{"doi":"10.1093/ntr/ntac284","title":"Trends in US E-cigarette Sales and Prices by Nicotine Strength, Overall and by Product and Flavor Type, 2017–2022","abstract":"<jats:title>Abstract</jats:title><jats:sec><jats:title>Introduction</jats:title><jats:p>The e-cigarette market has expanded considerably in recent years, resulting in changes in availability and use of e-cigarettes with varying characteristics.</jats:p></jats:sec><jats:sec><jats:title>Aims and Methods</jats:title><jats:p>This study assessed trends in sales and prices of e-cigarettes by nicotine strength level, including by product type and flavor, during January 2017–March 2022. US e-cigarette retail sales data were licensed from IRI company. Nicotine strength was categorized as: &amp;lt;1%; 1% to &amp;lt;2%; 2% to &amp;lt;3%; 3% to &amp;lt;4%; 4% to &amp;lt;5%; ≥5%. E-cigarette flavors were categorized as tobacco, menthol, mint, or other flavors. Product type was categorized as prefilled cartridge devices, disposable devices, or e-liquid bottles. Trend analyses were performed using Joinpoint Regression.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>During January 2017–March 2022, the unit share of products containing ≥5% nicotine strength increased by 1486.3%, while the dollar share increased by 1345.5%. By March 2022, 80.9% of total unit sales were composed of products containing ≥5% nicotine strength. By flavor, the percentage of units sold with ≥5% nicotine strength was 61.3% of tobacco-flavor sales, 79.3% of menthol sales, 87.4% of mint sales, and 96.1% of other flavor sales. By product type, the percentage of units sold with ≥5% nicotine strength was 90.6% of disposable e-cigarette sales and 74.2% of prefilled cartridge sales. During January 2017–March 2022, the price of low-nicotine strength e-cigarettes increased, while the price of high-nicotine products either decreased or did not change.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Sales of high nicotine-strength e-cigarettes have dominated the US e-cigarette market. Limiting the nicotine strength of e-cigarettes could be considered as part of a comprehensive tobacco control strategy to reduce youth access to and use of these products.</jats:p></jats:sec><jats:sec><jats:title>Implications</jats:title><jats:p>The findings from this study indicate that previously reported increases in e-cigarette nicotine strength during 2013–2018 have continued through 2022. The US e-cigarette market sales continue to be dominated by relatively high-nicotine products. Strategies to address factors that make these products, particularly appealing to youth, including flavors and product innovations, are critical. Such strategies are important—as part of a comprehensive approach alongside other evidence-based population-level actions—to address youth e-cigarette use. Importantly, actions to reduce e-cigarette use among youth are not mutually exclusive from actions to maximize the potential benefits of e-cigarettes for increasing smoking cessation among adults.</jats:p></jats:sec>","journal":"Nicotine &amp; Tobacco Research","year":2023,"id":641298,"datarank":0.6394019815561974,"base_score":4.2626798770413155,"endowment":4.2626798770413155,"self_citation_contribution":0.6394019815561974,"citation_network_contribution":0.0,"self_endowment_contribution":0.6394019815561974,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":70,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1667258,"name":"Elizabeth L Seaman","orcid":null,"position":1,"is_corresponding":false},{"id":1427973,"name":"Elisha Crane","orcid":null,"position":2,"is_corresponding":false},{"id":737082,"name":"Barbara Schillo","orcid":"0000-0003-0847-2996","position":3,"is_corresponding":false},{"id":1667259,"name":"Brian A King","orcid":null,"position":4,"is_corresponding":false},{"id":339738,"name":"Fatma Romeh M. Ali","orcid":"0000-0001-5017-1869","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Trends in US E-cigarette Sales and Prices by Nicotine Strength, Overall and by Product and Flavor Type, 2017–2022","abstract":"<jats:title>Abstract</jats:title><jats:sec><jats:title>Introduction</jats:title><jats:p>The e-cigarette market has expanded considerably in recent years, resulting in changes in availability and use of e-cigarettes with varying characteristics.</jats:p></jats:sec><jats:sec><jats:title>Aims and Methods</jats:title><jats:p>This study assessed trends in sales and prices of e-cigarettes by nicotine strength level, including by product type and flavor, during January 2017–March 2022. US e-cigarette retail sales data were licensed from IRI company. Nicotine strength was categorized as: &amp;lt;1%; 1% to &amp;lt;2%; 2% to &amp;lt;3%; 3% to &amp;lt;4%; 4% to &amp;lt;5%; ≥5%. E-cigarette flavors were categorized as tobacco, menthol, mint, or other flavors. Product type was categorized as prefilled cartridge devices, disposable devices, or e-liquid bottles. Trend analyses were performed using Joinpoint Regression.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>During January 2017–March 2022, the unit share of products containing ≥5% nicotine strength increased by 1486.3%, while the dollar share increased by 1345.5%. By March 2022, 80.9% of total unit sales were composed of products containing ≥5% nicotine strength. By flavor, the percentage of units sold with ≥5% nicotine strength was 61.3% of tobacco-flavor sales, 79.3% of menthol sales, 87.4% of mint sales, and 96.1% of other flavor sales. By product type, the percentage of units sold with ≥5% nicotine strength was 90.6% of disposable e-cigarette sales and 74.2% of prefilled cartridge sales. During January 2017–March 2022, the price of low-nicotine strength e-cigarettes increased, while the price of high-nicotine products either decreased or did not change.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Sales of high nicotine-strength e-cigarettes have dominated the US e-cigarette market. Limiting the nicotine strength of e-cigarettes could be considered as part of a comprehensive tobacco control strategy to reduce youth access to and use of these products.</jats:p></jats:sec><jats:sec><jats:title>Implications</jats:title><jats:p>The findings from this study indicate that previously reported increases in e-cigarette nicotine strength during 2013–2018 have continued through 2022. The US e-cigarette market sales continue to be dominated by relatively high-nicotine products. Strategies to address factors that make these products, particularly appealing to youth, including flavors and product innovations, are critical. Such strategies are important—as part of a comprehensive approach alongside other evidence-based population-level actions—to address youth e-cigarette use. Importantly, actions to reduce e-cigarette use among youth are not mutually exclusive from actions to maximize the potential benefits of e-cigarettes for increasing smoking cessation among adults.</jats:p></jats:sec>","is_dataset_classified":null,"base_score":0.0,"endowment":0.0,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"36580384","pmcid":"PMC10077931","openalex_id":null,"authors":[],"funders":[{"funder_name":"Bloomberg Philanthropies","grant_id":"","title":null}],"total_grants":1,"fwci":null,"citation_percentile":null,"influential_citations":0,"citation_trend":[],"oa_status":"hybrid","license":"cc-by-nc","oa_locations":[{"url":"https://academic.oup.com/ntr/advance-article-pdf/doi/10.1093/ntr/ntac284/48445173/ntac284.pdf","host_type":"publisher"},{"url":"https://academic.oup.com/ntr/article-pdf/25/5/1052/49783995/ntac284.pdf","host_type":"publisher"},{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10077931/pdf/ntac284.pdf","host_type":"repository"},{"url":"https://europepmc.org/articles/PMC10077931","host_type":"Europe_PMC"},{"url":"https://europepmc.org/articles/PMC10077931?pdf=render","host_type":"Europe_PMC"}],"fields_of_study":[],"mesh_terms":["Humans","Menthol","Nicotine","Flavoring Agents","Smoking","Adolescent","Adult","Tobacco Products","Electronic Nicotine Delivery Systems"],"keywords":[],"sdg_mappings":[],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-07T17:08:41.490942Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}