Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Nov;25(Suppl 2):ii4-ii13.
doi: 10.1136/tobaccocontrol-2016-053373. Epub 2016 Oct 28.

Flavoured non-cigarette tobacco product use among US adults: 2013-2014

Michèle G Bonhomme  1 , Enver Holder-Hayes  1 , Bridget K Ambrose  1 , Cindy Tworek  1 , Shari P Feirman  1 , Brian A King  2 , Benjamin J Apelberg  1
Affiliations

Flavoured non-cigarette tobacco product use among US adults: 2013-2014

Michèle G Bonhomme et al. Tob Control. 2016 Nov.

Abstract

Introduction: Limited data exist on flavoured non-cigarette tobacco product (NCTP) use among US adults.

Methods: Data from the 2013 to 2014 National Adult Tobacco Survey (N=75 233), a landline and cellular telephone survey of US adults aged ≥18, were assessed to estimate past 30-day NCTP use, flavoured NCTP use and flavour types using bivariate analyses.

Results: During 2013-2014, 14.4% of US adults were past 30-day NCTP users. Nationally, an estimated 10.2 million e-cigarette users (68.2%), 6.1 million hookah users (82.3%), 4.1 million cigar smokers (36.2%) and 4.0 million smokeless tobacco users (50.6%) used flavoured products in the past 30 days. The most prevalent flavours reported were menthol/mint (76.9%) for smokeless tobacco; fruit (74.0%) for hookah; fruit (52.4%), candy/chocolate/other sweet flavours (22.0%) and alcohol (14.5%) for cigars/cigarillos/filtered little cigars; fruit (44.9%), menthol/mint (43.9%) and candy/chocolate/other sweet flavours (25.7%) for e-cigarettes and fruit (56.6%), candy/chocolate/other sweet flavours (26.5%) and menthol/mint (24.8%) for pipes. Except for hookah and pipes, past 30-day flavoured product use was highest among 18-24-year olds. By cigarette smoking, never smoking e-cigarette users (84.8%) were more likely to report flavoured e-cigarette use, followed by recent former smokers (78.1%), long-term former smokers (70.4%) and current smokers (63.2%).

Conclusions: Flavoured NCTP use is prominent among US adult tobacco users, particularly among e-cigarette, hookah and cigar users. Flavoured product use, especially fruit and sweet-flavoured products, was higher among younger adults. It is important for tobacco prevention and control strategies to address all forms of tobacco use, including flavoured tobacco products.

Keywords: Disparities; Electronic nicotine delivery devices; Non-cigarette tobacco products; Priority/special populations; Surveillance and monitoring.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Specific flavours used among flavoured non-cigarette tobacco product users in the past 30 days, by type of tobacco product. *Estimates of specific flavour use among flavoured regular pipe smokers were unstable (RSE >30%) for clove, spice, herb flavour; alcohol flavour and other flavour and therefore excluded from the figure. †Respondents were allowed to report the use of more than one flavour for each tobacco product. Missing responses (don’t know/refused) on specific flavour for each product was excluded from the denominator (n=27 for electronic cigarettes; n=26 for hookah; n=19 for cigars; n=13 smokeless tobacco; n=1 for regular pipes). RSE, relative SE.
See this image and copyright information in PMC

References

    1. US Department of Health and Human Services. The health consequences of smoking—50 years of progress: a report of the Surgeon General. Atlanta (GA): US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2014. http://www.cdc.gov/tobacco/data_statistics/sgr/50th-anniversary/index.htm (accessed 4 Aug 2016).
    1. Jamal A, Homa DM, O’Connor E, et al. Current cigarette smoking among adults— United States, 2005–2014. MMWR Morb Mortal Wkly Rep. 2015;64:8. https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6444a2.htm (accessed 29 Apr 2016). - PubMed
    1. NCHS. Chapter 8. Current smoking. In: Clark TC, Ward BW, Freeman G, et al., editors. Early release of selected estimates based on data from the January – March 2015 National Health Interview Survey. National Center for Health Statistics; 2015. pp. 52–8. http://www.cdc.gov/nchs/nhis.htm (accessed 24 May 2016)
    1. SAMHSA Center for Behavioral Health Statistics and Quality. (HHS Publication No. SMA 15-4927, NSDUH Series H-50).Behavioral and health trends in the United States: results from the 2014 National Survey on Drug Use and Health. 2015 http://www.samhsa.gov/data (accessed 12 Jul 2016)
    1. King BA, Patel R, Nguyen KH, et al. Trends in awareness and use of electronic cigarettes among US adults, 2010–2013. Nicotine Tob Res. 2015;17:219–27. - PMC - PubMed

Publication types

Substances