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
. 2024 Oct 16:47:102905.
doi: 10.1016/j.pmedr.2024.102905. eCollection 2024 Nov.

Electronic nicotine delivery system flavors, devices, and brands used by adults in the United States who smoke and formerly smoked in 2022: Findings from the United States International Tobacco Control Four Country Smoking and Vaping Survey

Shannon Gravely  1 , Tracy T Smith  2   3 , Benjamin A Toll  4   3 , David Ashley  5 , Pete Driezen  1   6 , David T Levy  7 , Anne C K Quah  1 , Geoffrey T Fong  1   6   8 , K Michael Cummings  2   3
Affiliations

Electronic nicotine delivery system flavors, devices, and brands used by adults in the United States who smoke and formerly smoked in 2022: Findings from the United States International Tobacco Control Four Country Smoking and Vaping Survey

Shannon Gravely et al. Prev Med Rep. .

Abstract

Objective: This study estimated prevalence of current electronic nicotine delivery systems (ENDS) used by US adults who smoked cigarettes or formerly smoked in 2022 and assessed ENDS flavors, devices, and brands used most often.

Methods: Data are from the 2022 US ITC Smoking and Vaping Survey. Respondents were recruited from a web panel of a nationally representative sample of US adults ages 18+ who smoked, formerly smoked, and/or vaped ENDS. Using weighted data, we estimated prevalence of current vaping among adults who smoke or formerly smoked (N = 2,016). Among the subset who vaped (n = 554), we assessed flavors and devices used most often. Using unweighted data, we assessed the frequency (count) of reported brands used most often.

Results: In 2022, 22.0 % of US adults who smoked or formerly smoked were vaping at least monthly. A significantly higher proportion of adults who formerly smoked and/or were younger (18-39) were vaping than adults who were smoking and/or were older (40+) (both p < 0.001). Tank devices were used most often (34.7 %), followed by disposables (27.4 %), pre-filled pods/cartridges (23.0 %), and refillable pods/cartridges (14.9 %). The five most commonly used flavors were fruit (33.9 %), tobacco (20.1 %), menthol (12.2 %), candy/sweets (10.8 %), and mixed ice flavors (10.0 %). The top 5 brands were JUUL, Smok, Vuse, Geekvape, and Blu.

Conclusions: In 2022, a majority of adults who smoked cigarettes or who had quit smoking used a variety of flavors and devices that go beyond the choices that FDA currently has authorized for sale.

Keywords: Brands; Cigarette smoking; Devices; ENDS product authorization; Electronic nicotine delivery systems (ENDS); Flavors; Policy; United States; Vaping.

PubMed Disclaimer

Conflict of interest statement

The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: KMC has in the past and continues to serve as a paid witness in litigation filed against cigarette manufacturers. BAT testifies on behalf of plaintiffs who have filed litigation against the tobacco industry. GTF has served as an expert witness or consultant for governments defending their country’s policies or regulations in litigation. All other authors declare no conflict of interest. All authors declare no potential conflicts of interest with respect to the research, authorship, or publication of this article.

Figures

Fig. 1
Fig. 1
The 15 most commonly used ENDS brands used by US adults (ages 18+) who vape (at least monthly) and currently smoke cigarettes or formerly smoked in 2022.
See this image and copyright information in PMC

References

    1. Centers for Disease Control and Prevention (CDC). 2023. U.S. E-cigarette Sales Climbed during 2020-2022. Retrieved [07/23/2024] from https://www.cdc.gov/media/releases/2023/p0622-ecigarettes-sales.html.
    1. Crespi, E., Hardesty, J.J., Nian, Q., Cohen, J.E. 2024. Decisions of the FDA on premarket tobacco product applications: Changes in the number of unique devices and liquids used by US adults who frequently use electronic nicotine delivery systems, 2020-2023. Tob Induc Dis. 22. - PMC - PubMed
    1. Felicione N.J., Fix B.V., McNeill A., Cummings K.M., Goniewicz M.L., Hammond D., et al. Characteristics and changes over time of nicotine vaping products used by vapers in the 2016 and 2018 ITC Four Country Smoking and Vaping Surveys. Tob. Control. 2022;31(Suppl 3):s167–s175. - PMC - PubMed
    1. Gravely, S., Meng, G., Hammond, D., Reid, J. L., Seo, Y. S., Hyland, A., et al., 2022b. Electronic nicotine delivery systems (ENDS) flavours and devices used by adults before and after the 2020 US FDA ENDS enforcement priority: findings from the 2018 and 2020 US ITC Smoking and Vaping Surveys. Tob Control. 2022;31(Suppl 3):s167-s175. - PMC - PubMed
    1. Gravely S., Yong H.H., Reid J.L., East K.A., Gartner C., Levy D.T., et al. Do current smokers and ex-smokers who use nicotine vaping products daily versus weekly differ on their reasons for vaping? findings from the 2020 ITC four country smoking and vaping survey. Int. J. Environ Res. Public Health. 2022;19(21) - PMC - PubMed

LinkOut - more resources