Impact of state cigarette and e-cigarette flavors bans on smoking, vaping and dual use in the United States

IF 3.6 2区医学 Q1 PSYCHIATRY

Drug and alcohol dependence Pub Date : 2025-07-07 DOI:10.1016/j.drugalcdep.2025.112786

John Buckell , Jamie Tam , Evelyn Jimenez Mendoza , Rafael Meza , Jody Sindelar

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引用次数: 0

Abstract

Background and aims

Some states have banned flavors in various tobacco products. This can reduce use of banned products and induce substitution towards non-banned products. The net impact must be determined empirically. The aim of this study is to evaluate the impacts of these bans on both use and substitution.

Setting

US tobacco market.

Participants

3220 individuals aged 18–41 in the United States who smoked and/or vaped (past 30-day use) completed an online survey.

Measurements

Multinomial logistic models regressed changes in tobacco product use between two time periods on: states with and without bans on flavored e-cigarettes and menthol cigarettes, individuals’ characteristics, and other state-level tobacco policies. Estimated models were used to simulate impacts of flavor bans for people who dual use.

Results

Policies’ impacts were only observed for those who dual use cigarettes and e-cigarettes. Most who dual use did not change their tobacco product use regardless of state policy. Some significant differences were found by states for those who quit both products. Massachusetts, with bans on both flavored e-cigarettes and menthol cigarettes, had the greatest predicted rate of quitting both products (9 %) compared to states without (3 %). States with e-cigarette flavors bans had higher cessation of e-cigarette use among those who dual use.

Conclusions

Flavor bans on cigarettes and e-cigarettes were associated with reduced vaping among those who dual use. Massachusetts saw a higher proportion of quitting all tobacco products, likely because people who smoked in Massachusetts could not substitute with flavored e-cigarettes which had been banned.

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美国禁止吸烟、吸电子烟和双重用途的州香烟和电子烟口味的影响

一些州禁止在各种烟草产品中添加香料。这可以减少禁用产品的使用，并诱导对非禁用产品的替代。净影响必须根据经验来确定。本研究的目的是评估这些禁令对使用和替代的影响。设定美国烟草市场。参与者3220名年龄在18-41岁的美国吸烟和/或吸电子烟（过去30天使用）的人完成了一项在线调查。多元逻辑模型回归了两个时间段内烟草制品使用的变化：禁止加味电子烟和薄荷烟的州和不禁止加味电子烟和薄荷烟的州、个人特征和其他州级烟草政策。估计模型被用来模拟风味禁令对双重使用者的影响。结果政策的影响只观察到那些双重使用香烟和电子烟的人。无论国家政策如何，大多数双重使用者都没有改变他们的烟草产品使用。各州在戒烟者身上发现了一些显著的差异。马萨诸塞州禁止加味电子烟和薄荷烟，与没有禁止加味电子烟和薄荷烟的州（3%）相比，预测戒烟率最高（9%）。在禁止使用电子烟口味的州，双重使用电子烟的人戒烟率更高。结论：对香烟和电子烟的口味禁令与减少双重使用者的电子烟有关。马萨诸塞州戒烟的比例更高，可能是因为在马萨诸塞州吸烟的人无法用被禁止的调味电子烟代替。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Drug and alcohol dependence 医学-精神病学

CiteScore

7.40

自引率

7.10%

发文量

409

审稿时长

41 days

期刊介绍： Drug and Alcohol Dependence is an international journal devoted to publishing original research, scholarly reviews, commentaries, and policy analyses in the area of drug, alcohol and tobacco use and dependence. Articles range from studies of the chemistry of substances of abuse, their actions at molecular and cellular sites, in vitro and in vivo investigations of their biochemical, pharmacological and behavioural actions, laboratory-based and clinical research in humans, substance abuse treatment and prevention research, and studies employing methods from epidemiology, sociology, and economics.