COIOSDeep risk insights through multi-disciplinary research across the globe
black and white image of store window
Item refines Peer-reviewed Added

E-cigarette flavour use and later vaping abstinence in US youth and adults, PATH 2016-2023

Exclusive tobacco or flavourless vaping preceded higher odds of 30-day e-cigarette abstinence, while use of multiple flavours preceded lower odds.

The study examined whether e-cigarette flavour type predicts later short-term abstinence from vaping. It used PATH waves 4 to 7, covering 8418 US youth, young adults and adults. Generalised estimating equations linked past 30-day flavour use at one wave to abstinence at the next wave. Sweet flavours were most common: 46% of youth, 44% of young adults, 41% of adults. Against exclusive menthol or sweet flavour use, tobacco or flavourless use raised abstinence odds (AOR 2.2, 95% CI 1.9-2.5). Multiple flavour use lowered odds (AOR 0.61, 0.53-0.71); abstinence was self-reported over only 30 days.

Why it is interesting: Flavour restrictions are an active policy lever, and this links flavour choice to whether people stop vaping. The age gradient shows youth are least likely to achieve abstinence.

Source
Addiction, 20 October 2026
Paper
Flavored e-cigarette use and its association with subsequent short-term e-cigarette abstinence among youth, young adults and adults: Findings from the United States longitudinal population assessment of tobacco use and health, 2016 to 2023
Authors
Streck JM, Hyatt AS, Schuster RM, Gilman J, Levy S, Winickoff JP et al.
DOI
10.1111/add.70674
Type
Peer-reviewed article
Design
Prospective observational analysis of PATH waves 4-7 (2016-2023), n=8418 US youth and adults, lagged wave-pair GEE models, weighted
Verdict
Refines prior evidence
Driver
Smoking and vaping

Other drivers in Behavioural science