Centering equity in flavored tobacco ban policies: Implications for tobacco control researchers

Rose, Shyanika W.; Ickes, Melinda J.; Patel, Minal; Rayens, Mary Kay; Venne, Judy van de; Annabathula, Arati; Schillo, Barbara

doi:10.1016/j.ypmed.2022.107173

Cited by 9 publications

(12 citation statements)

References 45 publications

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“…These amendments have the potential to improve health and reduce health disparities. 3 While the FDA has proposed a rule this year to remove menthol cigarettes and all flavored cigars from the market, these rules could take several years to implement. 18 These proposed federal regulations also do not currently include several flavored products (eg, hookah, SLT, and e-cigarettes).…”

Section: Discussionmentioning

confidence: 99%

“…Comprehensive FTP sales restrictions and amendments could have particularly impactful outcomes when passed at the state level, where greater population coverage can be achieved, and when applied to populations most targeted by the tobacco industry including youth, Black individuals, low-income individuals, and jurisdictions in the South and the Midwest. 3,27 Although our analysis has many strengths, there are limitations. First, our database did not examine provisions related to policy enforcement within the FTP sales restriction law text.…”

Section: Discussionmentioning

confidence: 99%

“…Flavored tobacco products (FTPs) significantly contribute to youth tobacco use and tobacco use disparities, and tobacco companies have mobilized considerable resources marketing flavored products to youth, minorities, and women 1–3. Despite the growing influence and appeal of flavored products,4 the Food and Drug Administration (FDA) has been slow to enact flavored tobacco regulations—often leaving regulatory gaps by exempting specific flavors and/or products.…”

mentioning

confidence: 99%

“…[12][13][14][15][16] Conversely, noncomprehensive policies are less impactful-as the industry may exploit policy gaps and as products often left on the market by such gaps are used disproportionately by marginalized and socially disadvantaged groups. 3,13,14,16 Overall comprehensiveness of flavor policies has increased significantly over time, 8 and many FTP sales restrictions have been amended since first enacted. However, little is known about the nature of these amendments.…”

mentioning

confidence: 99%

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Examining the Comprehensiveness of Amended Flavored Tobacco Product Sales Restrictions

Donovan

Azadi

Akbar

et al. 2023

Journal of Public Health Management and Practice

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Context: Flavored tobacco products contribute significantly to youth tobacco initiation and tobacco use disparities. In the last decade, 362 jurisdictions have enacted policies restricting the sale of flavored tobacco products; however, many policies are not fully comprehensive due to menthol and adult-only retailer exemptions. Although several of these restrictions have been amended since their original passage, to date, little is known about how amendments have affected policy comprehensiveness. Objective: To describe how amendments to flavored tobacco product sales restrictions affect policy comprehensiveness. Design: We identified flavored tobacco product sales restrictions that had been amended at least once using an internal database of US state and local flavored tobacco product sales restrictions. To characterize policy comprehensiveness, we applied a 6-level flavored tobacco policy classification scheme—level 6 being most comprehensive—to amended restrictions. We conducted a descriptive analysis of each initial policy and its most recent amendment to identify changes in retailer, product, and flavor inclusions, as well as overall comprehensiveness. Main Outcome Measure(s): Comprehensiveness of amended flavored tobacco product sales restrictions. Results: As of March 31, 2022, no states and 50 localities had amended their flavored tobacco product sales restriction. Amendments largely increased policy comprehensiveness; most laws prior to amendment were categorized as level 1 (n = 28, 56.0%), while after amendment, the plurality were categorized as level 6 (n = 25, 50.0%). Most commonly, amendments removed menthol exemptions (n ≥ 30, 60.0%) and adult-only retailer exemptions (n = 12, 24.0%). Conclusions: Several local flavored tobacco product sales restrictions have been amended. Nearly all amendments increased policy comprehensiveness, primarily by removing exemptions for menthol products and exemptions for adult-only retailers. While policy advocates remain focused on passing comprehensive policies at initial passage, amendments have served as a tool to strengthen existing sales restrictions. This study along with ongoing flavored tobacco product sales restriction surveillance can inform policy advocacy and evaluation efforts.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Examining the Comprehensiveness of Amended Flavored Tobacco Product Sales Restrictions

Donovan

Azadi

Akbar

et al. 2023

Journal of Public Health Management and Practice

View full text Add to dashboard Cite

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“…Indeed, flavour bans are associated with reduced adolescent and young adult use of the restricted flavoured products 9. In addition, given the disproportionate use of flavoured tobacco—especially menthol cigarettes—among historically marginalised populations, bans on menthol and other flavours in combustible tobacco products have the potential to promote health equity 10–13…”

mentioning

confidence: 99%