Flavored Tobacco Products in the United States

A Systematic Review Assessing Use and Attitudes

Shari P. Feirman, Diana Lock, Joanna E Cohen, David R Holtgrave, Tianjing Li

Research output: Contribution to journalArticle

Abstract

Objectives: We systematically reviewed research examining use of and attitudes toward nonmenthol- flavored tobacco products to provide information relevant to a decision to regulate these products in the future. Methods: To identify eligible studies, we searched PubMed, CINHAL, Embase, LILACS, and PsycINFO on September 19, 2013, without date restrictions. We obtained additional studies via gray literature searches, expert contacts, and hand-searching citations of included articles. We included participants of all ages. We conducted a qualitative synthesis for included studies. Results: The 32 studies included in this review exhibited substantial heterogeneity and were of varied methodological quality. Findings from observational, experimental, and quasiexperimental studies suggest that flavored tobacco use is associated with young age and that consumers may perceive flavored products more favorably than nonflavored products. Evidence from qualitative studies indicates that flavoring in tobacco is viewed favorably by users and nonusers of these products. Conclusions: The Food and Drug Administration has expressed interest in regulating flavored tobacco products. This systematic review strengthens the evidence base relating to this issue by synthesizing the literature from the United States on the use of and attitudes toward flavored tobacco. To address gaps in the literature, more research is needed to understand how flavoring impacts tobacco use over time. The evidence base would further be strengthened with the collection of brand-, flavor-, and product-specific data.

Original languageEnglish (US)
Article numberntv136
Pages (from-to)739-749
Number of pages11
JournalNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
Volume18
Issue number5
DOIs
StatePublished - May 1 2016

Fingerprint

Tobacco Use
Tobacco Products
Tobacco
United States Food and Drug Administration
Research
PubMed

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

@article{ade32b3cf056459b9728405cf7db25cf,
title = "Flavored Tobacco Products in the United States: A Systematic Review Assessing Use and Attitudes",
abstract = "Objectives: We systematically reviewed research examining use of and attitudes toward nonmenthol- flavored tobacco products to provide information relevant to a decision to regulate these products in the future. Methods: To identify eligible studies, we searched PubMed, CINHAL, Embase, LILACS, and PsycINFO on September 19, 2013, without date restrictions. We obtained additional studies via gray literature searches, expert contacts, and hand-searching citations of included articles. We included participants of all ages. We conducted a qualitative synthesis for included studies. Results: The 32 studies included in this review exhibited substantial heterogeneity and were of varied methodological quality. Findings from observational, experimental, and quasiexperimental studies suggest that flavored tobacco use is associated with young age and that consumers may perceive flavored products more favorably than nonflavored products. Evidence from qualitative studies indicates that flavoring in tobacco is viewed favorably by users and nonusers of these products. Conclusions: The Food and Drug Administration has expressed interest in regulating flavored tobacco products. This systematic review strengthens the evidence base relating to this issue by synthesizing the literature from the United States on the use of and attitudes toward flavored tobacco. To address gaps in the literature, more research is needed to understand how flavoring impacts tobacco use over time. The evidence base would further be strengthened with the collection of brand-, flavor-, and product-specific data.",
author = "Feirman, {Shari P.} and Diana Lock and Cohen, {Joanna E} and Holtgrave, {David R} and Tianjing Li",
year = "2016",
month = "5",
day = "1",
doi = "10.1093/ntr/ntv176",
language = "English (US)",
volume = "18",
pages = "739--749",
journal = "Nicotine and Tobacco Research",
issn = "1462-2203",
publisher = "Oxford University Press",
number = "5",

}

TY - JOUR

T1 - Flavored Tobacco Products in the United States

T2 - A Systematic Review Assessing Use and Attitudes

AU - Feirman, Shari P.

AU - Lock, Diana

AU - Cohen, Joanna E

AU - Holtgrave, David R

AU - Li, Tianjing

PY - 2016/5/1

Y1 - 2016/5/1

N2 - Objectives: We systematically reviewed research examining use of and attitudes toward nonmenthol- flavored tobacco products to provide information relevant to a decision to regulate these products in the future. Methods: To identify eligible studies, we searched PubMed, CINHAL, Embase, LILACS, and PsycINFO on September 19, 2013, without date restrictions. We obtained additional studies via gray literature searches, expert contacts, and hand-searching citations of included articles. We included participants of all ages. We conducted a qualitative synthesis for included studies. Results: The 32 studies included in this review exhibited substantial heterogeneity and were of varied methodological quality. Findings from observational, experimental, and quasiexperimental studies suggest that flavored tobacco use is associated with young age and that consumers may perceive flavored products more favorably than nonflavored products. Evidence from qualitative studies indicates that flavoring in tobacco is viewed favorably by users and nonusers of these products. Conclusions: The Food and Drug Administration has expressed interest in regulating flavored tobacco products. This systematic review strengthens the evidence base relating to this issue by synthesizing the literature from the United States on the use of and attitudes toward flavored tobacco. To address gaps in the literature, more research is needed to understand how flavoring impacts tobacco use over time. The evidence base would further be strengthened with the collection of brand-, flavor-, and product-specific data.

AB - Objectives: We systematically reviewed research examining use of and attitudes toward nonmenthol- flavored tobacco products to provide information relevant to a decision to regulate these products in the future. Methods: To identify eligible studies, we searched PubMed, CINHAL, Embase, LILACS, and PsycINFO on September 19, 2013, without date restrictions. We obtained additional studies via gray literature searches, expert contacts, and hand-searching citations of included articles. We included participants of all ages. We conducted a qualitative synthesis for included studies. Results: The 32 studies included in this review exhibited substantial heterogeneity and were of varied methodological quality. Findings from observational, experimental, and quasiexperimental studies suggest that flavored tobacco use is associated with young age and that consumers may perceive flavored products more favorably than nonflavored products. Evidence from qualitative studies indicates that flavoring in tobacco is viewed favorably by users and nonusers of these products. Conclusions: The Food and Drug Administration has expressed interest in regulating flavored tobacco products. This systematic review strengthens the evidence base relating to this issue by synthesizing the literature from the United States on the use of and attitudes toward flavored tobacco. To address gaps in the literature, more research is needed to understand how flavoring impacts tobacco use over time. The evidence base would further be strengthened with the collection of brand-, flavor-, and product-specific data.

UR - http://www.scopus.com/inward/record.url?scp=84964986208&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84964986208&partnerID=8YFLogxK

U2 - 10.1093/ntr/ntv176

DO - 10.1093/ntr/ntv176

M3 - Article

VL - 18

SP - 739

EP - 749

JO - Nicotine and Tobacco Research

JF - Nicotine and Tobacco Research

SN - 1462-2203

IS - 5

M1 - ntv136

ER -