Product attributes important to US adult consumers’ use of electronic nicotine delivery systems: a discrete choice experiment

Objective To understand the importance of electronic nicotine delivery systems (ENDS) product attributes to adult consumers in the USA by age and gender.Design Cross-sectional survey with a discrete choice experiment (best–worst, case 2, scaling) of 19 choice tasks in which participants answered wha...

Full description

Saved in:
Bibliographic Details
Main Authors: Micah Berman, Erin L Sutfin, Clare Meernik, Gary A Zarkin, Leah M Ranney, Adam O Goldstein, Christine E Kistler, Keith Chrzan, Christopher J Wretman, Chineme Enyioha
Format: Article
Language:English
Published: BMJ Publishing Group 2019-08-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/9/8/e027247.full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850067364983341056
author Micah Berman
Erin L Sutfin
Clare Meernik
Gary A Zarkin
Leah M Ranney
Adam O Goldstein
Christine E Kistler
Keith Chrzan
Christopher J Wretman
Chineme Enyioha
author_facet Micah Berman
Erin L Sutfin
Clare Meernik
Gary A Zarkin
Leah M Ranney
Adam O Goldstein
Christine E Kistler
Keith Chrzan
Christopher J Wretman
Chineme Enyioha
author_sort Micah Berman
collection DOAJ
description Objective To understand the importance of electronic nicotine delivery systems (ENDS) product attributes to adult consumers in the USA by age and gender.Design Cross-sectional survey with a discrete choice experiment (best–worst, case 2, scaling) of 19 choice tasks in which participants answered what would make them most want to use and least want to use an ENDS product.Setting and participants A national sample of adults (aged 18+ years) in the USA who had tried an ENDS product at least once.Measures We included 9 ENDS attributes with levels that varied across 19 choice tasks. We performed a multinomial logistic regression to obtain overall importance scores, attribute-level part-worth utilities and most important attribute.Results Of 660 participants, 81% were white, 51% women and 37% had at least a 4-year college degree with an average age of 42.0 years (SD ±19.4). The attributes had the following importance: harms of use 17.6%; general effects 14.1%; cessation aid 12.6%; purchase price 12.1%; monthly cost 12.0%; nicotine content 11.4%; flavour availability 8.4%; device design 7.2%; modifiability 4.6%. Harms of use was the most important attribute for all ages and genders (p<0.05); variation in other important attributes existed by age though not by gender.Conclusion This study identified the importance of nine ENDS attributes. Perceived harms of use of ENDS use appeared most important, and modifiability was least important. Variation by consumer group existed, which may allow for targeted interventions to modify ENDS use.
format Article
id doaj-art-cb2ead06b39149dfa7a1f40a69e5f43e
institution DOAJ
issn 2044-6055
language English
publishDate 2019-08-01
publisher BMJ Publishing Group
record_format Article
series BMJ Open
spelling doaj-art-cb2ead06b39149dfa7a1f40a69e5f43e2025-08-20T02:48:19ZengBMJ Publishing GroupBMJ Open2044-60552019-08-019810.1136/bmjopen-2018-027247Product attributes important to US adult consumers’ use of electronic nicotine delivery systems: a discrete choice experimentMicah Berman0Erin L Sutfin1Clare Meernik2Gary A Zarkin3Leah M Ranney4Adam O Goldstein5Christine E Kistler6Keith Chrzan7Christopher J Wretman8Chineme Enyioha94 Division of Health Services Management and Policy, College of Public Health, The Ohio State University, Columbus, Ohio, United States1 Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, North Carolina, USAEpidemiology, University of North Carolina Gillings School of Global Public Health, Chapel Hill, North Carolina, USARTI International, Research Triangle Park, North Carolina, USADepartment of Family Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USADepartment of Family Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USAFamily Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USASawtooth Analytics, Sawtooth Software, Inc., Provo, Utah, USACecil G. Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USAFamily Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USAObjective To understand the importance of electronic nicotine delivery systems (ENDS) product attributes to adult consumers in the USA by age and gender.Design Cross-sectional survey with a discrete choice experiment (best–worst, case 2, scaling) of 19 choice tasks in which participants answered what would make them most want to use and least want to use an ENDS product.Setting and participants A national sample of adults (aged 18+ years) in the USA who had tried an ENDS product at least once.Measures We included 9 ENDS attributes with levels that varied across 19 choice tasks. We performed a multinomial logistic regression to obtain overall importance scores, attribute-level part-worth utilities and most important attribute.Results Of 660 participants, 81% were white, 51% women and 37% had at least a 4-year college degree with an average age of 42.0 years (SD ±19.4). The attributes had the following importance: harms of use 17.6%; general effects 14.1%; cessation aid 12.6%; purchase price 12.1%; monthly cost 12.0%; nicotine content 11.4%; flavour availability 8.4%; device design 7.2%; modifiability 4.6%. Harms of use was the most important attribute for all ages and genders (p<0.05); variation in other important attributes existed by age though not by gender.Conclusion This study identified the importance of nine ENDS attributes. Perceived harms of use of ENDS use appeared most important, and modifiability was least important. Variation by consumer group existed, which may allow for targeted interventions to modify ENDS use.https://bmjopen.bmj.com/content/9/8/e027247.full
spellingShingle Micah Berman
Erin L Sutfin
Clare Meernik
Gary A Zarkin
Leah M Ranney
Adam O Goldstein
Christine E Kistler
Keith Chrzan
Christopher J Wretman
Chineme Enyioha
Product attributes important to US adult consumers’ use of electronic nicotine delivery systems: a discrete choice experiment
BMJ Open
title Product attributes important to US adult consumers’ use of electronic nicotine delivery systems: a discrete choice experiment
title_full Product attributes important to US adult consumers’ use of electronic nicotine delivery systems: a discrete choice experiment
title_fullStr Product attributes important to US adult consumers’ use of electronic nicotine delivery systems: a discrete choice experiment
title_full_unstemmed Product attributes important to US adult consumers’ use of electronic nicotine delivery systems: a discrete choice experiment
title_short Product attributes important to US adult consumers’ use of electronic nicotine delivery systems: a discrete choice experiment
title_sort product attributes important to us adult consumers use of electronic nicotine delivery systems a discrete choice experiment
url https://bmjopen.bmj.com/content/9/8/e027247.full
work_keys_str_mv AT micahberman productattributesimportanttousadultconsumersuseofelectronicnicotinedeliverysystemsadiscretechoiceexperiment
AT erinlsutfin productattributesimportanttousadultconsumersuseofelectronicnicotinedeliverysystemsadiscretechoiceexperiment
AT claremeernik productattributesimportanttousadultconsumersuseofelectronicnicotinedeliverysystemsadiscretechoiceexperiment
AT garyazarkin productattributesimportanttousadultconsumersuseofelectronicnicotinedeliverysystemsadiscretechoiceexperiment
AT leahmranney productattributesimportanttousadultconsumersuseofelectronicnicotinedeliverysystemsadiscretechoiceexperiment
AT adamogoldstein productattributesimportanttousadultconsumersuseofelectronicnicotinedeliverysystemsadiscretechoiceexperiment
AT christineekistler productattributesimportanttousadultconsumersuseofelectronicnicotinedeliverysystemsadiscretechoiceexperiment
AT keithchrzan productattributesimportanttousadultconsumersuseofelectronicnicotinedeliverysystemsadiscretechoiceexperiment
AT christopherjwretman productattributesimportanttousadultconsumersuseofelectronicnicotinedeliverysystemsadiscretechoiceexperiment
AT chinemeenyioha productattributesimportanttousadultconsumersuseofelectronicnicotinedeliverysystemsadiscretechoiceexperiment