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. Author manuscript; available in PMC: 2021 Jul 1.
Published in final edited form as: Tob Control. 2019 Sep 21;29(4):432–446. doi: 10.1136/tobaccocontrol-2018-054852

Table 2.

Use of a flavored tobacco product and flavor of product used in the past 30-days among flavored tobacco users by age group and tobacco product in Wave 2

Past 30-day use at Wave 2 and Past 30-day Flavor Type among Past 30-day Flavored Tobacco Users§
Youth (12–17) Young Adults (18–24) Adults (25+)
Frequency Percent 95% CI Frequency Percent 95% CI Frequency Percent 95% CI Hypothesis Test
Any Tobacco Product Past 30-Day Usersa 920 7.8%b (7.2, 8.4) 3726 38.2%c (36.8, 39.7) 10346 25.7%d (25.1, 26.3)
Non-flavorede 262 27.7% (24.9, 30.6) 1186 32.4% (30.6, 34.3) 5538 55.2% (53.8, 56.6)
Any flavor usee 658 72.3% (69.4, 75.1) 2540 67.6% (65.7, 69.4) 4808 44.7% (43.3, 46.2) g,h,i*
Menthol or Mintf 340 51.7% (47.8, 55.6) 1742 68.1% (66.1, 70.0) 3768 76.1% (74.6, 77.5) g,h,i*
Clove or Spicef 33 5.0% (3.6, 7.1) 136 5.0% (4.3, 5.8) 144 3.0% (2.5, 3.5) h,i*
Fruitf 353 54.4% (50.7, 57.9) 1234 49.6% (47.1, 52.1) 1068 22.9% (21.6, 24.3) g,h,i*
Chocolatef 60 8.9% (7.0, 11.2) 191 6.9% (6.0, 8.0) 208 4.1% (3.5, 4.8) h,i*
Alcoholic Drinkf 61 9.7% (7.5, 12.4) 310 11.9% (10.7, 13.2) 248 5.0% (4.3, 5.8) h,i*
Candy/Other Sweetsf 229 35.3% (31.3, 39.5) 707 27.3% (25.4, 29.2) 627 13.3% (12.2, 14.4) g,h,i*
Other Flavorf 149 22.5% (18.5, 26.9) 363 14.1% (12.6, 15.8) 496 10.5% (9.4, 11.8) g,h,i*
Cigarettes Past 30-Day Users 480 3.9% (3.5, 4.4) 2573 25.8% (24.7, 27.0) 8565 20.6% (20.0, 21.2)
Non-flavored 226 47.1% (42.4, 51.8) 1211 48.0% (45.7, 50.4) 5369 64.4% (63.0, 65.6)
Any flavor use 254 52.9% (48.2, 57.6) 1362 52.0% (49.7, 54.3) 3196 35.7% (34.4, 37.0) h,i*
Menthol or Mint 222 88.1% (83.1, 91.7) 1311 96.2% (94.8, 97.2) 3110 96.6% (95.6, 97.4) g,h*
Clove or Spice - - - 50 3.4% (2.6, 4.4) 51 1.4% (1.1, 1.9) i
Fruit 29 10.8% (7.5, 15.3) 67 4.6% (3.5, 6.0) 63 1.7% (1.3, 2.3) g,h,i*
Chocolate 9 3.3% (1.9, 5.7) 25 1.8% (1.1, 2.9) 20 0.5% (0.4, 0.8) h,i*
Alcoholic Drink 11 4.2% (2.4, 7.5) 41 2.9% (2.0, 4.1) 49 1.7% (1.2, 2.5)
Candy/Other Sweets 19 7.8% (5.1, 11.7) 42 3.1% (2.2, 4.2) 44 1.3% (0.9, 2.0) g,h,i*
Other Flavor 31 11.7% (7.8, 17.0) 46 2.9% (2.2, 3.9) 57 2.1% (1.5, 2.9) g,h*
E-cigarettes Past 30-Day Users 414 3.6% (3.2, 4.1) 960 9.7% (8.8, 10.6) 1907 4.6% (4.3, 4.9)
Non-flavored 85 20.6% (16.6, 25.4) 170 16.8% (14.1, 19.8) 670 35.7% (33.1, 38.4)
Any flavor use 329 79.4% (74.7, 83.4) 790 83.3% (80.2, 85.9) 1237 64.3% (61.6, 66.9) h,i*
Menthol or Mint 66 20.4% (16.6, 25.0) 248 30.9% (27.1, 34.9) 515 40.7% (37.8, 43.8) g,h,i*
Clove or Spice 16 5.1% (3.0, 8.7) 17 2.6% (1.5, 4.2) 41 2.9% (2.2, 3.8)
Fruit 231 71.0% (65.5, 75.9) 532 68.7% (64.8, 72.3) 572 46.3% (43.2, 49.5) h,i*
Chocolate 34 10.4% (7.6, 14.0) 82 9.8% (7.7, 12.4) 88 6.6% (5.3, 8.3) h,i*
Alcoholic Drink 25 8.4% (5.7, 12.1) 66 8.0% (6.0, 10.5) 54 4.1% (3.1, 5.3) h,i*
