Differences in JUUL Appeal among Past and Current Youth JUUL Users.
Friday, May 21, 2021
Posted by: Natalia Gromov
Danielle
R Davis, Suchitra Krishnan-Sarin, Krysten W Bold, Meghan E Morean, Asti
Jackson, Deepa Camenga, Grace Kong.
Differences in JUUL Appeal
among Past and Current Youth JUUL Users.
Nicotine & Tobacco Research, Volume 23, Issue 5, May 2021, Pages 807–814,
https://doi.org/10.1093/ntr/ntaa246.
Introduction. JUUL,
a closed system e-cigarette with disposable pods, is popular among youth, with
positive attributes of this product linked to current use by youth. However,
many youth try JUUL and do not continue using; understanding differences in the
appeal of this device between current users and those who chose not to continue
use can inform regulation and prevention efforts. The aim of the current study
is to compare JUUL appeal in youth among past users (ie, used, but not in past
month) and current users (ie, used in past month).
Methods. A
cross-sectional survey was conducted in four Connecticut high schools in Spring
2018. This survey assessed JUUL use and reasons for liking/disliking JUUL,
including its' pharmacological effects (eg, nicotine “buzz”), product
characteristics (eg, flavors), peer influence, appeal compared to other
e-cigarettes, and concealability. Logistic regressions were conducted to
examine differences in liking/disliking JUUL by use status (past vs. current).
Results.
Among JUUL users (N = 1374; 43% of total sample), 30.4% were past users and
69.6% were current users. Compared to current users, past users were less
likely to like JUUL for positive pharmacological effects (eg, nicotine “buzz”),
product characteristics (eg, flavors), and peer use and more likely to dislike
JUUL for the adverse pharmacological effects (eg, headache), product
characteristics (eg, flavors), and for “other” reasons (open-ended response;
eg, perceived harm).
Conclusions.
Findings suggest that altering JUUL appeal through regulating nicotine content
and flavors may be key in policy aimed at shifting youth to become past JUUL
users.
Implications. This
study investigates how current and past youth JUUL users differ in their report
of the appeal of JUUL. Past users are less likely to report experiencing positive
pharmacological effects and product characteristics of JUUL and are less likely
to report appeal due to peer use. Understanding how appeal of JUUL may differ
among past and current users can aid in our understanding of how to regulate
these products so that they are less appealing to current youth users.
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