Responses of African American Individuals Who Use Menthol Cigarettes to Potential Flavored Tobacco Bans

White, Augustus M; Goden, Akira B; Rudy, Alyssa K; Bajwa, Harlean K; Guy, Mignonne C.; Hood, Kristina B.; Cobb, Caroline O.; Barnes, Andrew J.

doi:10.1016/j.amepre.2022.12.005

Cited by 4 publications

(1 citation statement)

References 15 publications

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“…Recent surveys assessed potential responses to a comprehensive ban on all flavored combustible tobacco products (ban on both menthol cigarettes and flavored cigars). 20 , 21 Although the FDA has proposed to ban menthol cigarettes and flavored cigars, these are being pursued as two separate product standards. Litigation could mean that only one of these product standards survives legal challenges, or more optimistically, that one would be implemented earlier than another.…”

Section: Introductionmentioning

confidence: 99%

Responses to Real-World and Hypothetical Menthol Flavor Bans Among US Young Adults Who Smoke Menthol Cigarettes

Tam,

Jimenez-Mendoza,

Buckell

et al. 2023

Nicotine and Tobacco Research

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Introduction Menthol cigarette bans have been implemented in some US states and localities, and a federal ban is being proposed by the FDA. This study asks how young adults who use menthol cigarettes respond to changes in menthol cigarette availability. Methods An online survey of young adults ages 18-34 who reported smoking menthol cigarettes on ≥7 of 30 days around Thanksgiving 2019 (n=734), oversampling Massachusetts—the first state with a menthol ban. Participants reported their tobacco use behavior following real-world menthol cigarette bans or predicted their behavior under a hypothetical federal ban. Results Most respondents who exclusively smoked vs. dual used with e-cigarettes continued smoking/using combustible tobacco following real-world bans (95.3% vs. 86.9%), accessing menthol cigarettes from other jurisdictions. Fewer who smoked exclusively responded by using e-cigarettes compared to those who dual used (3.9% vs. 43.7%). Quitting all tobacco use (i.e. no smoking, vaping, or any tobacco use) was uncommon for both groups (3.6% vs. 9.0%). Under a hypothetical ban, majorities of those who exclusively smoke and who dual use predicted they would continue smoking (72.2% vs. 71.8%); fewer who smoke exclusively would use e-cigarettes compared to those who dual use (14.7% vs. 41.4%). Those who smoke exclusively were more likely to report quitting all tobacco compared to those who dual use (29.6% vs. 12.4%). Conclusions Under real-world and hypothetical menthol cigarette bans, most respondents continued smoking. However more young adults continued smoking following real-world bans, reflecting the limitations of local/state restrictions when menthol cigarettes are available in other jurisdictions. IMPLICATIONS This survey asked young adults who use menthol cigarettes how they responded to real-world changes in the availability of menthol cigarettes; 89% reported continuing to smoke. Those who smoked exclusively were far less likely to respond by switching to e-cigarettes compared to people who dual used both products. Under a hypothetical federal menthol cigarette ban, 72% of young adults predicted that they would continue smoking. Quitting all tobacco was less common in the real-world scenario compared to the hypothetical ban. Access to menthol cigarettes in other jurisdictions and flavored cigars likely dampen the public health benefit of menthol cigarette bans.

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Section: Introductionmentioning

confidence: 99%

Responses to Real-World and Hypothetical Menthol Flavor Bans Among US Young Adults Who Smoke Menthol Cigarettes

Tam,

Jimenez-Mendoza,

Buckell

et al. 2023

Nicotine and Tobacco Research

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Menthol versus tobacco e-liquid flavor: Impact on acute subjective effects, puff patterns, and intentions for use among Black and White menthol smokers

Leavens,

Lambart,

St.Helen

et al. 2024

Addictive Behaviors

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Association between cigarette sales in the USA and FDA’s announcement of its intention to prohibit menthol as a characterising flavour in cigarettes

Xue¹,

Okitondo²,

Asare³

et al. 2023

Tob Control

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IntroductionOn 29 April 2021, the US Food and Drug Administration (FDA) announced its intention to prohibit menthol as a characterising flavour in cigarettes.MethodsWe assessed the changes in cigarette sales associated with the FDA’s announcement using interrupted time series analysis based on monthly retail point-of-sale data on cigarettes from the NielsenIQ Local Trade Area (LTA) data from September 2019 to April 2022. Main outcome variables included LTA-level monthly menthol and non-menthol cigarette sales per 1000-persons.ResultsMonthly cigarette sales were declining before the FDA’s announcement (menthol vs non-menthol: −1.68 (95% CI −1.92, −1.45) vs −3.14 (95% CI −3.33, −2.96) packs per 1000-persons). Monthly menthol cigarette sales increased immediately in May 2021 after the FDA’s announcement by 6.44 packs per 1000-persons (95% CI 3.83, 9.05). Analysis stratified by LTA-level racial/ethnic compositions showed that LTAs with a relatively higher proportion of non-Hispanic Black population (>8.94%) experienced higher spike in menthol cigarette sales in May 2021 immediately after the announcement and higher post-announcement 12-month menthol cigarette sales than expected.ConclusionsAreas with a relatively higher proportion of non-Hispanic Black population are potentially at risk of experiencing increased burden of menthol cigarette consumption. Targeted community level cessation support in non-Hispanic Black majority areas may help mitigate the growing burden of menthol cigarette smoking and improve health equity. The findings of this study also suggest that FDA’s prompt finalisation and enforcement of such ban may help avoid extending the increased burden of menthol cigarette consumptions in non-Hispanic Black majority areas.

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Responses of African American Individuals Who Use Menthol Cigarettes to Potential Flavored Tobacco Bans

Cited by 4 publications

References 15 publications

Responses to Real-World and Hypothetical Menthol Flavor Bans Among US Young Adults Who Smoke Menthol Cigarettes

Responses to Real-World and Hypothetical Menthol Flavor Bans Among US Young Adults Who Smoke Menthol Cigarettes

Menthol versus tobacco e-liquid flavor: Impact on acute subjective effects, puff patterns, and intentions for use among Black and White menthol smokers

Association between cigarette sales in the USA and FDA’s announcement of its intention to prohibit menthol as a characterising flavour in cigarettes

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