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Use of Price Promotions Among U.S. Adults Who Use Electronic Vapor Products.

ABSTRACT: INTRODUCTION:Sales of electronic vapor products have increased in recent years. This increase in use may be related to manufacturer price promotions. This study assessed the use of price-related promotions among current electronic vapor product users. METHODS:Data from the 2015 and 2016 Summer Styles, an Internet survey of U.S. adults aged ?18 years, were analyzed in 2017. Current electronic vapor product users (n=300) were those who reported past 30-day electronic vapor product use. Price-related promotion use was defined as reported use of coupons, rebates, discount codes, or other special price-related promotions when purchasing electronic vapor products (e.g., electronic cigarettes [e-cigarettes], electronic hookah [e-hookah], or vape pens). Associations between price-related promotion use and sex, age, race/ethnicity, educational attainment, U.S. region, cigarette smoking status, electronic vapor product use frequency, place electronic vapor products were obtained, and survey year were assessed using multivariable logistic regression. RESULTS:Among current electronic vapor product users, 15.0% reported using price-related promotions. The adjusted odds of using price-related promotions was significantly higher among respondents who obtained electronic vapor products from a gas station, grocery or drug store, or the Internet (AOR=2.65, 95% CI=1.22, 5.74) versus anywhere else (i.e., mall kiosks, vape shop, friends/family) and among those who used electronic vapor products ?15 days in the past 30 days (AOR=2.57, 95% CI=1.18, 5.56) versus ?14 days. CONCLUSIONS:Nearly one in seven current U.S. adult electronic vapor product users reported using price promotions during 2015-2016, and variations in price promotion use existed by electronic vapor product use frequency and where electronic vapor products were obtained. Continued monitoring of the use of price-related promotions could help inform public health policy, planning, and practice.

SUBMITTER: Ali FRM

PROVIDER: S-EPMC6088754 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature

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Use of Price Promotions Among U.S. Adults Who Use Electronic Vapor Products.

Ali Fatma Romeh M FRM Xu Xin X Tynan Michael A MA King Brian A BA

American journal of preventive medicine 20180621 2

<h4>Introduction</h4>Sales of electronic vapor products have increased in recent years. This increase in use may be related to manufacturer price promotions. This study assessed the use of price-related promotions among current electronic vapor product users.<h4>Methods</h4>Data from the 2015 and 2016 Summer Styles, an Internet survey of U.S. adults aged ≥18 years, were analyzed in 2017. Current electronic vapor product users (n=300) were those who reported past 30-day electronic vapor product u ...[more]

PMID: 29937113

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Project description:IntroductionThe sale of tobacco products within American pharmacies has generated controversy for several decades, leading two U.S. states and 45 municipalities to adopt tobacco-free pharmacy policies. While previous research has reported cheaper cigarette prices in pharmacies, compared to other retailers, little is known about cigarette promotions in pharmacies, which are associated with increased youth smoking and unplanned cigarette purchases among adults.Aims and methodsBetween May and August 2015, trained data collectors conducted store audits at 2128 tobacco retailers located within 97 U.S. counties in 40 states. Observations were made for three types of cigarette promotions: special price (e.g., $0.30 off/pack), multi-pack promotions (e.g., buy one pack, get one free), and cross-product promotions (e.g., buy a pack of cigarettes and a get free can of snus). We calculated weighted estimates of the proportion of pharmacies and other retailer types with cigarette promotions and used weighted multivariable logistic regression to compare cigarette promotions by tobacco retailer type, accounting for clustering at the county level and controlling for county-level demographic characteristics.ResultsCigarette promotions were observed in 94.0% of pharmacies, more than any other retailer type (e.g., convenience stores: 82.0%, tobacco stores: 77.0%). All retailer types had lower odds of promotions for Marlboro, Newport, Camel, menthol, or any interior cigarette promotion, compared to pharmacies.ConclusionsNearly all pharmacies offered in-store cigarette promotions and pharmacies had greater odds of offering cigarette promotions than all other retailer types. Whether voluntarily or legislatively, tobacco-free pharmacies would eliminate a prevalent retail source of cigarette promotions.ImplicationsThis is the first known national study to examine prevalence of cigarette promotions in U.S. pharmacies compared to other retailer types. Nearly all pharmacies offered in-store cigarette promotions and pharmacies had greater odds of offering cigarette promotions than all other retailer types. These findings underscore the inherent contradiction of pharmacies serving both as an important component of the health care system, but also as purveyors and promotors of addictive and lethal tobacco products. Whether voluntarily or legislatively, tobacco-free pharmacy policies would eliminate a prevalent retail source of cigarette promotions.

Project description:IntroductionElectronic cigarette use (vaping) has been found to be associated with respiratory symptoms like wheezing or whistling in the chest. Whether or not lifetime vaping occurrences are associated with wheezing has not yet been investigated.MethodsPopulation Assessment of Tobacco and Health (PATH) Study Wave 4 data with 22,233 adults collected from December 2016 to January 2018 were used. The cross-sectional association of lifetime vaping occurrences with wheezing and related respiratory symptoms was examined using multivariable weighted logistic regression models considering the complex sampling design.ResultsAccording to the weighted PATH Wave 4 data, about 89.9% adults never vaped, 3.2% adults vaped one time, 3.2% vaped 2-10 times, 1.3% vaped 11-20 times, 1.1% vaped 21-50 times, 0.4% vaped 51-99 times, and 0.9% vaped 100 or more times in their entire life. Compared to adults who never vaped, adults who vaped 2-10 times had a significantly higher association with ever wheezing (aOR = 1.4, 95% CI: 1.1 to 1.6), past 12-month wheezing (aOR = 1.5, 95% CI: 1.2 to 1.9) and the number of wheezing attacks in the past 12 months (aOR = 1.5, 95% CI: 1.2 to 1.8). Adults who vaped 11-20 times and 100 or more times had similar associations with wheezing as that for adults who vaped 2-10 times. Controlling other tobacco use attenuated the associations.ConclusionsLifetime vaping occurrences were found to be associated with some definitions of self-reported wheezing in cross-sectional analyses adjusted for other tobacco use.ImplicationsUsing the cross-sectional PATH Wave 4 data with 22,233 adults, we found significant associations between lifetime vaping occurrences and ever wheezing or whistling in the chest, past 12 months wheezing or whistling in the chest, as well as the number of wheezing attacks in the past 12 months. The study results suggest that larger studies with more precise time frames and measures are needed to further understand possible connections between vaping experimentation and wheezing symptoms that could inform our understanding of the health effects of electronic cigarettes and resultant policy decisions.

Dataset Information

Use of Price Promotions Among U.S. Adults Who Use Electronic Vapor Products.

Publications

Use of Price Promotions Among U.S. Adults Who Use Electronic Vapor Products.

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