Modifications to Electronic Nicotine Delivery Systems: Content Analysis of YouTube Videos.
ENDS modifications
YouTube
coils
e-liquid
vaping
Journal
Journal of medical Internet research
ISSN: 1438-8871
Titre abrégé: J Med Internet Res
Pays: Canada
ID NLM: 100959882
Informations de publication
Date de publication:
02 06 2020
02 06 2020
Historique:
received:
21
11
2019
accepted:
26
02
2020
revised:
25
02
2020
pubmed:
30
4
2020
medline:
17
12
2020
entrez:
30
4
2020
Statut:
epublish
Résumé
As user modification can alter the addictiveness and toxicity of electronic nicotine delivery systems (ENDS), more research is needed to understand the types, motivations, risks, and information sources that lead to these product alterations. YouTube has been identified as a major platform where ENDS users obtain and share information about ENDS products and modifications. However, a comprehensive study of ENDS modification videos on YouTube is lacking. This study aimed to analyze the content of YouTube videos depicting modifications of ENDS. YouTube was searched in March 2019 to identify videos depicting ENDS modifications. Search terms were derived from interviews with ENDS users and current literature. We used 28 search phrases that combined the words vape and vaping with modification-related key terms (eg, custom build, modification, and dripping). The final sample included 168 videos. Videos were 1 to 108 min long (median 9.55). Presenters were largely male (117/168, 69.6%), white (94/168, 56.0%), and older than 25 years (94/168, 56.0%). Most videos gave how to instructions (148/168, 88.1%), but few offered warnings (30/168, 17.9%) or mentioned commercial alternatives to modifications they presented (16/168, 9.5%). The ENDS devices most often featured were drippers (63/168, 37.5%) and refillable tanks (37/168, 22.0%). The most often modified ENDS components were coils (82/168, 48.8%) and e-liquids (34/168, 20.2%), which included adding other substances, such as cannabis, to the e-liquids (6/168, 3.6%). Most videos portrayed ENDS modifications positively (106/168, 63.1% positive; 60/168, 35.7% neutral; and 2/168, 1.2% negative) and were either neutral or positive in their overall portrayal of ENDS devices (78/168, 46.4% positive; 89/168, 53.0% neutral; and 1/168, 0.6% negative). This study identified several concerning trends in popular YouTube videos on ENDS modifications, including lack of warnings, the addition of marijuana derivatives to e-liquids, and the positive portrayal of ENDS devices and modifications. By identifying the types of modifications (coil and e-liquid being the most prevalent), this study sets an agenda for research on the effects of modifications.
Sections du résumé
BACKGROUND
As user modification can alter the addictiveness and toxicity of electronic nicotine delivery systems (ENDS), more research is needed to understand the types, motivations, risks, and information sources that lead to these product alterations. YouTube has been identified as a major platform where ENDS users obtain and share information about ENDS products and modifications. However, a comprehensive study of ENDS modification videos on YouTube is lacking.
OBJECTIVE
This study aimed to analyze the content of YouTube videos depicting modifications of ENDS.
METHODS
YouTube was searched in March 2019 to identify videos depicting ENDS modifications. Search terms were derived from interviews with ENDS users and current literature. We used 28 search phrases that combined the words vape and vaping with modification-related key terms (eg, custom build, modification, and dripping). The final sample included 168 videos.
RESULTS
Videos were 1 to 108 min long (median 9.55). Presenters were largely male (117/168, 69.6%), white (94/168, 56.0%), and older than 25 years (94/168, 56.0%). Most videos gave how to instructions (148/168, 88.1%), but few offered warnings (30/168, 17.9%) or mentioned commercial alternatives to modifications they presented (16/168, 9.5%). The ENDS devices most often featured were drippers (63/168, 37.5%) and refillable tanks (37/168, 22.0%). The most often modified ENDS components were coils (82/168, 48.8%) and e-liquids (34/168, 20.2%), which included adding other substances, such as cannabis, to the e-liquids (6/168, 3.6%). Most videos portrayed ENDS modifications positively (106/168, 63.1% positive; 60/168, 35.7% neutral; and 2/168, 1.2% negative) and were either neutral or positive in their overall portrayal of ENDS devices (78/168, 46.4% positive; 89/168, 53.0% neutral; and 1/168, 0.6% negative).
CONCLUSIONS
This study identified several concerning trends in popular YouTube videos on ENDS modifications, including lack of warnings, the addition of marijuana derivatives to e-liquids, and the positive portrayal of ENDS devices and modifications. By identifying the types of modifications (coil and e-liquid being the most prevalent), this study sets an agenda for research on the effects of modifications.
Identifiants
pubmed: 32348288
pii: v22i6e17104
doi: 10.2196/17104
pmc: PMC7298628
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
e17104Subventions
Organisme : NIDA NIH HHS
ID : R01 DA047397
Pays : United States
Informations de copyright
©Zachary B Massey, Yachao Li, Jessica Holli, Victoria Churchill, Bo Yang, Katherine Henderson, David L Ashley, Jidong Huang, Lucy Popova. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 02.06.2020.
Références
Int J Environ Res Public Health. 2020 Feb 02;17(3):
pubmed: 32024230
Nicotine Tob Res. 2015 Oct;17(10):1195-202
pubmed: 25381306
Environ Health Perspect. 2018 Feb 21;126(2):027010
pubmed: 29467105
Burns. 2016 Jun;42(4):e42-6
pubmed: 27118069
MMWR Morb Mortal Wkly Rep. 2019 Oct 04;68(39):860-864
pubmed: 31581168
Tob Control. 2018 Jul;27(4):480-482
pubmed: 28735274
Cochrane Database Syst Rev. 2017 Nov 21;11:CD004704
pubmed: 29159862
Nicotine Tob Res. 2012 Jan;14(1):116-21
pubmed: 21705460
J Med Internet Res. 2019 Jun 18;21(6):e12709
pubmed: 31215510
Nicotine Tob Res. 2016 Apr;18(4):453-9
pubmed: 25863521
J Med Internet Res. 2019 Feb 05;21(2):e11953
pubmed: 30720440
Pediatrics. 2010 Apr;125(4):619-26
pubmed: 20231181
Tob Control. 2014 May;23 Suppl 2:ii4-10
pubmed: 24732162
Nicotine Tob Res. 2014 Oct;16(10):1319-26
pubmed: 24832759
Environ Sci Technol. 2016 Sep 6;50(17):9644-51
pubmed: 27461870
J Med Internet Res. 2016 Mar 18;18(3):e67
pubmed: 26993213
Nicotine Tob Res. 2019 Sep 19;21(10):1378-1384
pubmed: 29961828
Tob Control. 2020 Jul;29(4):472-474
pubmed: 31147484
MMWR Morb Mortal Wkly Rep. 2019 Oct 25;68(42):953-956
pubmed: 31647788
BMC Public Health. 2014 Oct 03;14:1028
pubmed: 25277872
Nicotine Tob Res. 2019 Jan 1;21(1):14-24
pubmed: 29315420