Table 1.
Use of a flavored tobacco product and flavor of first product used among new flavored product users by age group† and tobacco product‡ in Wave 2
| First use among new users from Wave 1 to Wave 2 and First Flavor Type among New Flavored Users§ | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Youth (12–17) | Young Adults (18–24) | Adults (25+) | |||||||||
| Frequency | Weighted Percentage | 95% CI | Frequency | Weighted Percentage | 95% CI | Frequency | Weighted Percentage | 95% CI | Hypothesis Test | ||
| Any Tobacco Product | New Product Users Wave 1 to Wave 2a | 1362 | 11.4%b | (10.8, 12.1) | 2456 | 26.9%c | (25.6, 28.3) | 2745 | 8.1%d | (7.7, 8.5) | |
| Non-flavored | 362 | 25.7% | (23.4, 28.2) | 1025 | 40.4% | (37.9, 42.9) | 1431 | 54.8% | (52.2, 57.5) | ||
| Any flavor usee | 1000 | 74.3% | (71.8, 76.6) | 1431 | 59.5% | (57.0, 62.0) | 1314 | 45.1% | (42.5, 47.8) | g, h, i* | |
| Menthol or Mintf | 302 | 30.4% | (27.4, 33.7) | 571 | 39.6% | (36.8, 42.4) | 593 | 44.6% | (41.1, 48.2) | g, h, i* | |
| Clove or Spicef | 21 | 1.9% | (1.3, 2.9) | 71 | 4.3% | (3.4, 5.5) | 79 | 5.8% | (4.3, 7.8) | g,h* | |
| Fruitf | 564 | 56.7% | (53.6, 59.7) | 838 | 60.4% | (57.6, 63.2) | 520 | 39.2% | (36.0, 42.5) | h,i* | |
| Chocolatef | 72 | 6.9% | (5.3, 8.9) | 127 | 8.6% | (7.1, 10.4) | 87 | 6.3% | (4.8, 8.1) | ||
| Alcoholic Drinkf | 43 | 4.3% | (3.1, 5.9) | 139 | 9.9% | (8.2, 11.8) | 100 | 7.2% | (5.6, 9.3) | g, h* | |
| Candy/Other Sweetsf | 276 | 27.5% | (25.1, 30.1) | 442 | 30.9% | (27.6, 34.4) | 236 | 18.8% | (16.3, 21.5) | h, i* | |
| Other Flavorf | 134 | 13.4% | (11.4, 15.6) | 194 | 13.6% | (11.6, 16.0) | 151 | 10.8% | (8.7, 13.3) | ||
| Cigarettes | New Product Users Wave 1 to Wave 2 | 335 | 2.8% | (2.5, 3.1) | 336 | 4.0% | (3.5, 4.6) | 79 | 0.4% | (0.3, 0.5) | |
| Non-flavored | 203 | 59.7% | (53.3, 65.7) | 216 | 63.1% | (57.7, 68.3) | 46 | 62.4% | (47.3, 75.5) | ||
| Any flavor use | 132 | 40.4% | (34.3, 46.7) | 120 | 36.9% | (31.8, 42.3) | 33 | 37.6% | (24.5, 52.7) | ||
| Menthol or Mint | 85 | 65.1% | (55.6, 73.6) | 105 | 88.3% | (80.2, 93.4) | - | - | - | g | |
| Clove or Spice | - | - | - | - | - | - | - | - | - | ||
| Fruit | 24 | 17.0% | (10.9, 25.5) | - | - | - | - | - | - | ||
| Chocolate | - | - | - | - | - | - | - | - | - | ||
| Alcoholic Drink | - | - | - | - | - | - | - | - | - | ||
| Candy/Other Sweets | - | - | - | - | - | - | - | - | - | ||
| Other Flavor | 18 | 14.0% | (8.5, 22.1) | - | - | - | - | - | - | ||
| E-cigarettes | New Product Users from Wave 1 to Wave 2 | 809 | 6.8% | (6.2, 7.5) | 905 | 10.5% | (9.7, 11.4) | 1310 | 3.8% | (3.5, 4.1) | |
| Non-flavored | 155 | 18.4% | (15.7, 21.5) | 243 | 26.0% | (23.2, 29.1) | 604 | 45.7% | (42.0, 49.4) | ||
