Short-Term Impact of a Flavored Tobacco Restriction: Changes in Youth Tobacco Use in a Massachusetts Community

Kingsley, Melody; Setodji, Claude Messan; Pane, Joseph D.; Shadel, William G.; Song, Glory; Robertson, Jennifer; Kephart, Lindsay; Henley, Patricia; Ursprung, W. W. Sanouri A.

doi:10.1016/j.amepre.2019.07.024

Cited by 38 publications

(35 citation statements)

References 12 publications

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“…Local policies are important precursors to state and federal legislation and can be effective in reducing local availability of flavored products and use among young people. 53 -56 However, these menthol sales restrictions may not be currently feasible everywhere because of prohibitive state preemption rules, 57,58 which limit or eliminate the authority of the local governments to regulate tobacco sales and marketing beyond what the state allows. 59 Despite the limitations imposed by preemption, evidence suggests that public support for tobacco control policies was just as high or higher among residents who live in states where preemption is more likely than among residents who do not live in states with preemption.…”

Section: Discussionmentioning

confidence: 99%

National Support for a Menthol Cigarette Sales Ban

et al. 2020

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Objectives The US Food and Drug Administration (FDA) and local jurisdictions have different authorities to regulate menthol cigarettes, and a growing number of localities and the FDA are considering these policy options. The objective of this study was to update previous research on public support for a menthol ban, including examining differences in support by demographic factors, geographic region, and smoking status. Methods We assessed policy support among a cross-sectional sample of 2871 adults aged 18-64 from a nationally representative online panel. We calculated weighted estimates of support by demographic factors, political ideology, region (Northeast, Midwest, South, West), and smoking status (never, former, current nonmenthol, current menthol). We used weighted adjusted logistic regression analysis to examine correlates of support for a menthol ban. Results Overall, 56.4% (95% CI, 54.4%-58.3%) of participants supported a government policy to ban menthol cigarette sales. Support was significantly higher among women than among men (62.5% vs 50.1%; P < .001); among Hispanic/Latino (69.3%), non-Hispanic African American (60.5%), and non-Hispanic other (65.8%) people than among non-Hispanic White people (50.4%; P < .001); and among never (64.8%) and former (47.0%) smokers than among current nonmenthol cigarette smokers (30.1%; P < .001). A significant proportion (28.5%; P < .001) of current menthol cigarette smokers supported a ban. After controlling for other factors, geographic region was not significantly associated with support for a ban. Conclusions Efforts are needed to further increase support for a ban among current menthol cigarette smokers. These findings can be used to assist policy makers and communities in efforts to ban menthol cigarettes in their jurisdictions.

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Section: Discussionmentioning

confidence: 99%

National Support for a Menthol Cigarette Sales Ban

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“…These are summarized in Additional file 1: Table 1. Of the nine excluded studies, one study found that adolescents had a 37% lower odds of ever trying flavored tobacco products and a 28% lower odds of ever using tobacco products post ban [54], two studies found that sales of other tobacco products fell [55,56], and six considered compliance [57][58][59][60][61][62]. The studies of compliance indicated mixed levels of compliance, with flavor products still available in up to 50% of retailers that were not allowed to sell flavored tobacco and smaller stores often continuing to carry banned products with staff oblivious to the ban [58,[60][61][62].…”

Section: Discussionmentioning

confidence: 99%

“…The studies of compliance indicated mixed levels of compliance, with flavor products still available in up to 50% of retailers that were not allowed to sell flavored tobacco and smaller stores often continuing to carry banned products with staff oblivious to the ban [ 58 , 60 – 62 ]. However, compliance was found to increase over time following the ban [ 60 ] and was higher in areas where investments are made in the education of store owners and staff and when there was increased enforcement [ 59 ].…”

Section: Discussionmentioning

confidence: 99%

The actual and anticipated effects of a menthol cigarette ban: a scoping review

et al. 2020

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Background: The United States (US) Food and Drug Administration (FDA), under the 2009 Family Smoking Prevention and Tobacco Control Act, banned characterizing flavors in cigarettes; however, mentholated tobacco products were exempt. Since 2009, over 20 US jurisdictions and numerous countries around the world have extended this restriction to menthol. Currently, the FDA is reconsidering its position on a nationwide menthol cigarette ban. However, the effects of such a ban remain unclear. We conducted a scoping review to explore the impact of a menthol cigarette ban on individual behaviors (initiation, cessation, and product switching), sales, and compliance. Methods: We conducted a search of the international literature using PubMed, EBSCO, and Web of Science (to November 25, 2019). We retrieved articles relevant to the impacts of an implemented or hypothetical menthol ban. We also included studies of flavored tobacco product bans due to their potential relevance in gauging compliance and product substitutability. Results: The search identified 493 articles, of which 24 were included. Studies examined the effects of implemented menthol bans (n = 6), hypothetical menthol bans (n = 12) and implemented flavor bans that exclude menthol (n = 6). Menthol bans were found to reduce sales and increase smoking cessation with only partial substitution for non-menthol cigarettes. US smokers' reactions to a hypothetical ban indicate that about 25-64% would attempt to quit smoking and 11-46% would consider switching to other tobacco products, including 15-30% to e-cigarettes. Flavor ban studies indicate reductions in initiation of 6%. Ban compliance was high, but studies indicate that the tobacco industry and retailers have attempted to circumvent their impact via packaging changes and online sales. Conclusion: Our review finds that extending the US cigarette flavor ban to menthol products would promote smoking cessation and reduce initiation. This evidence supports further action by the FDA towards mentholated tobacco products. However, few studies have been conducted in the vaping era.

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“…Among current tobacco users, 80% of youth and 73% of adults 18-24 years use flavored products and 60% of specifically cite flavors as a reason for continued use. 19 Many teen and young adults are unaware these products contain nicotine. 20 Based on these findings, the United States government has engaged in several actions aimed at reducing youth electronic cigarette use, specifically targeting flavored products.…”

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confidence: 99%

“…[26][27][28][29][30][31][32][33][34] Preliminary data have shown prohibiting the sale of flavored vape products may be effective in reducing teen vaping. In comparing two local communities, Kingsley et al 35 demonstrated a flavor ban reduced current use of both flavored and unflavored tobacco products in children within 6 months after implementation. This result is promising; however, flavor prohibitions in states are too new to determine their longterm and sustained impact on youth vaping beyond the 6-month study period.…”

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confidence: 99%