Addiction Recovery Research Center, Virginia Tech Carilion Research Institute, Roanoke, Virginia, USA.
Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.
Tob Control. 2019 Mar;28(2):206-211. doi: 10.1136/tobaccocontrol-2017-054024. Epub 2018 Apr 18.
The experimental tobacco marketplace (ETM) provides a method to estimate, prior to implementation, the effects of new products or policies on purchasing across various products in a complex tobacco marketplace. We used the ETM to examine the relationship between nicotine strength and substitutability of alternative products for cigarettes to contribute to the literature on regulation of e-liquid nicotine strength.
The present study contained four sampling and four ETM purchasing sessions. During sampling sessions, participants were provided 1 of 4 e-liquid strengths (randomised) to sample for 2 days followed by an ETM purchasing session. The nicotine strength sampled in the 2 days prior to an ETM session was the same strength available for purchase in the next ETM. Each participant sampled and could purchase 0 mg/mL, 6 mg/mL, 12 mg/mL and 24 mg/mL e-liquid, among other products, during the study.
Cigarette demand was unaltered across e-liquid strength. E-liquid was the only product to substitute for cigarettes across more than one e-liquid strength. Substitutability increased as a function of e-liquid strength, with the 24 mg/mL displaying the greatest substitutability of all products.
The present study found that e-liquid substitutability increased with nicotine strength, at least up to 24 mg/mL e-liquid. However, the effects of e-liquid nicotine strength on cigarette purchasing were marginal and total nicotine purchased increased as e-liquid nicotine strength increased.
实验性烟草市场(ETM)提供了一种方法,可以在新产品或政策实施之前,评估它们对复杂烟草市场中各种产品购买的影响。我们使用 ETM 来研究尼古丁强度与香烟替代品的可替代性之间的关系,为电子烟液尼古丁强度监管的文献做出贡献。
本研究包含四个抽样和四个 ETM 购买阶段。在抽样阶段,参与者随机分配到四种电子烟液强度中的一种进行为期两天的抽样,然后进行 ETM 购买阶段。在 ETM 会议之前的两天内抽样的尼古丁强度与下一次 ETM 中可购买的尼古丁强度相同。在研究期间,每个参与者都可以抽样和购买 0 毫克/毫升、6 毫克/毫升、12 毫克/毫升和 24 毫克/毫升的电子烟液以及其他产品。
电子烟液强度对香烟需求没有影响。电子烟液是唯一一种可以替代多种电子烟液强度的产品。随着电子烟液强度的增加,可替代性也随之增加,24 毫克/毫升的电子烟液显示出所有产品中最大的可替代性。
本研究发现,电子烟液的可替代性随着尼古丁强度的增加而增加,至少在 24 毫克/毫升的电子烟液范围内是如此。然而,电子烟液尼古丁强度对香烟购买的影响是微不足道的,随着电子烟液尼古丁强度的增加,总尼古丁购买量也增加了。