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Recommended self-report measures for use of menthol, mint and cooling-flavoured nicotine and tobacco products
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Journal Article
Recommended self-report measures for use of menthol, mint and cooling-flavoured nicotine and tobacco products
2025
Overview
Correspondence to Dr Jenny E Ozga; JennyOzga@westat.com Background Menthol tobacco products are associated with cooling sensations in the mouth or throat and the availability of fruit-flavoured or candy-flavoured nicotine products that have cooling properties (with menthone, peppermint or the synthetic coolant WS-23, eg) has grown internationally, particularly in electronic nicotine delivery systems (ENDS)1 2 and commercial oral nicotine products.3 In addition, non-menthol cigarettes with synthetic coolants4 5 and flavour capsule cigarettes6 7 are being sold in markets where flavoured cigarette sales are prohibited.8 Due to policies that include definitions of menthol that do not comprehensively capture additives that have similar properties or evoke similar sensory effects (eg, synthetic coolants and menthol analogues),9 introduction of these novel products and additives may allow tobacco companies to circumvent restrictions on menthol tobacco manufacturing and sales. [...]the group compiled existing self-report measures related to menthol, mint and cooling-flavoured nicotine and tobacco products from the PhenX Toolkit, population-level surveys, projects led by the US Tobacco Centers of Regulatory Science (TCORS) and published literature. Population-level surveys included the Population Assessment of Tobacco and Health (PATH) Study, the International Tobacco Control Survey (both adult and youth versions), the Behavioural Risk Factor Surveillance System, the National Youth Tobacco Survey, the National Health Interview Survey, the National Survey on Drug use and Health, the National Health and Nutrition Examination Survey and the Tobacco Use Supplement to the Current Population Survey. Q1: Tobacco-flavoured Menthol Mint, wintergreen, or spearmint Ice Fruit Fruit-mint or ice-fruit combinations (such as strawberry freeze or blueberry ice)† Clove or spice Chocolate An alcoholic drink (such as wine, cognac, margarita, or other cocktails) A non-alcoholic drink (such as coffee, soda, energy drinks or other beverages) Candy, desserts or other sweets Some other flavour (specify) Q2: Yes No Q1 left ‘as is’, though ‘fruit-mint or ice-fruit combinations’ is recommended as an additional response option given that it is unclear whether someone who uses fruit-cooling flavours would indicate that
