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Use and Product Characteristics of "Tobacco Free Nicotine" E-Cigarettes Among Young Adults.


ABSTRACT:

Introduction

E-cigarettes are increasingly being marketed as containing tobacco-free nicotine (TFN). There is no data examining use of TFN e-cigarettes by young adults and how use may differ from non-TFN e-cigarettes. The current study aims to characterize young adult TFN e-cigarette use and examine differences between those who report using TFN and non-TFN e-cigarettes.

Method

U.S. young adults (18-25) with lifetime e-cigarette use (n = 927) were recruited via online panels in Fall 2021 and answered questions about TFN and non-TFN e-cigarettes. Participants were categorized by lifetime TFN e-cigarette use status (yes vs. no; 34% yes). Bivariate comparisons examined differences in e-cigarette characteristics (device type, flavors, nicotine concentration) between the TFN and non-TFN groups. Binary logistic regression models examined associations between lifetime frequency of vaping (<100 vs. ≥100 times), and other tobacco product, cannabis, and/or alcohol use and lifetime TFN e-cigarette use (yes vs. no). Adjusted models include age, race/ethnicity, vaping onset age, and sex.

Results

In multivariable adjusted models, lifetime TFN e-cigarette use was associated with younger age, greater lifetime vaping, and nicotine pouch use. Young adults who used TFN e-cigarettes were more likely to report fruit, mint, menthol, and beverage flavors and know their e-liquid nicotine concentration compared with those who used non-TFN e-cigarettes.

Conclusion

Among young adults who have used e-cigarettes, more frequent e-cigarette use and use of nicotine pouches, which can also contain TFN, were associated with TFN e-cigarette use. Understanding behaviors and characteristics of those using TFN e-cigarettes is critical to regulation of TFN containing products.

Implications

This study characterizes young adults who report experience with tobacco free nicotine (TFN) e-cigarettes and compares them to those who have not used TFN e-cigarettes. Young adults with more frequent e-cigarette use and use of nicotine pouches are more likely to report TFN e-cigarette use.

SUBMITTER: Davis DR 

PROVIDER: S-EPMC9910142 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature

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Publications

Use and Product Characteristics of "Tobacco Free Nicotine" E-Cigarettes Among Young Adults.

Davis Danielle R DR   Bold Krysten W KW   Camenga Deepa D   Kong Grace G   Jackson Asti A   Lee Juhan J   Rajesh-Kumar Lavanya L   Krishnan-Sarin Suchitra S   Morean Meghan E ME  

Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco 20230201 3


<h4>Introduction</h4>E-cigarettes are increasingly being marketed as containing tobacco-free nicotine (TFN). There is no data examining use of TFN e-cigarettes by young adults and how use may differ from non-TFN e-cigarettes. The current study aims to characterize young adult TFN e-cigarette use and examine differences between those who report using TFN and non-TFN e-cigarettes.<h4>Method</h4>U.S. young adults (18-25) with lifetime e-cigarette use (n = 927) were recruited via online panels in Fa  ...[more]

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