Stemming the tide of youth E-cigarette use: Promising progress in the development and evaluation of E-cigarette prevention and cessation programs

Gaiha, Shivani Mathur; Halpern‐Felsher, Bonnie

doi:10.1016/j.addbeh.2021.106960

Cited by 6 publications

(6 citation statements)

References 54 publications

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“…As a result, restricting flavors is an important objective for helping to reduce tobacco use. However, piecemeal approaches to flavor policy are unlikely to be effective [38], as tech-savvy users can turn to an expansive information economy on social media platforms such as Reddit to identify gaps and loopholes in existing FTP policies.…”

Section: Discussionmentioning

confidence: 99%

Discussions of Flavored ENDS Sales Restrictions: Themes Related to Circumventing Policies on Reddit

Silver

Kucherlapaty

Kostygina

et al. 2022

IJERPH

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Objective: To examine conversations among JUUL users on Reddit related to restrictions on flavored ENDS and the shifting policy landscape. Methods: Posts and comments (n = 166,169) between May 2019 and May 2020 on the subreddit r/JUUL were scraped using pushshift.io API. Keyword filters were used to identify texts discussing flavored ENDS products (n = 33,884 texts). These were further narrowed down to texts discussing flavor policy workaround strategies (n = 7429) and N-gram analysis was performed. Finally, findings from the N-gram analysis were triangulated through qualitative review of a separate sample of texts (n = 488) from the flavor policy-related posts and comments. Results: Overall activity on the subreddit r/JUUL peaked around the time of the EVALI outbreak (September 2019) and when FDA issued guidance restricting flavored ENDS product sales (January 2020). The N-gram analysis revealed an active discussion of banned products one can “still get” or “JUUL compatible” alternatives, including specific brands, brick and mortar locations, and specific flavors. Ten dominant themes emerged from the qualitative review, with some posts containing more than one theme. Conclusion: Many users turned to Reddit for information related to the shifting regulatory landscape concerning flavored ENDS. Discussions focused on both legal alternatives to banned products as well as illegal means of acquiring JUUL pods, including residual retail supply, online, and mail vendors.

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Section: Discussionmentioning

confidence: 99%

Discussions of Flavored ENDS Sales Restrictions: Themes Related to Circumventing Policies on Reddit

Silver

Kucherlapaty

Kostygina

et al. 2022

IJERPH

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“…Prevention efforts should highlight that vaping cannabis can cause lung injuries and correct misperceptions that vaping is safer than smoking to increase young people’s awareness of potential risks related to cannabis vaping. Given that early intervention can prevent escalation of cannabis vaping and long-term addiction ( Budney et al, 2015 ) and that prevention and cessation programs are associated with reduced intent or actual use of e-cigarettes (e.g., Gaiha & Halpern-Felsher, 2021 ), programs to prevent cannabis vaping should be developed and offered to young people. Prevention and cessation interventions may be tailored to specifically target more dependent vapers since this group was more likely to increase their cannabis vaping during the pandemic.…”

Section: Discussionmentioning

confidence: 99%

Self-reported changes in cannabis vaping among US adolescents and young adults early in the COVID-19 pandemic

Nguyen

Gaiha

Halpern‐Felsher

2021

Preventive Medicine Reports

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Cannabis vaping may increase susceptibility to COVID-19 infection and related outcomes; however, little is known about the impact of the pandemic on cannabis vaping among US young populations. This study examined self-reported changes in cannabis vaping since the pandemic and factors associated with changes. A national, cross-sectional survey was conducted among 4,351 US adolescents and young adults (13–24 years old) in May 2020. Of those, 1,553 participants who reported ever vaping cannabis were included in the analytic sample. Binary outcome was self-reported increase in cannabis vaping (more hours/times of vaping in a day) vs. no change/quitting/reducing/switching. Weighted logistic regression examined associations between independent variables (i.e., risk perceptions of vaping, cannabis dependence, and stress/anxiety) and the outcome, controlling for sociodemographic factors. Overall, 6.8% reported increasing cannabis vaping since the pandemic, 37.0% quitting or reducing vaping in general, and 42.3% no change. Participants were more likely to report increased cannabis vaping if they perceived “Vaping is safer than smoking cigarettes” (Adjusted Odds Ratio [AOR] = 3.66; 95%CI = 1.43–9.38), reported more dependence on cannabis vaping (AOR = 1.59; 95%CI = 1.11–2.27), and were female (AOR = 2.80; 95%CI = 1.23–6.36). Those perceiving “Vaping cannabis can cause lung injuries” were less likely to increase cannabis vaping (AOR = 0.37; 95%CI = 0.18–0.76). Findings indicate that adolescent and young adult ever-cannabis vapers were more likely to report decreasing vaping generally than increasing cannabis vaping and most did not change use during the early pandemic. Educational campaigns should address potential health risks of cannabis vaping and focus on lung health to reduce use among young people during and following the pandemic.

