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Open AccessArticle

The Trend of Voluntary Warnings in Electronic Nicotine Delivery System Magazine Advertisements

by Ce Shang 1,* and Frank J. Chaloupka 1,2
1
Health Policy Center, Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, IL 60608, USA
2
Department of Economics, University of Illinois at Chicago, Chicago, IL 60608, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Mark Wolfson
Int. J. Environ. Res. Public Health 2017, 14(1), 62; https://doi.org/10.3390/ijerph14010062
Received: 30 October 2016 / Revised: 27 December 2016 / Accepted: 5 January 2017 / Published: 10 January 2017
(This article belongs to the Special Issue E-Cigarettes: Epidemiology, Policy and Public Health)
Some manufacturers of electronic nicotine delivery systems (ENDS) voluntarily carried health warnings in their advertisements. This study examined these voluntary warnings in magazine ads and plotted their trends between 2012 and early 2015. ENDS magazine ads were obtained through Kantar media and warnings were collected from the Chicago Public Library or the Trinkets and Trash surveillance system. The prevalence of voluntary warnings, warnings with the specific capitalized word “WARNING”, and MarkTen warnings were examined after being weighted using factors related to exposure between January 2012 and March 2015. Five brands (MarkTen, NJOY, MISTIC, and some Blu) carried warnings during the study period. The prevalence of warnings post 2012 that contained a description of nicotine did not significantly increase until the launch of MarkTen, which also happened several months before April 2014 when the U.S. food and drug administration (FDA) published its proposed deeming rule. In addition, none of these warnings met the criteria required by the FDA in the final rules. Voluntary warnings, particularly MarkTen warnings, significantly increased in ENDS magazine ads between 2014 and 2015. It is important to monitor how ENDS manufacturers will comply with the FDA regulation related to warnings and how this regulation will ultimately impact ENDS risk perceptions and use. View Full-Text
Keywords: ENDS warnings; marketing; magazine ads; FDA regulation ENDS warnings; marketing; magazine ads; FDA regulation
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Shang, C.; Chaloupka, F.J. The Trend of Voluntary Warnings in Electronic Nicotine Delivery System Magazine Advertisements. Int. J. Environ. Res. Public Health 2017, 14, 62.

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