Examining e-cigarette perspectives before and after the EVALI peak in cases.

Introduction: The use of e-cigarettes among youth and young adults has greatly increased, with national media outlets drawing attention to e-cigarette or vaping product use-associated lung injury (EVALI) hospitalizations.

Methods: U.S. adults completed an online survey where they were asked to describe their perceptions towards e-cigarettes. There were two surveys collected using separate samples, with one being before the peak of EVALI cases in Time 1: July 2019 (n = 521) and one collected after the peak of EVALI cases in Time 2: October 2019 (n = 536).

Results: Four themes emerged including describing e-cigarettes as appealing, unappealing, comparing them to other tobacco products, and generally having experience with e-cigarettes. Fewer participants described e-cigarettes as appealing in terms of smell, flavor, and taste in Time 2, after the peak of EVALI cases. Both samples described the harmful effects of using e-cigarettes, with a higher percent describing potential harms in Time 2. Participants in Time 2 less frequently described e-cigarettes as a good alternative to traditional cigarettes.

Conclusions: Perceptions towards e-cigarettes vary among adults who use or do not use e-cigarettes; however, this study reflected an increase in awareness of the harmful effects of using e-cigarettes after the peak of EVALI cases. Additionally, results suggest that there may have been a decrease in adults who found e-cigarettes appealing. Determining perceptions towards e-cigarettes, especially after growing awareness of the harmful effects of using e-cigarettes, is useful in informing future policies and public health campaigns.