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Young Adult E-cigarette Use and Retail Exposure in 6 US Metropolitan Areas

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Objectives: Given the need to understand e-cigarette retail and its impact, we examined so- ciodemographic, tobacco and marijuana use, and e-cigarette retail experiences as correlates of (1) past 30-day e-cigarette use, (2) past 30-day advertising/media exposure, and (3) point-of-sale age verification among young adults. Methods: We analyzed baseline survey data (September- December, 2018) among 3006 young adults (ages 18-34) in 6 metropolitan areas (Atlanta, Boston, Minneapolis, Oklahoma City, San Diego, Seattle) in a 2-year longitudinal study. Results: In this sample (Mage = 24.6, 42.3% male, 71.6% white, 11.4% Hispanic), 37.7% (N = 1133) were past 30-day e-cigarette users; 68.6% (N = 2062; non-users: 66.0%, users: 72.9%) reported past 30-day e-cigarette-related advertising/media exposure. Among e-cigarette users, vape shops were the most common source of e-cigarettes (44.7%) followed by online (18.2%). Among users, 34.2% were "almost always" asked for age verification. In multilevel logistic regression, e-cigarette use and advertising/media exposure were correlated (and both correlated with being younger). E- cigarette use also correlated with other tobacco product and marijuana use (and being male and white). Infrequent age verification correlated with commonly purchasing e-cigarettes online (and being older and black). Conclusions: Increased efforts are needed to reduce young adult advertising/media exposure and increase retailer compliance among retailers, particularly online and vape shops.
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Keywords: ALTERNATIVE TOBACCO PRODUCTS; E-CIGARETTES; POINT-OF-SALE; RETAIL MARKETING; TOBACCO CONTROL; TOBACCO POLICY

Document Type: Research Article

Affiliations: 1: Professor, Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC, United States 2: Statistician, Biostatistics and Epidemiology Consulting Service, Milken Institute School of Public Health, George Washington University, Washington, DC, United States 3: Project Coordinator, Department of Behavioral, Social and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, GA, United States 4: Associate Professor, Department of Psychology, California State University San Marcos, San Marcos, CA, United States 5: Assistant Professor, De- partment of Behavioral, Social and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, GA, United States 6: Professor, Departments of Preventive Medicine and Psychology, and School of Social Work, University of Southern California, Alhambra, CA, United States 7: Professor, Department of Biostatistics and Bioinformatics, Milken Institute School of Public Health, Washington, DC, United States 8: Doctoral Student, Department of Behavioral, Social and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, GA, United States 9: Senior Research Scientist, Stanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA, United States

Publication date: January 2021

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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