INTRODUCTION We examined awareness and perceptions of the US Food and Drug Administration (FDA) JUUL marketing denial order (MDO) that occurred in June 2022 among a nationally representative sample of US adolescents. AIMS AND METHODS Data were collected in August 2022 via an online survey (n = 1603). Adolescents were asked whether they had heard about the JUUL MDO, and, if yes, where they heard the news. Those who had heard were asked about the MDO's impact on their harm beliefs about JUUL and vape products in general. We examined correlates of awareness of the MDO and of increased JUUL and vape harm perceptions. RESULTS Twenty-seven percent of adolescents had heard about the MDO. Older adolescents (adjusted odds ratio [aOR] = 1.13) and LGBTQ+ adolescents (aOR = 2.05) had significantly higher odds of having heard the news, while those who identified as Black or African American had significantly lower odds of having heard (aOR = 0.56). Most participants who were aware of the MDO indicated that they had higher harm perceptions about JUUL itself (77.9%) and vapes in general (79.6%). Youths susceptible to vaping and current users were less likely to report increased harm perceptions about JUUL (B = -0.34 and -0.46, respectively) and vapes in general (B = -0.27 and -0.43) compared with youth not susceptible to vaping. CONCLUSIONS The results of this nationally representative survey demonstrate that over one-quarter of US youth heard about the JUUL MDO and the vast majority of those indicated increased harm perceptions about vapes. Large-scale news events about vaping can reach youth audiences and may impact what youth think about the harms of vaping. IMPLICATIONS Analysis of a nationally representative survey of adolescents aged 13-17 revealed that more than 25% had heard about the marketing denial order issued to JUUL Labs by the FDA in June of 2022. We also found that the vast majority of adolescents reported increased JUUL and vape harm perceptions in response to hearing about the MDO. This indicates that news coverage about vaping-including coverage of regulatory actions-can reach and potentially impact adolescents. It is therefore important to monitor news coverage about vaping, how it is framed and discussed across media platforms, and its reach among priority populations.

中文翻译：

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对美国食品和药物管理局 JUUL 营销拒绝令的认识和看法：对美国青少年的一项全国研究。


简介 我们调查了具有全国代表性的美国青少年样本对 2022 年 6 月发生的美国食品和药物管理局 (FDA) JUUL 营销拒绝令 (MDO) 的认识和看法。目标和方法 数据于 2022 年 8 月通过在线调查收集（n = 1603）。青少年被问及是否听说过 JUUL MDO，如果听说过，他们是在哪里听到这个消息的。那些听说过的人被问及 MDO 对他们对 JUUL 和电子烟产品的总体危害信念的影响。我们研究了 MDO 意识与 JUUL 和电子烟危害认知增加的相关性。结果 27% 的青少年听说过 MDO。年龄较大的青少年（调整后的比值比 [aOR] = 1.13）和 LGBTQ+ 青少年（aOR = 2.05）听到这个消息的几率明显更高，而那些被认定为黑人或非裔美国人的人听到这个消息的几率明显较低（aOR = 0.56） ）。大多数了解 MDO 的参与者表示，他们对 JUUL 本身（77.9%）和一般电子烟（79.6%）有更高的危害认知。与不易吸电子烟的青少年相比，易吸电子烟的青少年和当前使用者不太可能报告对 JUUL（分别为 B = -0.34 和 -0.46）和电子烟（B = -0.27 和 -0.43）的伤害认知增加。结论 这项具有全国代表性的调查结果表明，超过四分之一的美国年轻人听说过 JUUL MDO，其中绝大多数人表示对电子烟的危害认知有所增加。有关电子烟的大型新闻事件可以吸引青年受众，并可能影响年轻人对电子烟危害的看法。 对 13-17 岁青少年进行的一项全国代表性调查的分析显示，超过 25% 的人听说过 FDA 于 2022 年 6 月向 JUUL 实验室发出的营销拒绝令。我们还发现，绝大多数青少年报告 JUUL 增加以及听到 MDO 后对电子烟危害的看法。这表明有关电子烟的新闻报道（包括监管行动的报道）可以触及并潜在影响青少年。因此，监控有关电子烟的新闻报道、跨媒体平台的框架和讨论方式以及其在重点人群中的影响范围非常重要。