Responses to real-world and hypothetical menthol flavor bans among us young adults who smoke menthol cigarettes
<p><strong>Introduction: </strong>Menthol cigarette bans have been implemented in some US states and localities, and a federal ban is being proposed by the FDA. This study asks how young adults who use menthol cigarettes respond to changes in menthol cigarette availability...
| Main Authors: | , , , , |
|---|---|
| Format: | Journal article |
| Language: | English |
| Published: |
Oxford University Press
2023
|
| _version_ | 1826313687630086144 |
|---|---|
| author | Tam, J Jimenez-Mendoza, E Buckell, J Sindelar, J Meza, R |
| author_facet | Tam, J Jimenez-Mendoza, E Buckell, J Sindelar, J Meza, R |
| author_sort | Tam, J |
| collection | OXFORD |
| description | <p><strong>Introduction: </strong>Menthol cigarette bans have been implemented in some US states and localities, and a federal ban is being proposed by the FDA. This study asks how young adults who use menthol cigarettes respond to changes in menthol cigarette availability.</p>
<div><strong>Aims and Methods: </strong>An online survey of young adults ages 18–34 who reported smoking menthol cigarettes on ≥7 of 30 days around Thanksgiving 2019 (<em>n</em> = 734), oversampling Massachusetts—the first state with a menthol ban. Participants reported their tobacco use behavior following real-world menthol cigarette bans or predicted their behavior under a hypothetical federal ban.</div>
<p><strong>Results: </strong>Most respondents who exclusively smoked versus dual used with e-cigarettes continued smoking/using combustible tobacco following real-world bans (95.3% vs. 86.9%), accessing menthol cigarettes from other jurisdictions. Fewer who smoked exclusively responded by using e-cigarettes compared to those who dual used (3.9% vs. 43.7%). Quitting all tobacco use (ie, no smoking, vaping, or any tobacco use) was uncommon for both groups (3.6% vs. 9.0%). Under a hypothetical ban, majorities of those who exclusively smoke and who dual use predicted they would continue smoking (72.2% vs. 71.8%); fewer who smoke exclusively would use e-cigarettes compared to those who dual use (14.7% vs. 41.4%). Those who smoke exclusively were more likely to report quitting all tobacco compared to those who dual use (29.6% vs. 12.4%).</p>
<p><strong>Conclusions: </strong>Under real-world and hypothetical menthol cigarette bans, most respondents continued smoking. However, more young adults continued smoking following real-world bans, reflecting the limitations of local/state restrictions when menthol cigarettes are available in other jurisdictions.</p>
<p><strong>Implications: </strong>This survey asked young adults who use menthol cigarettes how they responded to real-world changes in the availability of menthol cigarettes; 89% reported continuing to smoke. Those who smoked exclusively were far less likely to respond by switching to e-cigarettes compared to people who dual used both products. Under a hypothetical federal menthol cigarette ban, 72% of young adults predicted that they would continue smoking. Quitting all tobacco was less common in the real-world scenario compared to the hypothetical ban. Access to menthol cigarettes in other jurisdictions and flavored cigars likely dampen the public health benefit of menthol cigarette bans.</p> |
| first_indexed | 2024-03-07T08:20:12Z |
| format | Journal article |
| id | oxford-uuid:70f5b60e-3277-48d7-abab-b5cc745bd66d |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-09-25T04:18:55Z |
| publishDate | 2023 |
| publisher | Oxford University Press |
| record_format | dspace |
