Table 1.
Definition for Each Theme, Descriptive Statistics, and Selected Paraphrased Twitter Posts (N = 2152)
| Theme | N (%) | Definition | Paraphrased post |
|---|---|---|---|
| 1. Cessation | 716 (33.3) | Mentions of cessation attempts. | “I smoked for many years. Took a lot of tires and nicotine gum. Good luck!” |
| a. Combustible cigarette smoking cessation | 418 (19.4) | Mentions of using nicotine gums for tobacco smoking cessation. | “@xxx or quit cigarettes by using nicotine gum.” |
| b. Vaping cessation | 59 (2.7) | Mentions of using nicotine gums for vaping cessation. | “I bought some nicotine gum to quit JUUL today. Wish me good luck.” |
| c. Successfully cessation experience | 155 (7.2) | Mentions of successful quit attempts by using nicotine gum. | “I have not used cigarettes for over 25 years now. Nicotine gum helped me to quit.” |
| 2. Using for cognitive enhancement and/or to catch a “buzz” | 102 (4.7) | Mentions of using nicotine gums for cognitive enhancement and/or improving mental health, to “catch a buzz,” an “energy hit,” and/or to get more nicotine. | “A lot of people use nicotine gum to stay focused. It is pretty good.” |
| 3. Addicted to gum | 135 (6.3) | Mentions of nicotine gum being addictive or unable to quit nicotine gum. | “I have been using nicotine gum for over 6 years. I can’t stop using it” |
| 4. Policy | 45 (2.1) | Mentions of nicotine gum and some form of tobacco policy or regulation. | “This is ridiculous. They are legalizing cannabis, but you must be 21 to buy nicotine gum.” |
| 5. Personal experience | 370 (17.2) | Posts containing a description of personal use of, or opinion about nicotine gums. | “Nicotine gum works.” |
| 6. Marketing | 98 (4.6) | Posts promoting/selling/marketing nicotine gums. | “Cinnamon Nicorette Nicotine Gum, 4mg. 200 Count. https://xxx...” |
| 7. Price | 33 (1.5) | Mentions of nicotine gum price (eg, more expensive than cigarettes or vapes). | “Smoking is cheaper than using nicotine gum.” |
| 8. Adverse effects | 63 (2.9) | Mentions of adverse effects associated with nicotine gum use. | “I just tried a nicotine gum, and I got so sick . . .” |
| 9. Flavor/taste | 133 (6.2) | Mentions of nicotine gum flavors (eg, fruit, cinnamon, mint) or taste. | “I found cinnamon flavored nicotine gum to taste pretty good.” |
| 10. Using nicotine gum with other substances | 90 (4.2) | Mentions of using nicotine gums in combination with cigarettes, marijuana, caffeine, and/or other substances | “I smoke a cigarette and use nicotine gum at the same time.” |
| 11. Newer nontherapeutic nicotine gum brands | 16 (0.7) | Mentions of novel nontherapeutic oral nicotine gum products (eg, LUCY). | “I heard Lucy nicotine gum is the best.” |
| 12. Other | 623 (29.0) | Any other posts that contain oral nicotine gum themes and not fit into any category listed in the codebook. | “How about nicotine gum?” |