Employee and customer handling of nicotine-containing e-liquids in vape shops
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University of Southern California, Los Angeles, USA
Submission date: 2016-02-09
Final revision date: 2016-10-18
Acceptance date: 2016-11-22
Publication date: 2017-01-20
Corresponding author
Robert Garcia   

University of Southern California, 2001 N Soto St, #312-17, 90032 Los Angeles, United States
Tob. Prev. Cessation 2016;2(Supplement):7
Vape shops sell electronic cigarettes and related products such as e-liquids, which may contain nicotine. Few regulations exist on how nicotine is handled in vape shops. This study examined how customers and employees come into contact with, and handle, nicotine-containing e-liquids in vape shops with the goal of informing future regulation of nicotine handling in vape shops.

Data were collected from 77 vape shops in the Los Angeles basin. Characteristics of the shops were documented by employee interviews and in-store observations. Data collection was focused on shops located in areas with high concentrations of communities of interest; 20 shops from African-American communities, 17 from Hispanic communities, 18 from Korean communities, and 22 from non-Hispanic White communities.

Half of the vape shops allowed customers to sample e-liquids with nicotine. Most of the shops (83%) provided self-service sampling stations for customers. A majority of shop employees (72%) reported that spills of e-liquids containing nicotine had occurred in the past. While 64% of the shops provided safety equipment, only 34% provided equipment for proper nicotine handling. 62% of shop employees reported handling nicotine without gloves or other safety equipment.

The frequent occurrence of spills and limited availability of safety equipment in vape shops highlights the need for the creation and enforcement of regulations to protect employees and customers. Appropriate safety training and equipment should be provided to employees to prevent accidental exposure to nicotine. Information on ways to safely handle nicotine should be communicated to vape shop employees and customers.

