Department of Operations Research & Financial Engineering, Princeton University, Princeton, New Jersey, USA.
Department of Computer Science, University of Rochester, Rochester, New York, USA.
Tob Control. 2021 Sep;30(5):534-541. doi: 10.1136/tobaccocontrol-2019-055439. Epub 2020 Jul 24.
The rise of the popular e-cigarette, JUUL, has been partly attributed to various teen-friendly e-liquid flavours offered. However, the possible health risks associated with each e-liquid flavour still remain unclear. This research focuses on the possible associations between JUUL flavours and health symptoms using social media data from Reddit.
Keyword filtering was used to obtain 5,746 JUUL flavour-related posts and 7927 health symptom-related posts from June 2015 to April 2019 from Reddit. Posts from September 2016 to April 2019 were used to conduct temporal analysis for nine health symptom categories and the 8 JUUL flavours. Finally, associations between the JUUL flavours and health symptom categories were examined on the user level using generalised estimating equation models.
According to our temporal analysis, Mango and Mint were the most discussed JUUL flavours on Reddit. Respiratory and throat symptoms were the most discussed health issues together with JUUL on Reddit over time. Respiratory symptoms had potential associations with the Mango, Mint and Fruit JUUL flavours. Digestive symptoms had a potential association with the Crème flavour, psychological symptoms had a potential association with the Cucumber flavour, and cardiovascular symptoms had a potential association with the tobacco flavours.
Mango and Mint were the two most mentioned JUUL flavours on Reddit. Certain JUUL flavours were more likely to be mentioned together with certain categories of health symptoms by the same Reddit users. Our findings could prompt further medical research into the health symptoms associated with different e-liquid flavours.
流行的电子烟 JUUL 的兴起部分归因于其提供的各种适合青少年的电子烟液口味。然而，与每种电子烟液口味相关的潜在健康风险仍不清楚。本研究使用来自 Reddit 的社交媒体数据，专注于 JUUL 口味与健康症状之间的可能关联。
使用关键字过滤从 2015 年 6 月至 2019 年 4 月从 Reddit 上获得了 5746 条与 JUUL 口味相关的帖子和 7927 条与健康症状相关的帖子。使用 2016 年 9 月至 2019 年 4 月的帖子，对 9 个健康症状类别和 8 种 JUUL 口味进行了时间分析。最后，使用广义估计方程模型在用户级别上检查了 JUUL 口味与健康症状类别之间的关联。
根据我们的时间分析，芒果和薄荷是 Reddit 上讨论最多的 JUUL 口味。随着时间的推移，呼吸道和喉咙症状是 Reddit 上与 JUUL 一起讨论最多的健康问题。呼吸道症状与芒果、薄荷和水果 JUUL 口味有潜在关联。消化症状与奶油口味有潜在关联，心理症状与黄瓜口味有潜在关联，心血管症状与烟草口味有潜在关联。
芒果和薄荷是 Reddit 上讨论最多的两种 JUUL 口味。某些 JUUL 口味更有可能与同一 Reddit 用户提到的某些健康症状类别相关联。我们的发现可能会促使进一步研究与不同电子烟液口味相关的健康症状。