| spelling | oxford-uuid:70f5b60e-3277-48d7-abab-b5cc745bd66d2024-07-26T08:23:07ZResponses to real-world and hypothetical menthol flavor bans among us young adults who smoke menthol cigarettesJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:70f5b60e-3277-48d7-abab-b5cc745bd66dEnglishSymplectic ElementsOxford University Press2023Tam, JJimenez-Mendoza, EBuckell, JSindelar, JMeza, R<p><strong>Introduction: </strong>Menthol cigarette bans have been implemented in some US states and localities, and a federal ban is being proposed by the FDA. This study asks how young adults who use menthol cigarettes respond to changes in menthol cigarette availability.</p> <div><strong>Aims and Methods: </strong>An online survey of young adults ages 18–34 who reported smoking menthol cigarettes on ≥7 of 30 days around Thanksgiving 2019 (<em>n</em> = 734), oversampling Massachusetts—the first state with a menthol ban. Participants reported their tobacco use behavior following real-world menthol cigarette bans or predicted their behavior under a hypothetical federal ban.</div> <p><strong>Results: </strong>Most respondents who exclusively smoked versus dual used with e-cigarettes continued smoking/using combustible tobacco following real-world bans (95.3% vs. 86.9%), accessing menthol cigarettes from other jurisdictions. Fewer who smoked exclusively responded by using e-cigarettes compared to those who dual used (3.9% vs. 43.7%). Quitting all tobacco use (ie, no smoking, vaping, or any tobacco use) was uncommon for both groups (3.6% vs. 9.0%). Under a hypothetical ban, majorities of those who exclusively smoke and who dual use predicted they would continue smoking (72.2% vs. 71.8%); fewer who smoke exclusively would use e-cigarettes compared to those who dual use (14.7% vs. 41.4%). Those who smoke exclusively were more likely to report quitting all tobacco compared to those who dual use (29.6% vs. 12.4%).</p> <p><strong>Conclusions: </strong>Under real-world and hypothetical menthol cigarette bans, most respondents continued smoking. However, more young adults continued smoking following real-world bans, reflecting the limitations of local/state restrictions when menthol cigarettes are available in other jurisdictions.</p> <p><strong>Implications: </strong>This survey asked young adults who use menthol cigarettes how they responded to real-world changes in the availability of menthol cigarettes; 89% reported continuing to smoke. Those who smoked exclusively were far less likely to respond by switching to e-cigarettes compared to people who dual used both products. Under a hypothetical federal menthol cigarette ban, 72% of young adults predicted that they would continue smoking. Quitting all tobacco was less common in the real-world scenario compared to the hypothetical ban. Access to menthol cigarettes in other jurisdictions and flavored cigars likely dampen the public health benefit of menthol cigarette bans.</p> |
| spellingShingle | Tam, J Jimenez-Mendoza, E Buckell, J Sindelar, J Meza, R Responses to real-world and hypothetical menthol flavor bans among us young adults who smoke menthol cigarettes |
| title | Responses to real-world and hypothetical menthol flavor bans among us young adults who smoke menthol cigarettes |
| title_full | Responses to real-world and hypothetical menthol flavor bans among us young adults who smoke menthol cigarettes |
| title_fullStr | Responses to real-world and hypothetical menthol flavor bans among us young adults who smoke menthol cigarettes |
| title_full_unstemmed | Responses to real-world and hypothetical menthol flavor bans among us young adults who smoke menthol cigarettes |
| title_short | Responses to real-world and hypothetical menthol flavor bans among us young adults who smoke menthol cigarettes |
| title_sort | responses to real world and hypothetical menthol flavor bans among us young adults who smoke menthol cigarettes |
| work_keys_str_mv | AT tamj responsestorealworldandhypotheticalmentholflavorbansamongusyoungadultswhosmokementholcigarettes AT jimenezmendozae responsestorealworldandhypotheticalmentholflavorbansamongusyoungadultswhosmokementholcigarettes AT buckellj responsestorealworldandhypotheticalmentholflavorbansamongusyoungadultswhosmokementholcigarettes AT sindelarj responsestorealworldandhypotheticalmentholflavorbansamongusyoungadultswhosmokementholcigarettes AT mezar responsestorealworldandhypotheticalmentholflavorbansamongusyoungadultswhosmokementholcigarettes |