Sussman S, Baezconde-Garbanati L, Garcia R, et al. Commentary: Forces That Drive the Vape Shop Industry and Implications for the Health Professions. Eval Health Prof. 2015;E-publicat. doi:10.1177/0163278715586295.
Sussman S, Garcia R, Cruz TB, Baezconde-garbanati L, Pentz MA, Unger JB. Consumers’ perceptions of vape shops in Southern California: an analysis of online Yelp reviews. Tob Induc Dis. 2014. Available at: (accessed April 2015).
Pearson A. Local Strategies to Regulate Vape Shops & Lounges. Oakland, CA; 2014. Available at: http://www.changelabsolutions..... (accessed April 2015).
Allem J-P, Unger JB, Garcia R, Baezconde-Garbanati L, Sussman S. Tobacco Attitudes and Behaviors of Vape Shop Retailers in Los Angeles. Am J Health Behav. 2015;39(6):794-798. doi:10.5993/AJHB.39.6.7.
Bell K, Keane H. Nicotine control: E-cigarettes, smoking and addiction. Int J Drug Policy. 2012;23(3):242-247. doi:10.1016/j.drugpo.2012.01.006.
Richter P, Beistle D, Pederson L, O’Hegarty M. Small-group discussions on menthol cigarettes: listening to adult African American smokers in Atlanta, Georgia. Ethn Health. 2008;13(2):171-182. doi:10.1080/13557850701784694.
Goniewicz ML, Gupta R, Lee YH, et al. Nicotine levels in electronic cigarette refill solutions: A comparative analysis of products from the U.S., Korea, and Poland. Int J Drug Policy. 2015;26(6):583-588. doi:10.1016/j.drugpo.2015.01.020.
Kamerow D. The poisonous “juice” in e-cigarettes. BMJ. 2014;348(apr01_5):g2504. doi:10.1136/bmj.g2504.
Etter J-F, Zäther E, Svensson S. Analysis of refill liquids for electronic cigarettes. Addiction. 2013;108(9):1671-1679. doi:10.1111/add.12235.
Cervellin G, Luci M, Bellini C, Lippi G. Bad news about an old poison. A case of nicotine poisoning due to both ingestion and injection of the content of an electronic cigarette refill. Emerg Care J. 2013;9(2):18. doi:10.4081/ecj.2013.e18.
FAULKNER JM. NICOTINE POISONING BY ABSORPTION THROUGH THE SKIN. JAMA J Am Med Assoc. 1933;100(21):1664. doi:10.1001/jama.1933.02740210012005.
Basset RA, Osterhoudt K, Brabazon T. Nicotine Poisoning in an Infant [Correspondence to the Editor]. N Engl J Med. 2014;370(23):2249-2250. Available at: (accessed July 2015).
Chatham-Stehens K, Law R, Taylor E, et al. Notes from the Field: Calls to Poison Centers for Exposures to Electronic Cigarettes — United States, September 2010–February 2014. MMWR Morb Mortal Wkly Rep. 2014;63(13):292-293. Available at: (accessed August 2015).
Willis HW. Acute nicotine poisoning. J Pediatr. 1937;10(1):65-68. doi:10.1016/S0022-3476(37)80156-0.
Ballard T, Ehlers J, Freund E, Auslander M, Brandt V, Halperin W. Green Tobacco Sickness: Occupational Nicotine Poisoning in Tobacco Workers. Arch Environ Heal An Int J. 2010;50(5):384-389. doi:10.1080/00039896.1995.9935972.
Gehlbach SH, Williams WA, Freeman JI. Protective Clothing as a Means of Reducing Nicotine Absorption in Tobacco Harvesters. Arch Environ Heal An Int J. 1979;34(2):111-114. doi:10.1080/00039896.1979.10667379.
Mayer B. How much nicotine kills a human? Tracing back the generally accepted lethal dose to dubious self-experiments in the nineteenth century. Arch Toxicol. 2013;88(1):5-7. doi:10.1007/s00204-013-1127-0.
Arcury TA, Quandt SA. Living and working safely: challenges for migrant and seasonal farmworkers. N C Med J. 72(6):466-470. Available at: http://www.pubmedcentral.nih.g.... (accessed October 2015).
Richtel M. Selling a Poison by the Barrel: Liquid Nicotine for E-Cigarettes. The New York Times. Available at: Published March 23, 2014. (accessed October 2015).
American Legacy Foundation. Investigating Tobacco-Related Disparities. Available at: (accessed August 2015).
Cheney MK, Gowin M, Wann TF. Vapor Store Owner Beliefs and Messages to Customers. Nicotine Tob Res. 2015:ntv129. doi:10.1093/ntr/ntv129.
Chu K-H, Allem J-P, Cruz TB, Unger JB. Vaping on Instagram: cloud chasing, hand checks and product placement. Tob Control. 2016:tobaccocontrol-2016-053052. doi:10.1136/tobaccocontrol-2016-053052.
Henriksen L, Schleicher NC, Dauphinee AL, Fortmann SP. Targeted advertising, promotion, and price for menthol cigarettes in California high school neighborhoods. Nicotine Tob Res. 2012;14(1):116-121. doi:10.1093/ntr/ntr122.
Dauphinee AL, Doxey JR, Schleicher NC, Fortmann SP, Henriksen L. Racial differences in cigarette brand recognition and impact on youth smoking. BMC Public Health. 2013;13:170. doi:10.1186/1471-2458-13-170.
Yerger VB, Przewoznik J, Malone RE. Racialized geography, corporate activity, and health disparities: tobacco industry targeting of inner cities. J Health Care Poor Underserved. 2007;18(4 Suppl):10-38. doi:10.1353/hpu.2007.0120.
Widome R, Brock B, Klein EG, Forster JL. Smokeless tobacco advertising at the point of sale: prevalence, placement, and demographic correlates. Nicotine Tob Res. 2012;14(2):217-223. doi:10.1093/ntr/ntr188.
Widome R, Brock B, Noble P, Forster JL. The relationship of neighborhood demographic characteristics to point-of-sale tobacco advertising and marketing. Ethn Health. 2013;18(2):136-151. doi:10.1080/13557858.2012.701273.
Carr ER. E-Cigarettes: Facts, Perceptions, and Marketing Messages - ProQuest. Clin J Oncol Nurs. 2014;18(1):112-116. Available at: (accessed July 2015).
Cheney M, Gowin M, Wann TF. Marketing Practices of Vapor Store Owners. Am J Public Health. 2015:e1-e6. doi:10.2105/AJPH.2015.302610.
Cheney MK, Gowin M, Wann TF. Vapor Store Owner Beliefs about Electronic Cigarette Regulation. Tob Regul Sci. 2015;1(3):227-235. doi:10.18001/TRS.1.3.4.
Lee YO, Kim AE. “Vape shops” and “E-Cigarette lounges” open across the USA to promote ENDS. Tob Control. 2014:tobaccocontrol-2013-051437-. doi:10.1136/tobaccocontrol-2013-051437.
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