Differences in intention to use flavored oral nicotine products among young adult e-cigarette users and non-users

Adam M. Leventhal; Junhan Cho; Erin A. Vogel; Alayna P. Tackett; Alyssa F. Harlow; Melissa Wong; Dae-Hee Han; Chanita Hughes Halbert; Jennifer Unger; Caryn Lerman; Jessica L. Barrington-Trimis

Preventive Medicine Reports (Dec 2022)

Differences in intention to use flavored oral nicotine products among young adult e-cigarette users and non-users

Adam M. Leventhal,
Junhan Cho,
Erin A. Vogel,
Alayna P. Tackett,
Alyssa F. Harlow,
Melissa Wong,
Dae-Hee Han,
Chanita Hughes Halbert,
Jennifer Unger,
Caryn Lerman,
Jessica L. Barrington-Trimis

Affiliations

Adam M. Leventhal: USC Institute for Addiction Science, University of Southern California, Los Angeles, CA, USA; Department of Population and Public Health Sciences, University of Southern California, Keck School of Medicine, Los Angeles, CA, USA; USC Norris Comprehensive Cancer Center, University of Southern California, Keck School of Medicine, Los Angeles, CA, USA; USC Tobacco Center of Regulatory Science, University of Southern California, Los Angeles, CA, USA; Corresponding author at: University of Southern California, 2001 N Soto St., Los Angeles, CA 90033, USA.
Junhan Cho: USC Institute for Addiction Science, University of Southern California, Los Angeles, CA, USA; Department of Population and Public Health Sciences, University of Southern California, Keck School of Medicine, Los Angeles, CA, USA; USC Tobacco Center of Regulatory Science, University of Southern California, Los Angeles, CA, USA
Erin A. Vogel: USC Institute for Addiction Science, University of Southern California, Los Angeles, CA, USA; Department of Population and Public Health Sciences, University of Southern California, Keck School of Medicine, Los Angeles, CA, USA; USC Tobacco Center of Regulatory Science, University of Southern California, Los Angeles, CA, USA
Alayna P. Tackett: USC Institute for Addiction Science, University of Southern California, Los Angeles, CA, USA; Department of Population and Public Health Sciences, University of Southern California, Keck School of Medicine, Los Angeles, CA, USA; USC Norris Comprehensive Cancer Center, University of Southern California, Keck School of Medicine, Los Angeles, CA, USA; USC Tobacco Center of Regulatory Science, University of Southern California, Los Angeles, CA, USA
Alyssa F. Harlow: USC Institute for Addiction Science, University of Southern California, Los Angeles, CA, USA; Department of Population and Public Health Sciences, University of Southern California, Keck School of Medicine, Los Angeles, CA, USA; USC Tobacco Center of Regulatory Science, University of Southern California, Los Angeles, CA, USA
Melissa Wong: USC Institute for Addiction Science, University of Southern California, Los Angeles, CA, USA; Department of Population and Public Health Sciences, University of Southern California, Keck School of Medicine, Los Angeles, CA, USA
Dae-Hee Han: USC Institute for Addiction Science, University of Southern California, Los Angeles, CA, USA; Department of Population and Public Health Sciences, University of Southern California, Keck School of Medicine, Los Angeles, CA, USA; USC Norris Comprehensive Cancer Center, University of Southern California, Keck School of Medicine, Los Angeles, CA, USA; USC Tobacco Center of Regulatory Science, University of Southern California, Los Angeles, CA, USA
Chanita Hughes Halbert: Department of Population and Public Health Sciences, University of Southern California, Keck School of Medicine, Los Angeles, CA, USA; USC Norris Comprehensive Cancer Center, University of Southern California, Keck School of Medicine, Los Angeles, CA, USA
Jennifer Unger: USC Institute for Addiction Science, University of Southern California, Los Angeles, CA, USA; Department of Population and Public Health Sciences, University of Southern California, Keck School of Medicine, Los Angeles, CA, USA; USC Norris Comprehensive Cancer Center, University of Southern California, Keck School of Medicine, Los Angeles, CA, USA; USC Tobacco Center of Regulatory Science, University of Southern California, Los Angeles, CA, USA
Caryn Lerman: USC Institute for Addiction Science, University of Southern California, Los Angeles, CA, USA; USC Norris Comprehensive Cancer Center, University of Southern California, Keck School of Medicine, Los Angeles, CA, USA
Jessica L. Barrington-Trimis: USC Institute for Addiction Science, University of Southern California, Los Angeles, CA, USA; Department of Population and Public Health Sciences, University of Southern California, Keck School of Medicine, Los Angeles, CA, USA; USC Norris Comprehensive Cancer Center, University of Southern California, Keck School of Medicine, Los Angeles, CA, USA; USC Tobacco Center of Regulatory Science, University of Southern California, Los Angeles, CA, USA

Journal volume & issue: Vol. 30
p. 102027

Abstract

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New oral nicotine products (ONPs; nicotine pouches, gums, lozenges, and gummies), which are regulated as nonmedicinal tobacco products in the U.S., have flavors and other characteristics that previously attracted young adults to e-cigarettes. Whether young adults’ interest in ONPs differs by e-cigarette use status and quit-vaping motivation is unknown but important for understanding the possible health impact of ONPs. It is particularly important to study if nonmedicinal ONPs attract e-cigarette users interested in quitting vaping, given that nicotine replacement (NRT) therapy uptake in young adults is low. In this study, ONP non-users (ages: 20–24) from California viewed digital images of 5 flavored ONPs (4 nonmedicinal and one NRT gum product) and reported intention to use each ONP (0–100 score). Main and interactive effects of Group (past-6-month e-cigarette non-users [n = 1,1388], e-cigarette users unmotivated to quit vaping [n = 168], and e-cigarette users motivated to quit vaping [n = 99]) and ONP type (nonmedicinal gum, nonmedicinal lozenge, gummy, pouch, and NRT gum) on use intention were tested. For each nonmedicinal ONP, use intention was higher in both e-cigarette user groups than non-users (ds = 0.47–0.59; Ps < 0.001), but did not differ between e-cigarette users with and without quit-vaping motivation (Ps ≥ 0.31). A Group × ONP type interaction was found, whereby higher use intention for e-cigarette users with vs without quit motivation was present for only gum NRT (Cohens d = 0.17; P =.01). Among young adults, e-cigarette users might be more inclined than e-cigarette non-users to try nonmedicinal ONPs regardless of quit-vaping motivation.

Published in Preventive Medicine Reports

ISSN: 2211-3355 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine
Website: http://www.journals.elsevier.com/preventive-medicine-reports/

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