Candy/Other Sweets 160 49.1% (42.4, 55.9) 380 48.5% (44.8, 52.3) 398 33.7% (30.7, 36.8) h,i*
Other Flavor 77 23.1% (18.3, 28.7) 157 19.8% (16.8, 23.1) 240 19.0% (16.4, 21.9)
Traditional Cigars Past 30-Day Users 74 0.6% (0.5, 0.8) 397 4.0% (3.5, 4.6) 831 2.3% (2.1, 2.5)
Non-flavored 43 58.4% (46.0, 69.9) 295 76.2% (70.7, 81.0) 605 75.9% (72.7, 78.8)
Any flavor use 31 41.6% (30.1, 54.0) 102 23.8% (19.0, 29.3) 226 24.1% (21.2, 27.3) g,h
Menthol or Mint - - - 27 25.2% (17.5, 34.9) 69 29.0% (22.9, 36.1)
Clove or Spice - - - - - - - - -
Fruit - - - 41 39.5% (30.4, 49.3) 73 33.1% (26.2, 40.9) g,h
Chocolate - - - 19 16.5% (10.5, 24.9) 38 15.7% (11.5, 21.2)
Alcoholic Drink - - - 23 21.9% (14.6, 31.6) 42 19.3% (13.9, 26.1)
Candy/Other Sweets - - - 30 29.2% (20.4, 40.0) 46 19.2% (14.1, 25.8)
Other Flavor - - - 19 17.7% (11.0, 27.2) 42 19.2% (14.0, 25.6)
Traditional Cigars Past 30-Day Users 74 0.6% (0.5, 0.8) 397 4.0% (3.5, 4.6) 831 2.3% (2.1, 2.5)
Non-flavored 43 58.4% (46.0, 69.9) 295 76.2% (70.7, 81.0) 605 75.9% (72.7, 78.8)
Any flavor use 31 41.6% (30.1, 54.0) 102 23.8% (19.0, 29.3) 226 24.1% (21.2, 27.3) g,h
Menthol or Mint - - - 27 25.2% (17.5, 34.9) 69 29.0% (22.9, 36.1)
Clove or Spice - - - - - - - - -
Fruit - - - 41 39.5% (30.4, 49.3) 73 33.1% (26.2, 40.9) g,h
Chocolate - - - 19 16.5% (10.5, 24.9) 38 15.7% (11.5, 21.2)
Alcoholic Drink - - - 23 21.9% (14.6, 31.6) 42 19.3% (13.9, 26.1)
Candy/Other Sweets - - - 30 29.2% (20.4, 40.0) 46 19.2% (14.1, 25.8)
Other Flavor - - - 19 17.7% (11.0, 27.2) 42 19.2% (14.0, 25.6)
Cigarillos Past 30-Day Users 121 1.0% (0.8, 1.2) 628 5.9% (5.5, 6.4) 807 2.0% (1.8, 2.1)
Non-flavored 59 47.7% (38.6, 57.0) 301 49.0% (44.3, 53.7) 388 48.9% (44.8, 53.0)
Any flavor use 62 52.3% (43.0, 61.4) 327 51.0% (46.3, 55.7) 419 51.1% (47.0, 55.2)
Menthol or Mint - - - 41 12.5% (8.9, 17.3) 108 24.1% (19.3, 29.7) i
Clove or Spice - - - - - - 26 5.9% (3.9, 8.7)
Fruit 41 66.3% (53.9, 76.8) 182 55.4% (49.2, 61.5) 193 48.5% (41.6, 55.4) h
Chocolate - - - 29 8.4% (5.9, 12.0) 52 12.0% (8.5, 16.7)
Alcoholic Drink 13 20.9% (12.9, 32.1) 103 32.7% (26.5, 39.7) 93 22.4% (18.1, 27.4)
Candy/Other Sweets 20 36.8% (24.3, 51.3) 79 23.8% (18.9, 29.5) 86 21.6% (16.6, 27.6)
Other Flavor - - - 53 16.3% (11.9, 21.9) 57 12.6% (9.7, 16.3)
Filtered Cigars Past 30-Day Users 49 0.4% (0.3, 0.6) 245 2.2% (1.9, 2.5) 536 1.3% (1.2, 1.5)
Non-flavored - - - 128 52.8% (45.3, 60.1) 252 49.8% (45.2, 54.5)
Any flavor use - - - 117 47.2% (39.9, 54.7) 284 50.2% (45.5, 54.8)
Menthol or Mint - - - 39 33.6% (24.9, 43.6) 136 44.2% (37.8, 50.7)
Clove or Spice - - - 24 21.8% (14.7, 31.2) 26 10.3% (6.2, 16.5) i
Fruit - - - 52 43.7% (33.4, 54.6) 90 31.9% (26.2, 38.1)
Chocolate - - - - - - - - -
Alcoholic Drink - - - 16 14.0% (8.3, 22.5) 30 13.6% (8.5, 21.0)
Candy/Other Sweets - - - 14 13.2% (7.7, 21.5) 41 14.0% (10.1, 19.3)
Other Flavor - - - - - - - - -
Any Cigarsj Past 30-Day Users 180 1.5% (1.3, 1.8) 957 9.4% (8.7, 10.1) 1641 4.2% (4.0, 4.5)
Non-flavored 86 46.3% (38.9, 53.9) 508 55.5% (51.6, 59.3) 940 60.4% (57.5, 63.1)
