Vaping liquid flavour preferences, oral nicotine pouch and cannabis use: A survey of participants in the 2019 Oceania Vape Expo [version 1; peer review: awaiting peer review]

Background: New Zealand and other countries have introduced or are considering various restrictions on the sale and use of vaping devices and liquids used in vaping and smokeless tobacco products. This research aimed to assess the likely reactions of individuals who vape to proposed restrictions in New Zealand. Methods: A vape expo, a social and commercial weekend convention, provides convenient access to individuals with a strong interest in and or experience in vaping. A street intercept approach was used to survey attendees at a vape expo for adults aged 18 and over in Auckland, New Zealand in December 2019. Results: This research suggests restricting the sale of liquid flavours may have negative unintended consequences. 57% of respondents indicated they would circumvent a ban on popular liquid flavours by mixing their own and/or buying liquids from overseas or the black market. Over a third (36%) would likely be restricted in their choice of a low-risk substitute for tobacco smoking if products such as snus and oral nicotine pouches were banned. A further 36% had heard of these options but were currently not using them. Other results are in the areas of smoking behaviour, cannabis use, and responses to cannabis legalisation. Conclusions: Various legislative or policy initiatives proposed to regulate vaping may have unanticipated negative consequences for public health. The negative impacts are likely to be disproportional for groups with higher smoking prevalence such as Indigenous peoples, rural communities, and lower socioeconomic groups.