use was associated with flavored CTP initiation (W4 AOR:2.50, 95%CI:1.22,5.12) and Black youth (W4 AOR:0.12, 95%CI:0.06,0.25) were less likely to initiate with flavored CTPs than White youth. Among W1 Cohort youth, perceiving flavored product use as easier was positively associated with flavored CTP initiation (AOR:1.48, 95%CI:1.01,2.17). Among W4 Cohort youth, baseline vaping was negatively associated with flavored CTP initiation (AOR:0.10, 95%CI:0.05,0.20).

conclusionFrequent social media use was associated with flavored CTP initiation among youth who used CTPs. Youth who had ever vaped and Black youth were less likely to initiate with flavored CTPs.

Indexed as

Flavoring AgentsTobacco ProductsAdolescentChildCohort StudiesFemaleHumansLongitudinal StudiesMaleUnited StatesVapingFlavoring AgentsAdolescentsCigarCigaretteCigarilloSocial mediaVaping

Identifiers

PMID39348776
PMCPMC12324170

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Registered trials

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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.