By JOHN REID BLACKWELL Richmond Times-Dispatch
While the public health community continues to debate the
pros and cons of electronic cigarettes, one Richmond-area e-cig company has
surveyed its customers to shed light on why they use the devices.
Avail Vapor LLC, a fast-growing Chesterfield County-based
retailer of e-cigs, said it conducted a two-week survey that drew 8,500
responses, about half of them its own customers.
James Xu, the co-founder and co-owner of Avail, said the
survey results shed light on some of the key questions about e-cigs in the ongoing
public health debate, such as whether the devices are a “gateway” to using
conventional tobacco products, and whether e-cig users — known as “vapers” —
typically use them exclusively or in combination with conventional tobacco
products.
Avail said 94 percent of the survey respondents already used
tobacco products before starting e-cigs, with the length of time they used
conventional products varying widely from less than one year to more than 30
years.
Only 5.8 percent of survey respondents said they started
using e-cigs without using traditional tobacco products first.
Almost 80 percent of the survey respondents said they
started using e-cigs as a way to quit using conventional tobacco products, and
85 percent said they did quit using conventional tobacco products, with 69
percent quitting within a month.
About 13 percent said they had reduced their consumption of
conventional products.
The company’s survey indicates that e-cigs are “not a
gateway to traditional smoking,” Xu said. “The data shows it is a one-way
street.”
“We don’t see much dual use,” of both e-cigs and
conventional products, he said.
Avail plans to submit the survey results to the U.S. Food
and Drug Administration, which is considering how it should regulate e-cigs and
may issue rules in June. The agency is planning a public meeting on June 1 and
June 2 to collect more information and “stimulate discussion among scientists
about electronic cigarettes.”
The FDA has published a list of about 50 questions that it
wants to have answered about e-cig use. Avail said it adapted its survey
questions from the FDA’s list.
“We decided we would like our customers to voice their
opinions,” said Maggie M. Gowen, director of communications for Avail, which
has 43 e-cig shops in the Southeast and is planning to open more stores. Avail
has seven stores in the Richmond area.
“We felt like it was important that we take some sample data
and present it to the FDA,” Xu said. “How they use it, or not, we have no
control over.”
The Avail survey was divided about evenly between
respondents from the company’s database of store customers, and other
respondents from social media sites where a link to the survey was posted.
Because the survey was limited to people over the age of 18,
it did not address questions about youth e-cig use — a major concern for the
FDA. Instead, the survey focused on why adults use the products.
In regulating e-cigs, the FDA has to consider not only how
the products might affect individual users, but what impact they might have on
the whole population, such as encouraging more nicotine use, for example.
E-cigs have been controversial in part because the nicotine
solutions that are used in the devices are sold with variety of added,
artificial flavorings, including sweet and fruity flavors. Critics of the
industry say that makes vaping more attractive to children and that flavors
should be restricted or banned.
The Avail survey indicates that flavors are important to
adult vapers. More than 70 percent said they consider it “very important” to have
a variety of flavors to choose from.
Xu said the survey also indicates that most e-cig users
gradually reduce nicotine consumption. Almost 76 percent said they started
vaping with higher levels of nicotine in their e-cig devices but cut back over
time. Only 2 percent said they increased nicotine intake.
Avail said the largest age group of people who responded to
the survey were ages 30 to 39 (28.8 percent), followed by ages 21 to 29 (27.9
percent). Less than 10 percent of those surveyed were 18 to 20.
E-cigs are still relatively new products, and the long-term
health effects and quit rates associated with them is unknown. More research
such as the Avail survey is needed, said Scott Ballin, an independent health
policy consultant who works on tobacco regulation issues.
“Things are changing so rapidly these days,” he said. “No
one anticipated this explosion of e-cigarettes. It was a fad for a while and
now all of sudden the market is being flooded with them.”
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