Park-Lee Eunice, Cowan Hannah, Gaines-Harris Mo'Nique, Cooper Maria R, Sawdey Michael D, Cullen Karen A
Center for Tobacco Products, Food and Drug Administration, Silver Spring, MD, USA.
Nicotine Tob Res. 2025 May 22;27(6):1137-1141. doi: 10.1093/ntr/ntae216.
To examine ice flavor use and its correlates among middle and high school students who currently (any past 30 days) used e-cigarettes.
The 2023 National Youth Tobacco Survey (NYTS) assessed for the first time the use of e-cigarette flavors that included the word "ice" or "iced" in the name. Using logistic regression, data from the 2023 NYTS were used to examine differences in sociodemographic characteristics and tobacco use behaviors by ice flavor use among students who currently used e-cigarettes (n = 1,565).
Among middle and high school students who currently used e-cigarettes, an estimated 1.1 million or 57.9% reported ice flavor use. Youth who currently used e-cigarettes were more likely to use ice flavors if they used e-cigarettes on ≥20 of the past 30 days compared to 1-5 days (adjusted odds ratio [aOR] = 2.31, 95% confidence interval [CI] = 1.36 to 3.94); used fruit (aOR = 2.27, 95% CI = 1.36 to 3.80), candy (aOR = 2.73, 95% CI = 1.54 to 4.82), or mint flavors (aOR = 3.63, 95% CI = 1.98 to 6.65) compared to those who did not use the respective flavor type; reported any nicotine dependence compared to those who did not (aOR = 1.71, 95% CI = 1.04 to 2.80); or had mild/moderate (aOR = 1.97, 95% CI = 1.01 to 3.83) or severe psychological distress (aOR = 2.41, 95% CI = 1.25 to 4.62) compared to those without psychological distress.
The present study found that ice-flavored e-cigarette use among youth was associated with the use of e-cigarettes for ≥20 days, the use of fruit, candy, or mint flavors, any symptoms of nicotine dependence, and psychological distress (mild/moderate, severe). The emergence of novel flavor categories and features of e-cigarettes warrant continued surveillance to provide an understanding of associated use patterns, especially among youth.
This study examined ice flavor use and its correlates among middle and high school students who currently use e-cigarettes. Ice-flavored e-cigarette use among youth was positively associated with frequent e-cigarette use, use of fruit, candy, or mint flavors, and any symptoms of nicotine dependence. Additionally, the likelihood of ice-flavored e-cigarette use was associated with the severity of psychological distress.
研究目前（过去30天内的任何时间）使用电子烟的中学生和高中生中冰味电子烟的使用情况及其相关因素。
2023年全国青少年烟草调查（NYTS）首次评估了名称中包含“冰”或“冰的”字样的电子烟口味的使用情况。使用逻辑回归分析，2023年NYTS的数据被用于研究目前使用电子烟的学生（n = 1565）中，按冰味电子烟使用情况划分的社会人口学特征和烟草使用行为的差异。
在目前使用电子烟的中学生和高中生中，估计有110万或57.9%的人报告使用过冰味电子烟。与过去30天内使用电子烟1 - 5天的青少年相比，如果在过去30天内≥20天使用电子烟，目前使用电子烟的青少年更有可能使用冰味电子烟（调整后的优势比[aOR]=2.31，95%置信区间[CI]=1.36至3.94）；与未使用相应口味类型的青少年相比，使用水果味（aOR = 2.27，95% CI = 1.36至3.80）、糖果味（aOR = 2.73，95% CI = 1.54至4.82）或薄荷味（aOR = 3.63，95% CI = 1.98至6.65）的青少年更有可能使用冰味电子烟；与未报告任何尼古丁依赖的青少年相比，报告有尼古丁依赖的青少年更有可能使用冰味电子烟（aOR = 1.71，95% CI = 1.04至2.80）；与没有心理困扰的青少年相比，有轻度/中度（aOR = 1.97，95% CI = 1.01至3.83）或重度心理困扰（aOR = 2.41，95% CI = 1.25至4.62）的青少年更有可能使用冰味电子烟。
本研究发现，青少年使用冰味电子烟与过去≥20天使用电子烟、使用水果味、糖果味或薄荷味、任何尼古丁依赖症状以及心理困扰（轻度/中度、重度）有关。新型电子烟口味类别和特征的出现需要持续监测，以了解相关的使用模式，尤其是在青少年中。
本研究调查了目前使用电子烟的中学生和高中生中冰味电子烟的使用情况及其相关因素。青少年使用冰味电子烟与频繁使用电子烟、使用水果味、糖果味或薄荷味以及任何尼古丁依赖症状呈正相关。此外，使用冰味电子烟的可能性与心理困扰的严重程度有关。
