Characteristics and changes over time of nicotine vaping products used by vapers in the 2016 and 2018 ITC Four Country Smoking and Vaping Surveys

Nicholas J. Felicione; Brian Vincent Fix; Ann McNeill; K. Michael Cummings; MacIej Lukasz Goniewicz; David Hammond; Ron Borland; Bryan W. Heckman; Maansi Bansal-Travers; Shannon Gravely; Sara C. Hitchman; David T. Levy; Geoffrey T. Fong; Richard O'Connor

doi:10.1136/tobaccocontrol-2020-056239

Characteristics and changes over time of nicotine vaping products used by vapers in the 2016 and 2018 ITC Four Country Smoking and Vaping Surveys

Nicholas J. Felicione^*, Brian Vincent Fix, Ann McNeill, K. Michael Cummings, MacIej Lukasz Goniewicz, David Hammond, Ron Borland, Bryan W. Heckman, Maansi Bansal-Travers, Shannon Gravely, Sara C. Hitchman, David T. Levy, Geoffrey T. Fong, Richard O'Connor

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

Objectives: Regulation of nicotine vaping products (NVPs) varies between countries, impacting the availability and use of these products. This study updated the analyses of O'Connor et al on types of NVPs used and examined changes in NVP features used over 18 months in four countries with differing regulatory environments. Design: Data are from 4734 adult current vapers in Australia, Canada, England and the USA from Waves 1 (2016) and 2 (2018) of the International Tobacco Control Four Country Smoking and Vaping Survey. NVP characteristics included device description, adjustable voltage, nicotine content and tank size. Longitudinal analyses (n=1058) assessed movement towards or away from more complex/modifiable NVPs. A logistic regression was used to examine factors associated with changes in device description from 2016 to 2018. Results: Like 2016, box-tanks were the most popular NVP (37.3%) in all four countries in 2018. Over 80% of vapers continued using the same NVP and nicotine content between waves, though movement tended towards more complex/modifiable devices (14.4% of vapers). Box-tank users, exclusive daily vapers and older vapers were most likely to continue using the same device description. Certain NVPs and features differed by country, such as higher nicotine contents in the USA (11.5% use 21+ mg/mL) and greater device stability over time in Australia (90.8% stability). Conclusions: Most vapers continued using the same vaping device and features over 18 months. Differences in NVP types and features were observed between countries, suggesting that differing NVP regulations affect consumer choices regarding the type of vaping device to use.

Original language	English
Journal	Tobacco Control
DOIs	https://doi.org/10.1136/tobaccocontrol-2020-056239
Publication status	Accepted/In press - 2021

Keywords

Electronic nicotine delivery devices
Public policy
Surveillance and monitoring

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10.1136/tobaccocontrol-2020-056239

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Felicione, N. J., Fix, B. V., McNeill, A., Cummings, K. M., Goniewicz, M. L., Hammond, D., Borland, R., Heckman, B. W., Bansal-Travers, M., Gravely, S., Hitchman, S. C., Levy, D. T., Fong, G. T., & O'Connor, R. (Accepted/In press). Characteristics and changes over time of nicotine vaping products used by vapers in the 2016 and 2018 ITC Four Country Smoking and Vaping Surveys. Tobacco Control. https://doi.org/10.1136/tobaccocontrol-2020-056239

@article{3566c21435054de6ae6b788a4888663a,

title = "Characteristics and changes over time of nicotine vaping products used by vapers in the 2016 and 2018 ITC Four Country Smoking and Vaping Surveys",

abstract = "Objectives: Regulation of nicotine vaping products (NVPs) varies between countries, impacting the availability and use of these products. This study updated the analyses of O'Connor et al on types of NVPs used and examined changes in NVP features used over 18 months in four countries with differing regulatory environments. Design: Data are from 4734 adult current vapers in Australia, Canada, England and the USA from Waves 1 (2016) and 2 (2018) of the International Tobacco Control Four Country Smoking and Vaping Survey. NVP characteristics included device description, adjustable voltage, nicotine content and tank size. Longitudinal analyses (n=1058) assessed movement towards or away from more complex/modifiable NVPs. A logistic regression was used to examine factors associated with changes in device description from 2016 to 2018. Results: Like 2016, box-tanks were the most popular NVP (37.3%) in all four countries in 2018. Over 80% of vapers continued using the same NVP and nicotine content between waves, though movement tended towards more complex/modifiable devices (14.4% of vapers). Box-tank users, exclusive daily vapers and older vapers were most likely to continue using the same device description. Certain NVPs and features differed by country, such as higher nicotine contents in the USA (11.5% use 21+ mg/mL) and greater device stability over time in Australia (90.8% stability). Conclusions: Most vapers continued using the same vaping device and features over 18 months. Differences in NVP types and features were observed between countries, suggesting that differing NVP regulations affect consumer choices regarding the type of vaping device to use. ",

keywords = "Electronic nicotine delivery devices, Public policy, Surveillance and monitoring",

