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Choice and Variety-Seeking of E-liquids and Flavor Categories by New Zealand Smokers Using an Electronic Cigarette: A Longitudinal Study.
Nicotine Tob Res. 2021 05 04; 23(5):798-806.NT

Abstract

BACKGROUND

Little is currently known about how e-liquid flavor use evolves among electronic cigarette users. We describe patterns of e-liquid and flavor category use, and variety-seeking, among New Zealand adult smokers attempting to transition from smoking to e-cigarettes.

METHODS

Data were collected in 2018-19, using a longitudinal design comprising up to five in-depth interviews over a 12-20 week period. Participants (n = 32) were current smokers aged ≥18 years, who were not currently using an e-cigarette once a week or more often, and were willing to use an e-cigarette in an attempt to stop smoking. We purchased participants a starter e-cigarette of their choice; they supplied their own e-liquids throughout the study. We extracted e-liquid use data from the verbatim interview transcripts, categorized these into flavor categories, and then explored these data for the whole sample, and by flavor category purchased at intake.

RESULTS

Most participants (n = 12) selected a tobacco flavored e-liquid at intake; fruit (n = 7), mint/menthol (n = 6), and dessert/sweets and non-alcoholic beverage (both n = 5) were also popular. Most participants were still using their initially chosen flavor category at study exit, however, many described variety-seeking behaviors, which typically occurred during the first 12 weeks of enrolment.

CONCLUSION

Most participants did not follow a straightforward e-liquid or flavor category pathway. Evidence of a variety-seeking continuum, typically occurring within the first 12 weeks, suggests possible opportunities at specialist e-cigarette stores to couple e-liquid purchasing occasions with cessation advice.

IMPLICATIONS

Variety-seeking behavior was common and typically reported within the first 12 weeks of participants' e-cigarette-assisted attempt to transition away from smoking. Policies allowing diverse e-liquid flavors at specialist stores only could support users' variety-seeking and potentially create opportunities to couple e-liquid purchasing occasions with cessation advice during the first months of a transition attempt.

Authors+Show Affiliations

Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.Department of Public Health, University of Otago, Wellington, New Zealand.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

33748862

Citation

Blank, Mei-Ling, and Janet Hoek. "Choice and Variety-Seeking of E-liquids and Flavor Categories By New Zealand Smokers Using an Electronic Cigarette: a Longitudinal Study." Nicotine & Tobacco Research : Official Journal of the Society for Research On Nicotine and Tobacco, vol. 23, no. 5, 2021, pp. 798-806.
Blank ML, Hoek J. Choice and Variety-Seeking of E-liquids and Flavor Categories by New Zealand Smokers Using an Electronic Cigarette: A Longitudinal Study. Nicotine Tob Res. 2021;23(5):798-806.
Blank, M. L., & Hoek, J. (2021). Choice and Variety-Seeking of E-liquids and Flavor Categories by New Zealand Smokers Using an Electronic Cigarette: A Longitudinal Study. Nicotine & Tobacco Research : Official Journal of the Society for Research On Nicotine and Tobacco, 23(5), 798-806. https://doi.org/10.1093/ntr/ntaa248
Blank ML, Hoek J. Choice and Variety-Seeking of E-liquids and Flavor Categories By New Zealand Smokers Using an Electronic Cigarette: a Longitudinal Study. Nicotine Tob Res. 2021 05 4;23(5):798-806. PubMed PMID: 33748862.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Choice and Variety-Seeking of E-liquids and Flavor Categories by New Zealand Smokers Using an Electronic Cigarette: A Longitudinal Study. AU - Blank,Mei-Ling, AU - Hoek,Janet, PY - 2020/08/27/received PY - 2020/12/01/accepted PY - 2021/3/23/pubmed PY - 2021/7/27/medline PY - 2021/3/22/entrez SP - 798 EP - 806 JF - Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco JO - Nicotine Tob Res VL - 23 IS - 5 N2 - BACKGROUND: Little is currently known about how e-liquid flavor use evolves among electronic cigarette users. We describe patterns of e-liquid and flavor category use, and variety-seeking, among New Zealand adult smokers attempting to transition from smoking to e-cigarettes. METHODS: Data were collected in 2018-19, using a longitudinal design comprising up to five in-depth interviews over a 12-20 week period. Participants (n = 32) were current smokers aged ≥18 years, who were not currently using an e-cigarette once a week or more often, and were willing to use an e-cigarette in an attempt to stop smoking. We purchased participants a starter e-cigarette of their choice; they supplied their own e-liquids throughout the study. We extracted e-liquid use data from the verbatim interview transcripts, categorized these into flavor categories, and then explored these data for the whole sample, and by flavor category purchased at intake. RESULTS: Most participants (n = 12) selected a tobacco flavored e-liquid at intake; fruit (n = 7), mint/menthol (n = 6), and dessert/sweets and non-alcoholic beverage (both n = 5) were also popular. Most participants were still using their initially chosen flavor category at study exit, however, many described variety-seeking behaviors, which typically occurred during the first 12 weeks of enrolment. CONCLUSION: Most participants did not follow a straightforward e-liquid or flavor category pathway. Evidence of a variety-seeking continuum, typically occurring within the first 12 weeks, suggests possible opportunities at specialist e-cigarette stores to couple e-liquid purchasing occasions with cessation advice. IMPLICATIONS: Variety-seeking behavior was common and typically reported within the first 12 weeks of participants' e-cigarette-assisted attempt to transition away from smoking. Policies allowing diverse e-liquid flavors at specialist stores only could support users' variety-seeking and potentially create opportunities to couple e-liquid purchasing occasions with cessation advice during the first months of a transition attempt. SN - 1469-994X UR - https://www.unboundmedicine.com/medline/citation/33748862/Choice_and_Variety_Seeking_of_E_liquids_and_Flavor_Categories_by_New_Zealand_Smokers_Using_an_Electronic_Cigarette:_A_Longitudinal_Study_ DB - PRIME DP - Unbound Medicine ER -