+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Flavored Tobacco Products in the United States: A Systematic Review Assessing Use and Attitudes



Flavored Tobacco Products in the United States: A Systematic Review Assessing Use and Attitudes



Nicotine and Tobacco Research 18(5): 739-749



We systematically reviewed research examining use of and attitudes toward nonmenthol-flavored tobacco products to provide information relevant to a decision to regulate these products in the future. To identify eligible studies, we searched PubMed, CINHAL, Embase, LILACS, and PsycINFO on September 19, 2013, without date restrictions. We obtained additional studies via gray literature searches, expert contacts, and hand-searching citations of included articles. We included participants of all ages. We conducted a qualitative synthesis for included studies. The 32 studies included in this review exhibited substantial heterogeneity and were of varied methodological quality. Findings from observational, experimental, and quasiexperimental studies suggest that flavored tobacco use is associated with young age and that consumers may perceive flavored products more favorably than nonflavored products. Evidence from qualitative studies indicates that flavoring in tobacco is viewed favorably by users and nonusers of these products. The Food and Drug Administration has expressed interest in regulating flavored tobacco products. This systematic review strengthens the evidence base relating to this issue by synthesizing the literature from the United States on the use of and attitudes toward flavored tobacco. To address gaps in the literature, more research is needed to understand how flavoring impacts tobacco use over time. The evidence base would further be strengthened with the collection of brand-, flavor-, and product-specific data.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 057884764

Download citation: RISBibTeXText

PMID: 26315475

DOI: 10.1093/ntr/ntv176


Related references

Trends in Sales of Flavored and Menthol Tobacco Products in the United States During 2011-2015. Nicotine and Tobacco Research 20(6): 698-706, 2017

Perceptions and Experiences with Flavored Non-Menthol Tobacco Products: A Systematic Review of Qualitative Studies. International Journal of Environmental Research and Public Health 14(4):, 2017

Changes in Flavored Tobacco Product Use Among Current Youth Tobacco Users in the United States, 2014-2017. JAMA Pediatrics 2019, 2019

Widespread use of flavored e-cigarettes and hookah tobacco in the United States. Preventive Medicine Reports 14: 100854, 2019

Smokeless tobacco use in the United States military: a systematic review. Nicotine and Tobacco Research 14(5): 507-515, 2012

Flavored Tobacco Product Use Among Middle and High School Students--United States, 2014. Mmwr. Morbidity and Mortality Weekly Report 64(38): 1066-1070, 2015

A systematic review of transitions between cigarette and smokeless tobacco product use in the United States. Bmc Public Health 15: 258, 2015

A systematic review of store audit methods for assessing tobacco marketing and products at the point of sale. Tobacco Control 23(2): 98, 2014

Systematic Review of Economic Evaluations Assessing Chiropractic Care for Spine Pain in the United States. Spine Journal 14(11): S104-S105, 2014

Systematic review of the relation between smokeless tobacco and non-neoplastic oral diseases in Europe and the United States. Bmc Oral Health 8: 13, 2008

Facilitators and barriers of parental attitudes and beliefs toward school-located influenza vaccination in the United States: Systematic review. Vaccine 35(16): 1987-1995, 2017

Performance-Based Risk-Sharing Arrangements for Pharmaceutical Products in the United States: A Systematic Review. Journal of Managed Care and Specialty Pharmacy 23(10): 1028-1040, 2017

Assessing Tobacco Use Among Working Adults in the United States: the Need to Consider Poly-tobacco Use. Journal of Occupational and Environmental Medicine 59(5): E100, 2017

Production of tobacco and tobacco products in the United States of America. Tabak 53-55, 1975

Assessing Sex Differences in the Risk of Cardiovascular Disease and Mortality per Increment in Systolic Blood Pressure: A Systematic Review and Meta-Analysis of Follow-Up Studies in the United States. Plos one 12(1): E0170218, 2017