Compliance With FDA Nicotine Warning Statement Provisions in E-liquid Promotion Posts on Instagram

摘要: INTRODUCTION Effective August 2018, the U.S. Food and Drug Administration (FDA) required that nicotine addiction warnings be placed on ads for containing e-liquids. As per FDA comments, this provision pertains to visual communicated via social media, raising questions about compliance within large e-liquid promotion community Instagram. AIMS AND METHODS This study examines use of promotional Instagram posts before after provisions took effect 10, 2018. Netlytic was used gather a sample 500 #eliquid #ejuice from: May 2017, October March September The 1500 prewarning 1000 postwarning were coded using content analysis. Changes in products marketing strategies also considered. Post volume tracked monthly between 2017 February 2020. RESULTS In period, warning statements absent all posts. Following compliant present 13.6% Among US-based posts, 36.4% warnings, with more common made by brands (52.3%) promoting e-liquids (40.0%). Promotional did not significantly change. share US users decreased 11%, although total post continued grow. CONCLUSIONS Many remained noncompliant effect. international limited impact FDA-mandated media environment. IMPLICATIONS Further guidance enforcement are needed ensure marketers platforms adhere current provisions, particularly individual who sponsored industry. inherently global span indicates importance shared approach regulations. work is assess viable