Table 3.
Use of Flavored E-Cigarettes for Smoking Reduction and Cessation among Adult Smokers
Citation | Population | Study Design | Major Findings |
---|---|---|---|
Barbeau et al. (2013) | 11 vapers Age 18–64 |
Focus group | Flavorings were related to smoking reduction and cessation |
Buu et al. (2018) | 2,727 smokers Age 18+ |
Prospective Survey National Study (PATH) | Use of flavored e-cigarettes was associated with lower daily quantity of cigarette smoking at 1-year follow-up (B = −2.89; p < 0.05) |
Chen et al. (2018) | 4,645 young adult smokers (age 18–34) | Prospective Survey National Study (PATH) | Use of flavored e-cigarettes (aOR [95% CI] = 2.5 [1.6, 3.8]; p < 0.001) and use of multiple flavorings (aOR [95% CI] = 3.0 [2.1, 4.3]; p < 0.001) were associated with smoking reduction or cessation, compared to no e-cigarette use. |
Cheney et al. (2016) | 30 young adult vapers Age M (SD) = 25 (3.8) 77% current smokers |
In-Person Interviews | Former smokers cited flavorings as a primary reason for e-cigarette use |
Etter (2016) | 2,807 vapers Age Median (IQR) = 41 (31–50) 80% former smokers |
Online Survey | 80% of participants stated that flavors helped them quit or reduce cigarette smoking Former smokers expressed a preference for fruit or menthol flavors and cited flavored e-cigarettes as helpful in reducing and quitting smoking |
Farsalinos et al. (2013) | 4,618 adult vapers Age Median (IQR) = 40 (32–49) 91.2% former smokers 48.5% US residents |
Online Survey | 68.9% reduced availability of flavored e-cigarettes would make vaping less enjoyable Flavored e-cigarettes “very important” for reducing or quitting smoking 39.7% the reduced availability of flavored e-cigarettes would make reducing or quitting smoking less likely Former smokers noted that restricting the availability of flavorings could make smoking cessation and reduction more difficult |
Litt et al. (2016) | 88 smokers Age 18–55 |
Laboratory Study Smoking reduction trial | Menthol-flavored e-cigarettes resulted in the greatest decrease in cigarette consumption (p < 0.05) Participants vaped tobacco-flavored e-cigarettes most frequently (p < 0.001) |
Russell et al. (2018) | 20,676 adult frequent e-cigarette users Age M (SD) = 42.5 (11.6) 15.2% ≤ 25 years of age |
Cross-sectional online survey | Switchers, dual users, and former smoker (vs. never-smokers) were significantly less likely to initiate e-cigarette use with sweet-flavored e-cigarettes (ORs = 0.41 – 0.58; ps < 0.001) and to currently use sweet flavors (ORs = 0.64 – 0.70; ps < 0.001) |
Tackett et al. (2015) | 215 vapers M age (SD) = 36.23 (12.97) |
Cross-Sectional Survey Midwest | Vapers who used sweet-flavored e-cigarettes were more likely to have quit smoking (OR [95% CI] = 2.4 [1.07, 5.53]; p = 0.035) |
Note. Citations are presented in alphabetical order. OR = Odds ratio. aOR = Adjusted odds ratio. Vaper = E-cigarette user. Adults ≥ 18 years of age.