Any flavor use 94 53.7% (46.1, 61.1) 449 44.5% (40.7, 48.4) 701 39.6% (36.9, 42.5) i
Menthol or Mint 15 16.9% (10.3, 26.5) 85 18.7% (15.1, 22.9) 244 32.6% (28.5, 37.1) h,i
Clove or Spice - - - 39 8.8% (6.5, 11.8) 52 8.0% (5.8, 11.1)
Fruit 65 68.3% (58.2, 77.0) 241 52.9% (47.4, 58.4) 275 41.0% (35.7, 46.4) g,h,i*
Chocolate 11 10.3% (5.8, 17.6) 47 9.4% (7.1, 12.2) 83 11.7% (9.2, 14.9)
Alcoholic Drink 16 17.4% (11.2, 26.1) 126 28.0% (23.4, 33.2) 129 18.5% (15.4, 22.2) g,i*
Candy/Other Sweets 26 30.0% (21.2, 40.5) 104 22.5% (18.6, 27.0) 136 19.8% (16.3, 23.8)
Other Flavor 17 18.2% (10.5, 29.6) 70 15.5% (11.8, 20.0) 97 13.6% (11.2, 16.5)
Pipe Past 30-Day Users N/A 108 1.1% (0.9, 1.4) 183 0.4% (0.4, 0.5)
Non-flavored N/A 75 72.4% (61.9, 80.9) 134 72.5% (64.2, 79.6)
Any flavor use N/A 33 27.6% (19.1, 38.1) 49 27.5% (20.5, 35.8)
Menthol or Mint N/A 14 41.1% (22.9, 62.1) 15 30.1% (16.4, 48.5)
Clove or Spice N/A - - - - - -
Fruit N/A - - - 17 30.9% (18.1, 47.5)
Chocolate N/A - - - - - -
Alcoholic Drink N/A - - - - - -
Candy/Other Sweets N/A - - - - - -
Other Flavor N/A - - - - - -
Hookah Past 30-Day Users 153 1.2% (1.1, 1.5) 1113 11.7% (10.9, 12.5) 488 1.2% (1.1, 1.4)
Non-flavored 45 28.5% (21.9, 36.3) 368 32.0% (29.0, 35.2) 179 37.8% (32.6, 43.3)
Any flavor use 108 71.5% (63.7, 78.1) 745 68.0% (64.9, 71.0) 309 62.2% (56.7, 67.4)
Menthol or Mint 34 32.5% (24.4, 41.8) 266 36.9% (32.6, 41.3) 103 33.0% (26.5, 40.2)
Clove or Spice - - - 41 4.7% (3.5, 6.3) 22 7.2% (4.7, 11.0)
Fruit 86 79.8% (70.8, 86.5) 612 81.8% (78.1, 85.1) 230 75.7% (69.8, 80.8)
Chocolate - - - 70 8.4% (6.5, 10.6) 35 10.2% (7.2, 14.3)
Alcoholic Drink 14 12.3% (6.8, 21.2) 115 14.7% (12.2, 17.6) 32 7.8% (5.3, 11.2) i*
Candy/Other Sweets 49 45.4% (35.5, 55.7) 296 35.9% (31.9, 40.1) 91 26.1% (20.7, 32.3) h,i*
Other Flavor 13 11.1% (6.5, 18.4) 88 11.7% (8.9, 15.2) 39 9.6% (6.5, 13.8)
Smokeless Tobacco Past 30-Day Users 123 1.1% (0.9, 1.4) 419 4.3% (3.9, 4.7) 952 2.5% (2.3, 2.8)
Non-flavored 47 37.3% (29.7, 45.7) 181 42.8% (37.2, 48.5) 480 51.8% (46.3, 57.3)
Any flavor use 76 62.7% (54.3, 70.3) 238 57.2% (51.5, 62.8) 472 48.2% (42.7, 53.7) h,i*
Menthol or Mint 56 73.1% (62.8, 81.4) 184 78.2% (71.5, 83.6) 371 76.7% (70.9, 81.7)
Clove or Spice - - - - - - - - -
Fruit 14 19.5% (12.0, 29.9) 33 13.1% (9.6, 17.7) 42 8.6% (5.8, 12.5)
Chocolate - - - - - - - - -
Alcoholic Drink - - - - - - - - -
Candy/Other Sweets - - - - - - - - -
Other Flavor 24 33.1% (23.8, 44.0) 45 18.2% (13.8, 23.7) 79 18.2% (14.3, 22.8) g,h*
Snus Past 30-Day Users 39 0.4% (0.3, 0.5) 131 1.3% (1.1, 1.6) 148 0.4% (0.3, 0.5)
Non-flavored - - - 41 29.9% (21.4, 40.1) 41 27.3% (20.6, 35.1)
Any flavor use - - - 90 70.1% (59.9, 78.6) 107 72.7% (64.9, 79.4)
Menthol or Mint - - - 78 88.5% (80.2, 93.6) - - -
Clove or Spice - - - - - - - - -
Fruit - - - - - - - - -
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 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 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 are not presented due to small sample size, n < 50.

