Flavored Tobacco Product Use Among California Adolescents Before and Immediately After a Statewide Flavor Ban.

IF 3 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Nicotine & Tobacco Research Pub Date : 2024-11-12 DOI:10.1093/ntr/ntae261

Benjamin W Chaffee, Candice D Donaldson, Elizabeth T Couch, Claudia Guerra Castillo, Omara Farooq, Nancy F Cheng, Niloufar Ameli, Monica L Wilkinson, Stuart A Gansky, Xueying Zhang, Kristin S Hoeft

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Abstract

Introduction: In December 2022, a California law banned the retail sale of most flavored tobacco products (including e-cigarettes). This investigation evaluates adolescents' use of flavored tobacco before and after enactment.

Methods: The Teens Nicotine and Tobacco Project included online surveys of California adolescents (age 12-17) in 2022 (N=5127) and 2023 (N=5015) that assessed past 30-day use of various tobacco products, flavored product use, and perceived access to flavored e-cigarettes. Eight focus groups conducted in 2023 and 2024 (total N=35) queried flavored tobacco experiences and perceptions.

Results: Among participants who used specific products, the prevalence of flavored product use declined for cigarettes (2022: 72.0%; 2023: 57.2%), cigars (2022: 87.2%; 2023: 67.4%), and smokeless tobacco (2022: 93.1%; 2023: 83.1%) but not for e-cigarettes (2022: 91.0%; 2023: 90.7%) or hookah (2022: 88.1%; 2023: 85.6%; the flavor law exempted some hookah sales). In 2023, 10.2% of all participants used any flavored tobacco product (2022: 10.0%), primarily flavored e-cigarettes (2022: 8.6%; 2023: 8.8%). In 2023, 22.0% of all participants were aware of the statewide flavor ban, including 44.1% of participants who reported tobacco use. Few focus group participants were aware of the statewide law or perceived difficulties accessing flavored e-cigarettes.

Conclusions: Shortly following a statewide flavor ban, adolescent use of flavored cigarettes, cigars, and smokeless tobacco declined, but flavored e-cigarette use was unchanged. More time for implementation and enforcement may be needed to see full policy impact.

Implications: These finds suggest that a statewide flavored tobacco policy in California was followed shortly by declines in adolescent use of some flavored tobacco products. Additional time for implementation and enforcement, along with potential further actions, such as greater restrictions on online sales, could be necessary to curb youth access to flavored e-cigarettes.

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全州禁用香精前后加州青少年使用香精烟草制品的情况。

导言：2022 年 12 月，加州法律禁止零售大多数调味烟草产品（包括电子烟）。本调查对法律颁布前后青少年使用调味烟草的情况进行了评估：青少年尼古丁和烟草项目包括 2022 年（N=5127）和 2023 年（N=5015）对加州青少年（12-17 岁）进行的在线调查，评估过去 30 天内各种烟草产品的使用情况、调味产品的使用情况以及对调味电子烟的认知。2023年和2024年开展的8个焦点小组（总人数=35）询问了人们对风味烟草的体验和看法：在使用特定产品的参与者中，香烟（2022 年：72.0%；2023 年：57.2%）、雪茄（2022 年：87.2%；2023 年：67.4%）和无烟产品的风味产品使用率均有所下降。4%）和无烟烟草（2022 年：93.1%；2023 年：83.1%），但电子烟（2022 年：91.0%；2023 年：90.7%）或水烟（2022 年：88.1%；2023 年：85.6%；风味法豁免了部分水烟的销售）没有下降。2023年，10.2%的参与者使用任何调味烟草制品（2022年：10.0%），主要是调味电子烟（2022年：8.6%；2023年：8.8%）。2023年，22.0%的参与者知道全州范围内的香精禁令，其中包括44.1%报告使用烟草的参与者。很少有焦点小组参与者了解全州范围内的法律或认为难以获得香精电子烟：在全州范围内实施香精禁令后不久，青少年对香烟、雪茄和无烟烟草的使用有所减少，但对香精电子烟的使用没有变化。要看到政策的全面影响，可能需要更多的时间来实施和执行：这些发现表明，加利福尼亚州在全州范围内实施调味烟草政策后不久，一些调味烟草制品的青少年使用量就有所下降。可能需要更多的时间来实施和执行，同时可能采取进一步的行动，如加强对网上销售的限制等，来遏制青少年对加味电子烟的使用。

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来源期刊

Nicotine & Tobacco Research 医学-公共卫生、环境卫生与职业卫生

CiteScore

8.10

自引率

10.60%

发文量

268

审稿时长

3-8 weeks

期刊介绍： Nicotine & Tobacco Research is one of the world''s few peer-reviewed journals devoted exclusively to the study of nicotine and tobacco. It aims to provide a forum for empirical findings, critical reviews, and conceptual papers on the many aspects of nicotine and tobacco, including research from the biobehavioral, neurobiological, molecular biologic, epidemiological, prevention, and treatment arenas. Along with manuscripts from each of the areas mentioned above, the editors encourage submissions that are integrative in nature and that cross traditional disciplinary boundaries. The journal is sponsored by the Society for Research on Nicotine and Tobacco (SRNT). It publishes twelve times a year.