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The most recent survey showed that Puff Bars, which sells a variety of flavors, is the most popular brand among teens, with 26 percent of regular high school e-cigarette users reporting Puff as their “usual brand.” Other popular brands included Vuse (10.8 percent) and SMOK (9.6 percent), while only 5.7 percent said their usual brand was Juul.

This change reflects a loophole in federal regulations. While the flavors are allowed to be sold in disposable e-cigarettes, banning them in capsules, they are used in refillable cartridge-based devices sold by companies like Juul. The openness caused An increase in sales of disposable products and an increase in popularity among disposable brands, especially Puff Bars.

In 2021, about 53 percent of youth vaping most commonly used disposable cartridges, followed by refillable or prefilled cartridges with 28.7 percent. One year ago, those numbers were essentially flipped, with prefilled pods and cartridges ahead, and disposables a distant second.

The new tricks renewed calls to close loopholes and ban flavors for all devices, including disposables.

“Today’s survey results show the clear actions the FDA must take to end the youth e-cigarette epidemic for good: eliminate all flavored e-cigarettes, including menthol-flavored products,” said Campaign Chair Matthew L. Myers. Tobacco Free Kids is a nonprofit advocacy organization.

The CDC and FDA, which regulate e-cigarettes and tobacco products, stress that year-to-year comparisons are complex due to changes in data collection: In 2021, teens’ responses were collected entirely electronically through online surveys due to the pandemic. , whereas data had previously been conducted in class surveys.

Ms. Koval and other public health advocates argue that the change in methodology This meant that some teens were answering surveys at home – with their parents around – which may have resulted in them being less honest than in previous years.

But The data now has important implications for policy decisions ahead of the FDA. The agency is deciding which e-cigarette companies may be allowed to remain on the market after reviewing whether their products provide greater public benefit by helping smokers quit. harm, creating a new generation of nicotine addicts.