Nationally, adult e-cigarette use prevalence was 7.7%.1 In 2022, 4.4% used smokeless tobacco everyday or some days
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[75] : p.9 Common marketing messages on brand websites, claiming that e-cigarettes are safe and healthy, have been described as "concerning"
Scott Gottlieb, said in 2018.[94] E-liquids have been sold in packaging that looks similar to Tree Top-brand juice boxes, Reddi-wip whipped cream, and Sour Patch Kids gummy candy.[95] The US FDA announced on August 23, 2018 that all 17 manufacturers, distributors and retailers that were warned by the agency in May, have stopped selling the nicotine-containing e-liquids used in e-cigarettes with labeling or advertising resembling kid-friendly food products, such as juice boxes, candy or cookies that were identified through warning letters as being false or misleading.[96] Following the warning letters in May, the FDA worked to ensure the companies took appropriate corrective action such as no longer selling the products with the misleading labeling or advertising and issued close-out letters to the firms
The brand is also commonly used at family gatherings and ancestral ceremonies