| Any flavor use | 654 | 81.6% | (78.5, 84.3) | 662 | 74.0% | (70.9, 76.8) | 706 | 54.3% | (50.6, 58.0) | g,h, i* | |
| Menthol or Mint | 91 | 13.3% | (10.5, 16.7) | 167 | 25.0% | (21.3, 29.1) | 295 | 39.5% | (34.9, 44.3) | g,h,i* | |
| Clove or Spice | - | - | - | - | - | - | 23 | 3.2% | (2.0, 5.2) | ||
| Fruit | 384 | 59.1% | (55.2, 62.8) | 417 | 65.2% | (61.2, 69.0) | 286 | 41.3% | (36.9, 45.9) | g,h,i* | |
| Chocolate | 40 | 5.9% | (4.1, 8.5) | 49 | 6.8% | (5.0, 9.2) | 34 | 4.7% | (3.1, 6.9) | ||
| Alcoholic Drink | 15 | 2.0% | (1.2, 3.4) | 33 | 5.2% | (3.5, 7.5) | 28 | 3.5% | (2.2, 5.4) | g* | |
| Candy/Other Sweets | 192 | 29.2% | (26.0, 32.7) | 249 | 38.7% | (34.2, 43.4) | 148 | 21.4% | (17.7, 25.7) | g,h,i* | |
| Other Flavor | 71 | 10.4% | (8.3, 13.0) | 72 | 11.2% | (9.0, 14.0) | 79 | 10.8% | (8.2, 14.1) | ||
| Traditional Cigars | New Product Users from Wave 1 to Wave 2 | 102 | 0.9% | (0.7, 1.1) | 723 | 7.8% | (7.1, 8.5) | 661 | 2.0% | (1.8, 2.2) | |
| Non-flavored | 69 | 69.8% | (58.2, 79.4) | 531 | 73.6% | (69.6, 77.3) | 484 | 76.6% | (71.7, 80.9) | ||
| Any flavor use | 33 | 30.2% | (20.6, 41.8) | 192 | 26.4% | (22.8, 30.4) | 177 | 23.4% | (19.1, 28.3) | ||
| Menthol or Mint | - | - | - | 45 | 20.3% | (14.8, 27.2) | 55 | 40.1% | (29.7, 51.5) | i* | |
| Clove or Spice | - | - | - | 17 | 7.7% | (4.8, 12.1) | - | - | - | ||
| Fruit | - | - | - | 81 | 45.5% | (37.8, 53.4) | 55 | 26.0% | (19.6, 33.5) | i* | |
| Chocolate | - | - | - | 31 | 15.4% | (10.4, 22.4) | 18 | 9.4% | (5.8, 14.8) | ||
| Alcoholic Drink | - | - | - | 30 | 15.7% | (10.2, 23.3) | 21 | 10.7% | (6.7, 16.6) | ||
| Candy/Other Sweets | - | - | - | 34 | 16.3% | (11.7, 22.2) | 31 | 16.6% | (11.0, 24.2) | ||
| Other Flavor | - | - | - | 32 | 17.6% | (11.8, 25.3) | 24 | 13.9% | (8.1, 22.8) | ||
| Cigarillos | New Product Users from Wave 1 to Wave 2 | 151 | 1.3% | (1.1, 1.6) | 343 | 3.6% | (3.1, 4.1) | 296 | 0.8% | (0.7, 1.0) | |
| Non-flavored | 76 | 49.2% | (41.8, 56.7) | 178 | 51.1% | (45.2, 57.1) | 172 | 58.6% | (50.4, 66.2) | ||
| Any flavor use | 75 | 50.8% | (43.3, 58.2) | 165 | 48.9% | (42.9, 54.8) | 124 | 41.5% | (33.8, 49.6) | ||
| Menthol or Mint | - | - | - | 27 | 14.0% | (9.8, 19.8) | 36 | 35.4% | (24.4, 48.2) | i* | |
| Clove or Spice | - | - | - | - | - | - | - | - | - | ||
| Fruit | 38 | 50.2% | (38.9, 61.5) | 100 | 64.8% | (56.1, 72.6) | 41 | 28.7% | (19.1, 40.8) | h,i* | |
| Chocolate | - | - | - | 14 | 7.9% | (4.7, 13.0) | - | - | - | ||
| Alcoholic Drink | - | - | - | 31 | 20.1% | (13.0, 29.6) | 21 | 21.6% | (12.3, 35.3) | ||
| Candy/Other Sweets | 13 | 17.3% | (9.8, 28.5) | 37 | 20.6% | (15.0, 27.7) | 21 | 19.3% | (11.5, 30.6) | ||
| Other Flavor | - | - | - | 27 | 15.4% | (10.3, 22.5) | 20 | 14.9% | (8.0, 26.0) | ||
