Exposure Among Middle and High School Students to Warning Labels on E-Cigarette Packages Before and After an FDA Requirement, 2018–2019

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Snyder, Kimberly ; Liu, Sherry T. ; Donaldson, Elisabeth A. ; Wang, Teresa ; Gentzke, Andrea
• Description:
  Introduction
  
  Beginning August 10, 2018, a US Food and Drug Administration (FDA) rule required all e-cigarette packages to have a health warning. We examined exposure among middle and high school students to e-cigarette warnings before and after the compliance date of the FDA’s deeming rule, a rule allowing the FDA to regulate e-cigarettes, cigars, and other products.
  
  Methods
  
  We analyzed data from middle and high school students participating in the 2018 and 2019 National Youth Tobacco Survey. We generated weighted prevalence estimates for any exposure (“rarely,” “sometimes,” “most of the time,” or “always”) and high exposure (“most of the time” or “always”) to warnings. We used independent 2-sided t tests to examine differences in exposure between 2018 and 2019 and χ2 tests to examine differences in any exposure and high exposure by demographic characteristics and tobacco use behaviors in 2019. Analyses excluded respondents who reported they had not seen an e-cigarette package.
  
  Results
  
  In 2019, 68.0% (vs 67.7% in 2018) of students reported any past 30-day exposure to e-cigarette warning labels and 35.0% (vs 28.7% in 2018) reported high exposure; we observed differences in the proportion of students reporting any and high exposure to warning labels across demographic characteristics and tobacco use behaviors. From 2018 to 2019, report of any and high exposure to e-cigarette warning labels increased among students who currently used any tobacco product and e-cigarettes. We observed increases in high exposure to e-cigarette warning labels overall, and among male students, female students, non-Hispanic White students, and middle and high school students.
  
  Conclusion
  
  After implementation of the health warnings per the FDA’s deeming rule, the percentage of current tobacco users and e-cigarette users among middle and high school students who reported any and high exposure to e-cigarette warning labels increased. Continued monitoring of reactions can inform if warnings are achieving their regulatory goal.
  
  
• Subjects:
  Adolescent Electronic Nicotine Delivery Systems Female Humans Male Product Labeling Smokers Students Tobacco Products
• Source:
  Prev Chronic Dis. 2024; 21
• DOI:
  http://dx.doi.org/10.5888/pcd21.220411
• ISSN:
  1545-1151
• Pubmed ID:
  38483809
• Pubmed Central ID:
  PMC10944637
• Document Type:
  Journal Article
• Name as Subject:
  United States. Food and Drug Administration. ; United States. Food and Drug Administration.
• Place as Subject:
  United States
• Volume:
  21
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:75233b09055dcec236749e1b6bdba1a532e8675da0b833da4c0821f0a8ee89785030b0ceb49e41c5db108a4b2e1d58d7231c6cccdcff3e67dd8640ff95b645b3
• Download URL:
  https://stacks.cdc.gov/view/cdc/153441/cdc_153441_DS1.pdf
• File Type:
  [PDF - 472.26 KB ]