Cross-sectional comparison of sociodemographic and tobacco use characteristics of US adults who regularly use products of leading electronic nicotine delivery systems (ENDS).

Introduction: Before granting marketing authorization for electronic nicotine delivery systems (ENDS), the US Food and Drug Administration (FDA) must consider population risks and benefits associated with ENDS use. This study describes characteristics and usage patterns of individuals who use Juul o...

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Publicado en:Tobacco Induced Diseases Vol. 23; pp. 1 - 14
Autores principales: Nyman, Amy L., Henderson, Katherine C., Holland Jr., Jeffrey, Ashley, David, Spears, Claire A., Huang, Jidong, Weaver, Scott R.
Formato: research tables/charts Journal Article
Publicado: EU European Publishing Dec2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2025
      vid: 23
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      pub: EU European Publishing
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        10.18332/tid/209827
        190643042
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        atl: Cross-sectional comparison of sociodemographic and tobacco use characteristics of US adults who regularly use products of leading electronic nicotine delivery systems (ENDS).
      aug:
        au:
          Nyman, Amy L.
          Henderson, Katherine C.
          Holland Jr., Jeffrey
          Ashley, David
          Spears, Claire A.
          Huang, Jidong
          Weaver, Scott R.
        affil: Department of Health Policy and Behavioral Sciences, School of Public Health, Georgia State University, Atlanta, United States
      sug:
        subj:
          Smoking In Adulthood
          Sociodemographic Factors In Adulthood
          Tobacco Products Utilization
          Electronic Cigarettes
          Nicotine
          Drug Delivery Systems
          Emergency Use Authorization
          Attitude to Risk
          Human
          Adolescence
          Adult
          Male
          Female
          United States
          Funding Source
          Cross Sectional Studies
          Comparative Studies
          Prospective Studies
          Surveys
          Descriptive Statistics
          Smoking Cessation
          Chi Square Test
          Analysis of Variance
          Multiple Logistic Regression
          Odds Ratio
          Confidence Intervals
          Mental Health
          Fisher's Exact Test
          Data Analysis Software
          Adolescent: 13-18 years
          Adult: 19-44 years
          Male
          Female
      ab: Introduction: Before granting marketing authorization for electronic nicotine delivery systems (ENDS), the US Food and Drug Administration (FDA) must consider population risks and benefits associated with ENDS use. This study describes characteristics and usage patterns of individuals who use Juul or Vuse Alto to assess differences in product use. Methods: A national, cross-sectional, online survey with US adults who use ENDS was conducted in 2022–2023 as the baseline component of a longitudinal study. Data from 503 people who regularly used either Juul (n=224) or Alto (n=279) were analyzed, including sociodemographic characteristics, cigarette smoking and quitting behaviors, ENDS use patterns, reasons for use, and risk perceptions. Chisquared tests, ANOVA, and binary, ordinal, and multinomial logistic regression compared people who use each product. Results: Those using Juul were less likely to have formerly smoked cigarettes than those using Alto (OR=0.50; 95% CI: 0.25–0.99), and those using Alto and currently smoking reported greater readiness to quit smoking cigarettes compared to those using Juul. People who used Juul and smoked cigarettes more often used Juul in places where they could not smoke compared with people using Alto. Those using Juul regularly were less likely to be over the age of 29 years (OR=0.47; 95% CI: 0.31–0.70) and more likely to come from racial/ethnic minoritized groups (34.1% vs 21.8%). People using Alto regularly consumed more e-liquid (6.6 mL vs 3.7 mL) and those using Juul regularly used pods with higher nicotine content (OR=1.98; 95% CI: 1.25–3.14) than did those using Alto. Conclusions: We noted differences between people using Juul and Alto in sociodemographic characteristics and usage patterns of both cigarettes and ENDS. These data provide information about the potential impact of authorizing marketing of a new product on tobacco use behaviors.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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