| Filtered Cigars | New Product Users from Wave 1 to Wave 2 | 73 | 0.6% | (0.5, 0.8) | 362 | 3.5% | (3.2, 3.8) | 417 | 1.0% | (0.9, 1.2) | |
| Non-flavored | 36 | 49.0% | (36.7, 61.4) | 242 | 68.7% | (63.4, 73.6) | 241 | 60.3% | (54.9, 65.3) | ||
| Any flavor use | 37 | 51.0% | (38.6, 63.3) | 120 | 31.3% | (26.4, 36.6) | 176 | 39.8% | (34.7, 45.1) | g | |
| Menthol or Mint | - | - | - | 39 | 28.8% | (20.4, 38.9) | 88 | 48.1% | (39.7, 56.6) | i* | |
| Clove or Spice | - | - | - | 12 | 9.6% | (5.3, 16.8) | 21 | 12.0% | (7.2, 19.4) | ||
| Fruit | - | - | - | 54 | 45.8% | (37.3, 54.5) | 47 | 25.0% | (18.9, 32.2) | i* | |
| Chocolate | - | - | - | - | - | - | - | - | - | ||
| Alcoholic Drink | - | - | - | 15 | 12.8% | (7.5, 21.1) | 18 | 12.2% | (7.4, 19.4) | ||
| Candy/Other Sweets | - | - | - | 18 | 16.6% | (9.3, 28.0) | 26 | 17.2% | (10.8, 26.3) | ||
| Other Flavor | - | - | - | - | - | - | - | - | - | ||
| Any Cigars | New Product Users from Wave 1 to Wave 2 | 252 | 2.2% | (1.9, 2.5) | 1150 | 12.0% | (11.2, 12.8) | 1121 | 3.2% | (2.9, 3.4) | |
| Non-flavored | 125 | 49.6% | (42.9, 56.3) | 739 | 64.8% | (61.6, 67.9) | 704 | 66.9% | (62.8, 70.7) | ||
| Any flavor use | 127 | 50.4% | (43.7, 57.1) | 411 | 35.2% | (32.2, 38.4) | 417 | 33.2% | (29.3, 37.2) | g,h* | |
| Menthol or Mint | 22 | 15.9% | (10.2, 24.1) | 95 | 20.2% | (16.4, 24.6) | 165 | 42.5% | (36.5, 48.7) | h,i* | |
| Clove or Spice | - | - | - | 32 | 7.3% | (5.2, 10.2) | 36 | 7.9% | (5.5, 11.4) | ||
| Fruit | 64 | 51.0% | (42.7, 59.2) | 209 | 53.4% | (48.6, 58.2) | 133 | 29.0% | (23.6, 35.0) | h,i* | |
| Chocolate | - | - | - | 53 | 12.7% | (9.7, 16.6) | 36 | 9.1% | (5.9, 13.8) | ||
| Alcoholic Drink | - | - | - | 73 | 18.1% | (14.1, 22.9) | 57 | 15.4% | (10.9, 21.4) | ||
| Candy/Other Sweets | 17 | 13.8% | (9.0, 20.5) | 84 | 19.6% | (15.8, 24.0) | 67 | 18.5% | (13.8, 24.3) | ||
| Other Flavor | 22 | 17.5% | (12.1, 24.6) | 64 | 15.3% | (11.8, 19.5) | 50 | 11.0% | (7.4, 16.0) | ||
| Pipe | New Product Users from Wave 1 to Wave 2 | N/Aj | N/A | N/A | 138 | 1.4% | (1.2, 1.7) | 93 | 0.3% | (0.2, 0.4) | |
| Non-flavored | N/A | N/A | N/A | 106 | 77.6% | (67.3, 85.4) | 63 | 76.6% | (66.6, 84.3) | ||
| Any flavor use | N/A | N/A | N/A | 32 | 22.4% | (14.6, 32.8) | 30 | 23.4% | (15.7, 33.4) | ||
| Menthol or Mint | N/A | N/A | N/A | - | - | - | - | - | - | ||
| Clove or Spice | N/A | N/A | N/A | - | - | - | - | - | - | ||
| Fruit | N/A | N/A | N/A | - | - | - | - | - | - | ||
| Chocolate | N/A | N/A | N/A | - | - | - | - | - | - | ||
| Alcoholic Drink | N/A | N/A | N/A | - | - | - | - | - | - | ||
| Candy/Other Sweets | N/A | N/A | N/A | - | - | - | - | - | - | ||
| Other Flavor | N/A | N/A | N/A | - | - | - | - | - | - | ||
