Electronic nicotine delivery systems (ENDS) flavours and devices used by adults before and after the 2020 US FDA ENDS enforcement priority: findings from the 2018 and 2020 US ITC Smoking and Vaping Surveys.
Electronic nicotine delivery systems (ENDS) flavours and devices used by adults before and after the 2020 US FDA ENDS enforcement priority: findings from the 2018 and 2020 US ITC Smoking and Vaping Surveys.
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DOI：
10.1136/tobaccocontrol-2022-057445
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发表时间：
2022-11
期刊：
影响因子：
5.2
通讯作者：
Kasza, Karin A.
中科院分区：
文献类型：
--
作者：
Gravely, Shannon;Meng, Gang;Hammond, David;Reid, Jessica L.;Seo, Young S.;Hyland, Andrew;Cummings, K. Michael;Rivard, Cheryl;Fong, Geoffrey T.;Kasza, Karin A.
2020年2月，美国FDA优先对调味预充式烟弹/吊舱电子尼古丁输送系统（ENDS）进行执法，但烟草和薄荷醇除外。这项研究检查了优先执行前（2018年）和执行后早期（2020年2月至6月）之间的变化：最常使用的ENDS口味和设备;最后一次购买水果/其他口味的墨盒的位置（包括在执行优先级下）;以及吸烟和电子烟。患病率估计值来自参与2018年和/或2020年美国ITC吸烟和电子烟调查的1608名成年频繁（≥每周）ENDS使用者[当前吸烟者（n=1072），既往吸烟者（n=536）]。在2020年随访的基线受访者（n=360）中评估了口味/设备之间的转换以及吸烟/电子烟的变化。与2018年相比，在2020年执法优先级的前五个月，水果/其他口味墨盒的流行率显著增加（7.9%至12.4%，p =0.026）和薄荷醇/薄荷烟弹（7.1%至13.0%，p <0.01），烟草味罐（15.5%至10.0%，p =0.002）和水果/其他口味罐（38.7%至33.6%，p =0.038）减少。在队列样本中，在使用优先执行范围内的风味钉匣的患者中，发生了最明显的风味/器械转换（54.6%转换为不包括在执行范围内的风味和/或器械）。在线购买水果/其他口味墨盒的数量有所增加，但除电子烟商店外的零售地点有所减少。总的来说，吸烟和吸电子烟的行为几乎没有变化。从2018年到FDA 2020年执法政策的早期阶段，成年人中水果/其他口味的烟弹的流行率有所增加，但使用2020年执法优先级所涵盖的烟弹口味的一半vapers转向其他口味和/或豁免的设备。更全面的限制对于喜欢一系列ENDS口味的成年人来说可能会在多大程度上产生问题仍然不确定。
In February 2020, the US FDA prioritized enforcement efforts against flavored pre-filled cartridge/pod electronic nicotine delivery systems (ENDS), with the exception of tobacco and menthol. This study examined changes between pre-priority enforcement (2018) and early post-enforcement (February-June 2020) among adults on: ENDS flavors and devices used most often; location of last purchase of fruit/other-flavored cartridges (covered under the enforcement priority); and smoking and vaping. Prevalence estimates came from 1608 adult frequent (≥ weekly) ENDS users [current smokers (n=1072), ex-smokers (n=536)] who participated in the 2018 and/or 2020 US ITC Smoking and Vaping Surveys. Transitions between flavors/devices and changes in smoking/vaping were assessed among baseline respondents who were followed up in 2020 (n=360). Compared to 2018, in the first five months of the 2020 enforcement priority, there were significant increases in the prevalence of fruit/other-flavored cartridges (7.9% to 12.4%,p=0.026) and menthol/mint cartridges (7.1% to 13.0%,p<0.01) and decreases in tobacco-flavored tanks (15.5% to 10.0%,p=0.002) and fruit/other-flavored tanks (38.7% to 33.6%,p=0.038). Among the cohort sample, the most pronounced transitions between flavors/devices occurred among those who used flavored cartridges covered under the enforcement priority (54.6% switched to a flavor and/or device excluded from enforcement). There was an increase in purchasing fruit/other-flavored cartridges online, and a decrease in retail locations except for vape shops. Overall, there were few changes in smoking and vaping behaviors. Between 2018 and the early phase of the FDA’s 2020 enforcement policy, prevalence of fruit/other-flavored cartridges increased among adults, but half of vapers using cartridge flavors covered in the 2020 enforcement priority switched to other flavors and/or devices that were exempt. The extent to which more comprehensive restrictions may be problematic for adults who prefer a range of ENDS flavors remains uncertain.
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影响因子：
26.1
作者：
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DOI：
10.3390/ijerph16162991
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