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“… 31 Recently, several non-systematic reviews of the literature have examined prevention programmes targeting e-cigarette use, both within schools and more broadly. 32 33 The school-based interventions have tended to focus on delivering education about e-cigarettes and the influence of targeted advertising, with some deemed successful in altering adolescents perceptions and behaviour around e-cigarettes, despite not always involving an experimental design. 32 33 A 2019 Canadian report included a search of the academic literature for preventive e-cigarette interventions and found nearly no studies to report on effectiveness.…”

Section: Introductionmentioning

confidence: 99%

“… 32 33 The school-based interventions have tended to focus on delivering education about e-cigarettes and the influence of targeted advertising, with some deemed successful in altering adolescents perceptions and behaviour around e-cigarettes, despite not always involving an experimental design. 32 33 A 2019 Canadian report included a search of the academic literature for preventive e-cigarette interventions and found nearly no studies to report on effectiveness. 34 However, the number of interventions has steadily increased in recent years, highlighting the need for a more rigorous review of the literature.…”

Section: Introductionmentioning

confidence: 99%

“…When considering school-based preventive interventions targeting tobacco smoking in particular, the most effective programmes incorporate a social competence and social influence approach to prevention,28 with similar findings for broader substance use prevention programmes 31. Recently, several non-systematic reviews of the literature have examined prevention programmes targeting e-cigarette use, both within schools and more broadly 32 33. The school-based interventions have tended to focus on delivering education about e-cigarettes and the influence of targeted advertising, with some deemed successful in altering adolescents perceptions and behaviour around e-cigarettes, despite not always involving an experimental design 32 33.…”

Section: Introductionmentioning

confidence: 99%

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School-based preventive interventions targeting e-cigarette use among adolescents: a systematic review protocol

et al. 2022

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IntroductionElectronic cigarette (e-cigarette) use has drastically increased in recent years, particularly among adolescents. This poses several acute and chronic harms to young people, including poisonings, burns, serious lung injury and—where nicotine e-liquid is used—the potential to impact healthy brain development and precipitate future nicotine addiction. School-based prevention programmes have the potential to address this growing public health concern by reaching large numbers of young people during a critical period for intervention; however, the efficacy of such interventions has not been systematically explored. This systematic review aims to determine the existence and efficacy of school-based preventive interventions targeting e-cigarette use.Methods and analysisA systematic search of MEDLINE, Embase, PsycINFO, Scopus, CINAHL, Cochrane Database of Systematic Reviews and international clinical trials registries will be conducted from 2000 to April 2022 to identify eligible studies (randomised controlled trials, cluster randomised controlled trials and quasiexperimental studies) evaluating school-based interventions to prevent e-cigarette use among adolescents. Two reviewers will independently screen title, abstract and full text of all studies for eligibility. Both reviewers will independently extract the data and assess the risk of bias. Any discrepancies will be resolved by a third reviewer. Results will be summarised in a narrative synthesis and data will be meta-analysed if appropriate. Heterogeneity in findings will be assessed narratively, and using the I2 statistic (where meta-analysis is feasible), meta-regression will be used to explore potential factors associated with programme efficacy, where data permit.Ethics and disseminationThis research is conducted on published work and does not require ethics approval. The findings will be published in a peer-reviewed journal and used to guide the development of new school-based e-cigarette preventive interventions.Trial registration numberCRD42022323352.

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Stemming the tide of youth E-cigarette use: Promising progress in the development and evaluation of E-cigarette prevention and cessation programs

Cited by 6 publications

References 54 publications

Discussions of Flavored ENDS Sales Restrictions: Themes Related to Circumventing Policies on Reddit

Discussions of Flavored ENDS Sales Restrictions: Themes Related to Circumventing Policies on Reddit

Self-reported changes in cannabis vaping among US adolescents and young adults early in the COVID-19 pandemic

School-based preventive interventions targeting e-cigarette use among adolescents: a systematic review protocol

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