A systematic review of consumer preference for e-cigarette attributes: Flavor, nicotine strength, and type.

<h4>Objective</h4>Systematic review of research examining consumer preference for the main electronic cigarette (e-cigarette) attributes namely flavor, nicotine strength, and type.<h4>Method</h4>A systematic search of peer-reviewed articles resulted in a pool of 12,933 articl...

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Main Authors: Samane Zare, Mehdi Nemati, Yuqing Zheng
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2018-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0194145
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author Samane Zare
Mehdi Nemati
Yuqing Zheng
author_facet Samane Zare
Mehdi Nemati
Yuqing Zheng
author_sort Samane Zare
collection DOAJ
description <h4>Objective</h4>Systematic review of research examining consumer preference for the main electronic cigarette (e-cigarette) attributes namely flavor, nicotine strength, and type.<h4>Method</h4>A systematic search of peer-reviewed articles resulted in a pool of 12,933 articles. We included only articles that meet all the selection criteria: (1) peer-reviewed, (2) written in English, and (3) addressed consumer preference for one or more of the e-cigarette attributes including flavor, strength, and type.<h4>Results</h4>66 articles met the inclusion criteria for this review. Consumers preferred flavored e-cigarettes, and such preference varied with age groups and smoking status. We also found that several flavors were associated with decreased harm perception while tobacco flavor was associated with increased harm perception. In addition, some flavor chemicals and sweeteners used in e-cigarettes could be of toxicological concern. Finally, consumer preference for nicotine strength and types depended on smoking status, e-cigarette use history, and gender.<h4>Conclusion</h4>Adolescents could consider flavor the most important factor trying e-cigarettes and were more likely to initiate vaping through flavored e-cigarettes. Young adults overall preferred sweet, menthol, and cherry flavors, while non-smokers in particular preferred coffee and menthol flavors. Adults in general also preferred sweet flavors (though smokers like tobacco flavor the most) and disliked flavors that elicit bitterness or harshness. In terms of whether flavored e-cigarettes assisted quitting smoking, we found inconclusive evidence. E-cigarette users likely initiated use with a cigarette like product and transitioned to an advanced system with more features. Non-smokers and inexperienced e-cigarettes users tended to prefer no nicotine or low nicotine e-cigarettes while smokers and experienced e-cigarettes users preferred medium and high nicotine e-cigarettes. Weak evidence exists regarding a positive interaction between menthol flavor and nicotine strength.
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spelling doaj-art-de3e0b307bc54f9b992e7d525e0dd0b82025-08-20T02:20:51ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01133e019414510.1371/journal.pone.0194145A systematic review of consumer preference for e-cigarette attributes: Flavor, nicotine strength, and type.Samane ZareMehdi NematiYuqing Zheng<h4>Objective</h4>Systematic review of research examining consumer preference for the main electronic cigarette (e-cigarette) attributes namely flavor, nicotine strength, and type.<h4>Method</h4>A systematic search of peer-reviewed articles resulted in a pool of 12,933 articles. We included only articles that meet all the selection criteria: (1) peer-reviewed, (2) written in English, and (3) addressed consumer preference for one or more of the e-cigarette attributes including flavor, strength, and type.<h4>Results</h4>66 articles met the inclusion criteria for this review. Consumers preferred flavored e-cigarettes, and such preference varied with age groups and smoking status. We also found that several flavors were associated with decreased harm perception while tobacco flavor was associated with increased harm perception. In addition, some flavor chemicals and sweeteners used in e-cigarettes could be of toxicological concern. Finally, consumer preference for nicotine strength and types depended on smoking status, e-cigarette use history, and gender.<h4>Conclusion</h4>Adolescents could consider flavor the most important factor trying e-cigarettes and were more likely to initiate vaping through flavored e-cigarettes. Young adults overall preferred sweet, menthol, and cherry flavors, while non-smokers in particular preferred coffee and menthol flavors. Adults in general also preferred sweet flavors (though smokers like tobacco flavor the most) and disliked flavors that elicit bitterness or harshness. In terms of whether flavored e-cigarettes assisted quitting smoking, we found inconclusive evidence. E-cigarette users likely initiated use with a cigarette like product and transitioned to an advanced system with more features. Non-smokers and inexperienced e-cigarettes users tended to prefer no nicotine or low nicotine e-cigarettes while smokers and experienced e-cigarettes users preferred medium and high nicotine e-cigarettes. Weak evidence exists regarding a positive interaction between menthol flavor and nicotine strength.https://doi.org/10.1371/journal.pone.0194145
spellingShingle Samane Zare
Mehdi Nemati
Yuqing Zheng
A systematic review of consumer preference for e-cigarette attributes: Flavor, nicotine strength, and type.
PLoS ONE
title A systematic review of consumer preference for e-cigarette attributes: Flavor, nicotine strength, and type.
title_full A systematic review of consumer preference for e-cigarette attributes: Flavor, nicotine strength, and type.
title_fullStr A systematic review of consumer preference for e-cigarette attributes: Flavor, nicotine strength, and type.
title_full_unstemmed A systematic review of consumer preference for e-cigarette attributes: Flavor, nicotine strength, and type.
title_short A systematic review of consumer preference for e-cigarette attributes: Flavor, nicotine strength, and type.
title_sort systematic review of consumer preference for e cigarette attributes flavor nicotine strength and type
url https://doi.org/10.1371/journal.pone.0194145
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