| Hookah | New Product Users from Wave 1 to Wave 2 | 291 | 2.4% | (2.2, 2.8) | 625 | 7.1% | (6.5, 7.8) | 257 | 0.8% | (0.7, 0.9) | |
| Non-flavored | 67 | 22.8% | (17.8, 28.8) | 235 | 33.3% | (29.2, 37.6) | 116 | 49.7% | (42.6, 56.8) | ||
| Any flavor use | 224 | 77.2% | (71.2, 82.2) | 390 | 66.7% | (62.4, 70.8) | 141 | 50.3% | (43.2, 57.4) | g,h,i* | |
| Menthol or Mint | 49 | 21.1% | (16.3, 27.0) | 108 | 29.5% | (23.9, 35.7) | 29 | 18.8% | (12.2, 27.9) | ||
| Clove or Spice | - | - | - | 20 | 4.1% | (2.3, 7.2) | - | - | - | ||
| Fruit | 153 | 68.5% | (62.3, 74.1) | 301 | 78.6% | (73.4, 83.0) | 97 | 64.8% | (53.6, 74.6) | g,i* | |
| Chocolate | 20 | 9.0% | (6.1, 13.1) | 20 | 5.4% | (3.1, 9.5) | 15 | 8.8% | (5.0, 15.1) | ||
| Alcoholic Drink | - | - | - | 31 | 8.2% | (5.1, 12.8) | 14 | 7.5% | (4.2, 13.0) | ||
| Candy/Other Sweets | 67 | 31.0% | (25.1, 37.6) | 136 | 31.0% | (25.9, 36.6) | 26 | 16.0% | (10.1, 24.4) | h,i* | |
| Other Flavor | 20 | 8.2% | (5.2, 12.7) | 53 | 14.3% | (10.0, 19.9) | 16 | 11.4% | (6.6, 19.1) | ||
| Smokeless Tobacco | New Product Users from Wave 1 to Wave 2 | 138 | 1.3% | (1.0, 1.5) | 134 | 1.4% | (1.2, 1.7) | 90 | 0.3% | (0.2, 0.3) | |
| Non-flavored | 61 | 40.7% | (33.3, 48.6) | 70 | 53.8% | (44.5, 62.9) | 59 | 71.9% | (59.4, 81.7) | ||
| Any flavor use | 77 | 59.3% | (51.4, 66.7) | 64 | 46.2% | (37.1, 55.5) | 31 | 28.1% | (18.3, 40.6) | g,h,i* | |
| Menthol or Mint | 63 | 79.5% | (69.5, 86.8) | 57 | 90.0% | (77.6, 95.9) | - | - | - | ||
| Clove or Spice | - | - | - | - | - | - | - | - | - | ||
| Fruit | 12 | 15.9% | (9.6, 25.2) | - | - | - | - | - | - | ||
| Chocolate | - | - | - | - | - | - | - | - | - | ||
| Alcoholic Drink | - | - | - | - | - | - | - | - | - | ||
| Candy/Other Sweets | - | - | - | - | - | - | - | - | - | ||
| Other Flavor | - | - | - | - | - | - | - | - | - | ||
| Snus | New Product Users from Wave 1 to Wave 2 | 69 | 0.6% | (0.5, 0.8) | 176 | 1.8% | (1.5, 2.2) | 149 | 0.4% | (0.3, 0.5) | |
| Non-flavored | 21 | 26.5% | (17.7, 37.5) | 80 | 45.8% | (39.1, 52.6) | 79 | 53.0% | (41.9, 63.8) | ||
| Any flavor use | 48 | 73.6% | (62.5, 82.3) | 96 | 54.2% | (47.4, 60.9) | 70 | 47.0% | (36.2, 58.1) | g,h* | |
| Menthol or Mint | - | - | - | 80 | 86.2% | (77.9, 91.7) | - | - | |||
| Clove or Spice | - | - | - | - | - | - | - | - | - | ||
| Fruit | - | - | - | 13 | 11.0% | (6.0, 19.1) | - | - | - | ||
| Chocolate | - | - | - | - | - | - | - | - | - | ||
| Alcoholic Drink | - | - | - | - | - | - | - | - | - | ||
| Candy/Other Sweets | - | - | - | - | - | - | - | - | - | ||
| Other Flavor | - | - | - | - | - | - | - | - | - | ||
Age groups (youth, young adults, and adults 25+) were categorized based on age at Wave 2.
