Abstract
BackgroundIt is unclear whether emerging synthetic tobacco-free nicotine superiority messages such as ‘better flavor and better experience’ and ‘no residual impurities of tobacco-derived nicotine’ may impact consumer perception and product choice between synthetic and tobacco-derived nicotine vaping products.MethodsThrough a 2022 online survey of current e-cigarette users, we identified synthetic nicotine never users for randomisation into an embedded between-subjects experiment. The test group (n=186) viewed a tobacco-free nicotine message versus no message control (n=168). Multivariable regressions assessed messaging effects on three comparative measures between tobacco-free and tobacco-derived nicotine: harm perception, purchase intention and willingness to pay.ResultsParticipants (n=354; age, mean (SD)=34.6 (11.1) years old) were recruited from geographically diverse regions with 27.7% rural residents. The overall sample comprised 44.1% females, 73.5% non-Hispanic white and 71.8% daily e-cigarette users. Sociodemographics and tobacco use status were not significantly different between two randomised groups. The test group (vs control) reported a higher intention to use tobacco-free than tobacco-derived nicotine vaping products (adjusted OR (AOR)=2.4, 95% CI 1.3 to 4.4, p=0.006) and willingness to pay more for tobacco-free nicotine vaping products (AOR=2.6, 95% CI 1.2 to 5.8, p=0.02). Urban (vs rural) synthetic-naïve vapers had lower harm perception (AOR=2.0, 95% CI 1.1 to 3.6, p=0.02) and higher intention to use tobacco-free than tobacco-derived nicotine vaping products (AOR=2.2, 95% CI 1.1 to 4.5, p=0.04); infrequent vapers were more willing to pay more for tobacco-free nicotine vaping products (AOR=1.1, 95% CI 1.03 to 1.17, p=0.002).ConclusionTobacco-free nicotine marketing message may prompt the transition to and promote a price premium for such products. With the proliferation of products in the market, comprehensive regulation of emerging synthetic vaping products is needed.
Funder
National Institute of Drug Abuse
NIH
Subject
Public Health, Environmental and Occupational Health,Health (social science)
Reference39 articles.
1. Regulating Vaping — Policies, Possibilities, and Perils
2. Wackowski OA , Giovenco DP , Singh B . Content analysis of US news stories about e-cigarettes in 2015. Nicotine & Tobacco Research 2017.
3. Kong G K-SS . Tobacco Free Nicotine (TFN): A New Public Health Challenge. Blog - Tobacco Control, 2021. https://blogs.bmj.com/tc/2021/07/03/tobacco-free-nicotine-tfn-a-new-public-health-challenge/
4. The Food and Drug Administration . Fda finalizes enforcement policy on unauthorized flavored cartridge-based e-cigarettes that appeal to children, including fruit and MINT, 2020. Available: https://www.fda.gov/news-events/press-announcements/fda-finalizes-enforcement-policy-unauthorized-flavored-cartridge-based-e-cigarettes-appeal-children [Accessed 8 May 2022].
5. The Food and Drug Administration . Fda Notifies companies, including puff bar, to remove flavored disposable e-cigarettes and Youth-Appealing E-Liquids from market for not having required authorization, 2020. Available: https://www.fda.gov/news-events/press-announcements/fda-notifies-companies-including-puff-bar-remove-flavored-disposable-e-cigarettes-and-youth
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