author = "Felicione, {Nicholas J.} and Fix, {Brian Vincent} and Ann McNeill and Cummings, {K. Michael} and Goniewicz, {MacIej Lukasz} and David Hammond and Ron Borland and Heckman, {Bryan W.} and Maansi Bansal-Travers and Shannon Gravely and Hitchman, {Sara C.} and Levy, {David T.} and Fong, {Geoffrey T.} and Richard O'Connor",

note = "Publisher Copyright: {\textcopyright} Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",

year = "2021",

doi = "10.1136/tobaccocontrol-2020-056239",

language = "English",

journal = "Tobacco Control",

issn = "0964-4563",

publisher = "BMJ Publishing Group",

}

Felicione, NJ, Fix, BV, McNeill, A, Cummings, KM, Goniewicz, ML, Hammond, D, Borland, R, Heckman, BW, Bansal-Travers, M, Gravely, S, Hitchman, SC, Levy, DT, Fong, GT & O'Connor, R 2021, 'Characteristics and changes over time of nicotine vaping products used by vapers in the 2016 and 2018 ITC Four Country Smoking and Vaping Surveys', Tobacco Control. https://doi.org/10.1136/tobaccocontrol-2020-056239

TY - JOUR

T1 - Characteristics and changes over time of nicotine vaping products used by vapers in the 2016 and 2018 ITC Four Country Smoking and Vaping Surveys

AU - Felicione, Nicholas J.

AU - Fix, Brian Vincent

AU - McNeill, Ann

AU - Cummings, K. Michael

AU - Goniewicz, MacIej Lukasz

AU - Hammond, David

AU - Borland, Ron

AU - Heckman, Bryan W.

AU - Bansal-Travers, Maansi

AU - Gravely, Shannon

AU - Hitchman, Sara C.

AU - Levy, David T.

AU - Fong, Geoffrey T.

AU - O'Connor, Richard

PY - 2021

Y1 - 2021

N2 - Objectives: Regulation of nicotine vaping products (NVPs) varies between countries, impacting the availability and use of these products. This study updated the analyses of O'Connor et al on types of NVPs used and examined changes in NVP features used over 18 months in four countries with differing regulatory environments. Design: Data are from 4734 adult current vapers in Australia, Canada, England and the USA from Waves 1 (2016) and 2 (2018) of the International Tobacco Control Four Country Smoking and Vaping Survey. NVP characteristics included device description, adjustable voltage, nicotine content and tank size. Longitudinal analyses (n=1058) assessed movement towards or away from more complex/modifiable NVPs. A logistic regression was used to examine factors associated with changes in device description from 2016 to 2018. Results: Like 2016, box-tanks were the most popular NVP (37.3%) in all four countries in 2018. Over 80% of vapers continued using the same NVP and nicotine content between waves, though movement tended towards more complex/modifiable devices (14.4% of vapers). Box-tank users, exclusive daily vapers and older vapers were most likely to continue using the same device description. Certain NVPs and features differed by country, such as higher nicotine contents in the USA (11.5% use 21+ mg/mL) and greater device stability over time in Australia (90.8% stability). Conclusions: Most vapers continued using the same vaping device and features over 18 months. Differences in NVP types and features were observed between countries, suggesting that differing NVP regulations affect consumer choices regarding the type of vaping device to use.

AB - Objectives: Regulation of nicotine vaping products (NVPs) varies between countries, impacting the availability and use of these products. This study updated the analyses of O'Connor et al on types of NVPs used and examined changes in NVP features used over 18 months in four countries with differing regulatory environments. Design: Data are from 4734 adult current vapers in Australia, Canada, England and the USA from Waves 1 (2016) and 2 (2018) of the International Tobacco Control Four Country Smoking and Vaping Survey. NVP characteristics included device description, adjustable voltage, nicotine content and tank size. Longitudinal analyses (n=1058) assessed movement towards or away from more complex/modifiable NVPs. A logistic regression was used to examine factors associated with changes in device description from 2016 to 2018. Results: Like 2016, box-tanks were the most popular NVP (37.3%) in all four countries in 2018. Over 80% of vapers continued using the same NVP and nicotine content between waves, though movement tended towards more complex/modifiable devices (14.4% of vapers). Box-tank users, exclusive daily vapers and older vapers were most likely to continue using the same device description. Certain NVPs and features differed by country, such as higher nicotine contents in the USA (11.5% use 21+ mg/mL) and greater device stability over time in Australia (90.8% stability). Conclusions: Most vapers continued using the same vaping device and features over 18 months. Differences in NVP types and features were observed between countries, suggesting that differing NVP regulations affect consumer choices regarding the type of vaping device to use.

KW - Electronic nicotine delivery devices

KW - Public policy

KW - Surveillance and monitoring

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U2 - 10.1136/tobaccocontrol-2020-056239

DO - 10.1136/tobaccocontrol-2020-056239

M3 - Article

AN - SCOPUS:85103223560

SN - 0964-4563

JO - Tobacco Control

JF - Tobacco Control

ER -

Characteristics and changes over time of nicotine vaping products used by vapers in the 2016 and 2018 ITC Four Country Smoking and Vaping Surveys

Abstract

Keywords

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