Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Snyder, Kimberly ; Liu, Sherry T. ; Donaldson, Elisabeth A. ; Wang, Teresa ; Gentzke, Andrea
Snyder, Kimberly ; Liu, Sherry T. ; Donaldson, Elisabeth A. ; Wang, Teresa ; Gentzke, Andrea Less -
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
Pubmed ID:
38483809
Pubmed Central ID:
PMC10944637
Document Type:
Journal Article
Name as Subject:
United States. Food and Drug Administration.
Place as Subject:
United States
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:3bb54fcf586c3af700d7a012f5e429808b2d2bcf2a3a8b11325fae119ad795a6
Download URL:
https://stacks.cdc.gov/view/cdc/153441/cdc_153441_DS1.pdf
File Type:

Supporting Files

• PCD-21-E16.nxml

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