# Measuring young adult appeal for menthol cigarettes using laboratory and intensivelongitudinal methods

> **NIH NIH R01** · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · 2020 · $428,354

## Abstract

7. PROJECT SUMMARY/ABSTRACT
This R01 proposal is responsive to priority research areas #2 (Addiction) and #4 (Behavior) within RFA-OD-17-
013 and seeks to address several limitations in the research on menthol smoking. Although the FDA banned
characterizing flavors in cigarettes, menthol cigarettes are still available to consumers. Experimentation with menthol
cigarettes has been linked to progression to regular smoking and nicotine dependence in youth and young adults (YAs,
defined here as ages 18-24)1-5, a vulnerable group of tobacco users. A key unanswered question is whether menthol
increases the appealing and reinforcing properties of cigarette smoking6-8, which may facilitate progression to regular
smoking and addiction among newer users. The subjective appeal and reinforcing effects of smoking are important
indicators of the neurobiological systems that underlie smoking addiction and abuse liability,9 and have been shown to
motivate subsequent smoking. Only a handful of controlled investigations have examined the differential appealing and
reinforcing effects of smoking menthol and non-menthol cigarettes,10-12 but most have methodological limitations13,14,
including small sample sizes and omission of YA smokers.12-18 These studies also do not measure, with a sufficient level
of accuracy, degree of sequencing, and timing that is needed to address the context-dependent fluctuations in menthol-
related appeal and reinforcement in real time.19 We will recruit menthol (n = 150) and non-menthol (n = 150) YA smokers
who initiated smoking in the past 6-months, and measure appeal/reinforcement for menthol and non-menthol cigarettes
and the impact of appeal/reinforcement on changes in smoking (progression, nicotine dependence, and cigarette harm
perceptions) at a 6-month follow-up. Appeal/reinforcement will be assessed via two complementary measurement
paradigms: one in the laboratory using a well-validated behavioral economic choice task20-22 and the other in the natural
environment using ecological momentary assessment (EMA). Laboratory studies provide a great deal of efficiency and
internal control, allowing for causal inference of acute subjective response to menthol smoking that cannot be captured
through subjective self-report; while EMA allows for similar causal sequencing of behavior, but in an ecologically valid
format in the smoker’s natural environment. It is hypothesized that, compared to non-menthol smokers, menthol
smokers will show greater appeal/reinforcement, both in the laboratory and via EMA, and will be more likely to show
progression to regular smoking, increases in nicotine dependence, and lower cigarette harm perceptions by a 6-month
follow-up. The association between menthol preference and smoking outcomes will be reduced or non-significant after
including measures of appeal/reinforcement in the model; suggesting that menthol’s appeal/reinforcement accounts for
smoking progression. This research will isolate the unique effect...

## Key facts

- **NIH application ID:** 9971508
- **Project number:** 5R01DA046359-03
- **Recipient organization:** UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR
- **Principal Investigator:** Amy M Cohn
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $428,354
- **Award type:** 5
- **Project period:** 2019-07-15 → 2023-01-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9971508

## Citation

> US National Institutes of Health, RePORTER application 9971508, Measuring young adult appeal for menthol cigarettes using laboratory and intensivelongitudinal methods (5R01DA046359-03). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/9971508. Licensed CC0.

---

*[NIH grants dataset](/datasets/nih-grants) · CC0 1.0*
