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Perceptions and Experiences with Flavored Non-Menthol Tobacco Products: A Systematic Review of Qualitative Studies

Author

Listed:
  • Sarah D. Kowitt

    (Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
    Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, 101 Manning Dr, Chapel Hill, NC 27514, USA)

  • Clare Meernik

    (Department of Family Medicine, University of North Carolina at Chapel Hill, 590 Manning Drive, Chapel Hill, NC 27599, USA)

  • Hannah M. Baker

    (Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, 101 Manning Dr, Chapel Hill, NC 27514, USA)

  • Amira Osman

    (Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, 101 Manning Dr, Chapel Hill, NC 27514, USA)

  • Li-Ling Huang

    (Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, 101 Manning Dr, Chapel Hill, NC 27514, USA)

  • Adam O. Goldstein

    (Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, 101 Manning Dr, Chapel Hill, NC 27514, USA
    Department of Family Medicine, University of North Carolina at Chapel Hill, 590 Manning Drive, Chapel Hill, NC 27599, USA)

Abstract

Although a few countries have banned flavored cigarettes (except menthol), flavors in most tobacco products remain unregulated across the globe. We conducted a systematic review of qualitative studies examining perceptions of and experiences with flavored non-menthol tobacco products. Of 20 studies on flavored tobacco products included in our qualitative systematic review, 10 examined hookah, six examined e-cigarettes, two examined little cigars and cigarillos (LCCs), and three examined other tobacco products, including cigarettes. The majority of studies, regardless of product type, reported positive perceptions of flavored tobacco products, particularly among young adults and adolescents. In six studies that assessed perceptions of harm (including hookah, LCCs, and other flavored tobacco products), participants believed flavored tobacco products to be less harmful than cigarettes. In studies that examined the role of flavors in experimentation and/or initiation (including three studies on e-cigarettes, one hookah study and one LCC study), participants mentioned flavors as specifically leading to their experimentation and/or initiation of flavored tobacco products. Given that many countries have not yet banned flavors in tobacco products, these findings add to existing research on why individuals use flavored tobacco products and how they perceive harm in flavored tobacco products, providing further support for banning non-menthol flavors in most tobacco products.

Suggested Citation

  • Sarah D. Kowitt & Clare Meernik & Hannah M. Baker & Amira Osman & Li-Ling Huang & Adam O. Goldstein, 2017. "Perceptions and Experiences with Flavored Non-Menthol Tobacco Products: A Systematic Review of Qualitative Studies," IJERPH, MDPI, vol. 14(4), pages 1-18, March.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:4:p:338-:d:93912
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    References listed on IDEAS

    as
    1. Choi, K. & Fabian, L. & Mottey, N. & Corbett, A. & Forster, J., 2012. "Young adults' favorable perceptions of snus, dissolvable tobacco products, and electronic cigarettes: Findings from a focus group study," American Journal of Public Health, American Public Health Association, vol. 102(11), pages 2088-2093.
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    Cited by:

    1. Cristine D. Delnevo & Michelle Jeong & Ollie Ganz & Daniel P. Giovenco & Erin Miller Lo, 2021. "The Effect of Cigarillo Packaging Characteristics on Young Adult Perceptions and Intentions: An Experimental Study," IJERPH, MDPI, vol. 18(8), pages 1-12, April.
    2. Brian L. Rostron & Joanne T. Chang & Cindy M. Chang & Rebecca A. Jackson & Bridget K. Ambrose, 2020. "ENDS Flavor Preference by Menthol Cigarette Smoking Status among US Adults, 2018–2019," IJERPH, MDPI, vol. 18(1), pages 1-8, December.
    3. Liane M. Schneller & Maansi Bansal-Travers & Maciej L. Goniewicz & Scott McIntosh & Deborah Ossip & Richard J. O’Connor, 2019. "Use of Flavored E-Cigarettes and the Type of E-Cigarette Devices Used among Adults and Youth in the US—Results from Wave 3 of the Population Assessment of Tobacco and Health Study (2015–2016)," IJERPH, MDPI, vol. 16(16), pages 1-12, August.
    4. Sanaa Mugharbil & Malak Tleis & Maya Romani & Ramzi G. Salloum & Rima Nakkash, 2023. "Understanding Determinants of Electronic Cigarette and Heated Tobacco Product Use among Young Adults in Lebanon: Prevention and Policy Implications," IJERPH, MDPI, vol. 20(5), pages 1-14, February.

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