title: Flavoured non-cigarette tobacco product use among US adults: 2013-2014.
abstract: Limited data exist on flavoured non-cigarette tobacco product (NCTP) use among US adults.
  
  
  
  Data from the 2013 to 2014 National Adult Tobacco Survey (N=75 233), a landline and cellular telephone survey of US adults aged ≥18, were assessed to estimate past 30-day NCTP use, flavoured NCTP use and flavour types using bivariate analyses.
  
  
  
  During 2013-2014, 14.4% of US adults were past 30-day NCTP users. Nationally, an estimated 10.2 million e-cigarette users (68.2%), 6.1 million hookah users (82.3%), 4.1 million cigar smokers (36.2%) and 4.0 million smokeless tobacco users (50.6%) used flavoured products in the past 30 days. The most prevalent flavours reported were menthol/mint (76.9%) for smokeless tobacco; fruit (74.0%) for hookah; fruit (52.4%), candy/chocolate/other sweet flavours (22.0%) and alcohol (14.5%) for cigars/cigarillos/filtered little cigars; fruit (44.9%), menthol/mint (43.9%) and candy/chocolate/other sweet flavours (25.7%) for e-cigarettes and fruit (56.6%), candy/chocolate/other sweet flavours (26.5%) and menthol/mint (24.8%) for pipes. Except for hookah and pipes, past 30-day flavoured product use was highest among 18-24-year olds. By cigarette smoking, never smoking e-cigarette users (84.8%) were more likely to report flavoured e-cigarette use, followed by recent former smokers (78.1%), long-term former smokers (70.4%) and current smokers (63.2%).
  
  
  
  Flavoured NCTP use is prominent among US adult tobacco users, particularly among e-cigarette, hookah and cigar users. Flavoured product use, especially fruit and sweet-flavoured products, was higher among younger adults. It is important for tobacco prevention and control strategies to address all forms of tobacco use, including flavoured tobacco products.
authors: Food and Drug Administration, Center for Tobacco Products, Office of Science, Silver Spring, Maryland, USA.
authors: Michèle G
authors: MG
authors: Bonhomme
authors: Food and Drug Administration, Center for Tobacco Products, Office of Science, Silver Spring, Maryland, USA.
authors: Enver
authors: E
authors: Holder-Hayes
authors: Food and Drug Administration, Center for Tobacco Products, Office of Science, Silver Spring, Maryland, USA.
authors: Bridget K
authors: BK
authors: Ambrose
authors: Food and Drug Administration, Center for Tobacco Products, Office of Science, Silver Spring, Maryland, USA.
authors: Cindy
authors: C
authors: Tworek
authors: Food and Drug Administration, Center for Tobacco Products, Office of Science, Silver Spring, Maryland, USA.
authors: Shari P
authors: SP
authors: Feirman
authors: Centers for Disease Control and Prevention, Office on Smoking and Health, Atlanta, Georgia, USA.
authors: Brian A
authors: BA
authors: King
authors: Food and Drug Administration, Center for Tobacco Products, Office of Science, Silver Spring, Maryland, USA.
authors: Benjamin J
authors: BJ
authors: Apelberg
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D066300:Electronic Nicotine Delivery Systems / Q000706:statistics & numerical data*; D005260:Female; D005421:Flavoring Agents / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D008875:Middle Aged; D000074285:Smokers / Q000706:statistics & numerical data; D012907:Smoking / Q000453:epidemiology*; D011795:Surveys and Questionnaires; D062789:Tobacco Products / Q000706:statistics & numerical data*; D014481:United States / Q000453:epidemiology; D055815:Young Adult
chemical_list: D005421:Flavoring Agents
keywords: Disparities; Electronic nicotine delivery devices; Non-cigarette tobacco products; Priority/special populations; Surveillance and monitoring