a

For overall tobacco, past 30-day users are users of any product in the past 30 days. For product-specific use, past 30-day users used the product (even one or two times) in the past 30 days. “Don’t know” or refused to answer were excluded from the denominator. Unweighted n’s and percentages are presented for the following age groups: Among the full sample of youth (n=12,172), n=929 (7.6%) were past 30-day users, n=10,867 (89.3%) reported no past 30-day use, and n=376 (3.1%) did not provide information on past 30-day use in Wave 2. For youth past 30-day users (n=929), n=9 (1.0%) did not report whether they had any flavor use in the past 30 days. Among the full sample of young adults (n=8,174), n=4,054 (49.6%) were past 30-day users, n=4,062 (49.7%) reported no past 30-day use, and n=58 (0.7%) did not provide information on past 30-day use in Wave 2. For young adult past 30-day users (n=4,054), n=328 (8.1%) did not report whether they had any flavor use in the past 30 days. Among the full sample of adults (25+) (n=20,183), n=10,793 (53.5%) were past 30-day users, n=9,280 (46.0%) reported no past 30-day use, and n=110 (0.6%) did not provide information on past 30-day use in Wave 2. For adult past 30-day users (n=10,793), n=447 (4.1%) did not report whether they had any flavor use in the past 30 days.

b

In the full sample of youth, weighted percentage of past 30-day users with any flavor use in the past 30 days.

c

In the full sample of young adult, weighted percentage of past 30-day users with any flavor use in the past 30 days.

d

In the full sample of adults (25+), weighted percentage of past 30-day users with any flavor use in the past 30 days.

e

For overall tobacco, any flavor use is defined as using any flavored product in the past 30 days “flavored to taste like menthol, mint, clove, spice, candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets”, among past 30-day users (denominator). For product-specific use, any flavor use is defined as using that specific product in the past 30 days “flavored to taste like menthol, mint, clove, spice, candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets”, among past 30-day users (denominator). Any flavor use among past 30-day users of pipe and dissolvable tobacco was not assessed in youth.

f

For overall tobacco, past 30-day [flavor type] (e.g., past 30-day menthol use) is defined as using any product of that flavor type in the past 30 days, among any flavor use (denominator). For product-specific use, past 30-day [flavor type] is defined as using that product of that flavor type in the past 30 days, among any flavor use (denominator). Any flavor users could select all flavor types that applied. Past 30-day flavor type use of pipe and dissolvable tobacco was not assessed in youth.

g

Proportion of youth is significantly different from proportion of young adults at p<0.05

h

Proportion of youth is significantly different from proportion of adults (25+) at p<0.05

i

Proportion of young adults is significantly different from proportion of adults (25+) at p<0.05

j

Any cigar use is comprised of any use of traditional cigars, cigarillos, or filtered cigars in the past 30 days.

*

Overall Pearson’s chi-square test is significant at the p<0.05 level

Source: Population Assessment of Tobacco and Health (PATH) Study, Wave 2