Respondents could report using multiple products.
Dashes represent estimates that have been suppressed because they are statistically unreliable. The estimates are based on a denominator sample size of less than 50, or the relative standard error (RSE) of the estimate or its complement is greater than 30%.
Percentages are weighted to represent the U.S. population and CIs are estimated using the balanced repeated replication (BRR) method. Flavored pipe tobacco and dissolvable tobacco use were not assessed in youth. Results for dissolvable tobacco among adults are not presented due to small sample size, n < 50.
For any tobacco product use, new product users started to use any new product between Waves 1 and 2. This can include never users at Wave 1 who started tobacco use at Wave 2 and ever users at Wave 1 who reported use of a new product(s) at Wave 2. “Don’t know” and refused to answer for any part of the definition of ever use or any flavor use (see below) were excluded from the denominator. For product-specific use, new product users reported using the specific product for the first time between Waves 1 and 2. Unweighted n’s and unweighted percentages are presented for the following age groups (differing from weighted estimates provided in the table): Among the full sample of youth (n=12,172), n=1,441 (11.8%) were new product users, n=8,408 (69.1%) reported no new product use, and n=2,323 (19.1%) did not have information on new use between Wave 1 and Wave 2 (n=2,091 of these instances reflect aged-up youth who were not interviewed in Wave 1 and the remainder having missing data). Among the full sample of young adults (n=8,174), n=2,526 (30.9%) were new product users, n=5,611 (68.6%) reported no new product use, and n=37 (0.5%) did not have information on new use between Wave 1 and Wave 2. Among the full sample of adults (25+) (n=20,183), n=2,807 (13.9%) were new product users, n=17,243 (85.4%) reported no new product use, and n=133 (0.7%) did not provide information on new use between Wave 1 and Wave 2.
In the full sample of youth, weighted percentage of new product users between Wave 1 and Wave 2.
In the full sample of young adult, weighted percentage of new product users between Wave 1 and Wave 2.
In the full sample of adults (25+), weighted percentage of new product users between Wave 1 and Wave 2.
For any tobacco product, any flavor use is defined as any new product use that was “flavored to taste like menthol, mint, clove, spice, candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets”, among new product users (denominator). “No” or “I don’t know” was categorized as non-flavored use. “Don’t know” or refused to answer whether the first product was flavored were excluded from the denominator. Product-specific any flavor use is defined as using a first new product that was “flavored to taste like menthol, mint, clove, spice, candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets”, among New Product-specific Users (denominator). Any flavor use among new product users of pipe and dissolvable tobacco was not assessed in youth. For youth new product users (unweighted n, unweighted %) (n=1,441), n=79 (5.5%) did not report whether they had any flavor use between Wave 1 and Wave 2. For young adult new product users (n=2,526), n=70 (2.8%) did not report whether they had any flavor use between Wave 1 and Wave 2. For adult new product users (n=2,807), n=62 (2.2%) did not report whether they had any flavor use between Wave 1 and Wave 2.
For any tobacco product, first [flavor type] use (e.g., first menthol use), is defined as any new use of any product of that flavor type between Waves 1 and 2, among any flavor users (denominator). Product-specific first [flavor type] use is defined as any new use of that specific flavor and product between Waves 1 and 2, among product-specific any flavor users (denominator). Any flavor users could select all flavor types that applied.
Proportion of youth is significantly different from proportion of young adults at p<0.05
Proportion of youth is significantly different from proportion of adults (25+) at p<0.05
Proportion of young adults is significantly different from proportion of adults (25+) at p<0.05
Overall Pearson’s chi-square test is significant at the p<0.05 level
Youth are not asked questions about use of flavored pipe tobacco.
Source: Population Assessment of Tobacco and Health (PATH) Study, Wave 2