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Restricting the Sale of Flavored E-cigarettes in the US: An Examination of Local Regulations

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Objectives: We examined local restrictions on flavored e-cigarette sales in the US and variation of restrictions by locality characteristics. Methods: We identified 121 US jurisdictions (city, town, and county) with flavored e-cigarettes sales restrictions, as of October 1, 2017. We evaluated restrictions from 3 aspects (jurisdiction area, menthol flavors, and local retail tobacco stores) and categorized them into strict, moderate, and lax groups. Finally, using the US Census data and BRFSS surveys, we assessed the variation of strictness by localities' socio-economic and tobacco use characteristics. Results: Of all the restrictions, 117 (96.7%) applied to the entire jurisdiction, 11 (9.1%) to menthol flavors, and 16 (13.2%) to retail tobacco stores. Four (3.3%) restrictions were classified as strict, 15 (12.4%) as moderate, and 102 (84.3%) as lax. Logistic regression analyses show that localities with certain characteristics, such as lower adult cigarette smoking prevalence were more likely to have strict or moderate restrictions. Conclusions: Most of the localities with flavored e-cigarette sales restrictions enacted lax restrictions, which may still leave youth with abundant exposure to flavored e-cigarettes. Strict national- and state-level flavored e-cigarette sales restrictions are needed to strengthen efforts to prevent and reduce youth e-cigarette use.
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Document Type: Research Article

Publication date: 01 July 2018

More about this publication?
  • Tobacco Regulatory Science (Electronic ISSN 2333-9748) is a rigorously peer-reviewed online scientific journal for the dissemination of research relevant to the regulation of tobacco products. The journal content includes a broad array of research domains, including chemistry, biology, behavior, community, and population-level surveillance and epidemiology, as well as knowledge syntheses (eg, meta-analyses or state-of-the-art reviews) and analytic modeling. All articles describe the policy relevance of the research outcomes. Given the global nature of tobacco regulation, particularly as a result of international and national policies, Tobacco Regulatory Science publishes high quality research that is relevant to global regulatory needs and requirements. Tobacco Regulatory Science is published electronically 6 times per year.
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