Placing Health Warnings on E-Cigarettes: A Standardized Protocol

Jennifer R. Mendel, Marissa G. Hall, Sabeeh A. Baig, Michelle Jeong and Noel T. Brewer
Additional contact information
Jennifer R. Mendel: Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC 27599, USA
Marissa G. Hall: Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC 27599, USA
Sabeeh A. Baig: Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27599, USA
Michelle Jeong: Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC 27599, USA
Noel T. Brewer: Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC 27599, USA

IJERPH, 2018, vol. 15, issue 8, 1-14

Abstract: Health warnings for e-cigarettes are a promising and novel tobacco control intervention for reducing e-cigarette use. We developed a new protocol for evaluating e-cigarette warnings by placing them on users’ own devices to reflect real-world exposure. Study 1 participants were a national convenience sample of 606 U.S. adult e-cigarette users surveyed online in March 2017. Most Study 1 participants were willing to have their e-cigarette devices (87%) and refills (83%) labeled. Study 2 participants were a convenience sample of 22 adult e-cigarette users recruited in California, United States in April 2017. We applied the U.S. Food and Drug Administration’s proposed e-cigarette warning to users’ own devices and refills. Most Study 2 participants (81%) reported using e-cigarette devices with our warning labels at least 90% of the time during the study. Nearly all (95%) said they would participate in the study again, and 100% would recommend the study to a friend. Conversations about e-cigarette harms, conversations about quitting e-cigarettes, and intentions to quit using e-cigarettes increased during the study (all p < 0.05). These studies show that our naturalistic labeling protocol was feasible, acceptable to participants, and had high retention over three weeks. Using the protocol can yield important evidence on the impact of e-cigarette warnings to inform tobacco warning policies.

Keywords: e-cigarette; warning; constituent; chemical; messaging; addiction (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

Downloads: (external link)
https://www.mdpi.com/1660-4601/15/8/1578/pdf (application/pdf)
https://www.mdpi.com/1660-4601/15/8/1578/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:15:y:2018:i:8:p:1578-:d:159935

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().