The impact of a comprehensive tobacco product flavor ban in San Francisco among young adults.

The impact of a comprehensive tobacco product flavor ban in San Francisco among young adults.
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DOI:
10.1016/j.abrep.2020.100273
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发表时间:
2020-06-01
影响因子:
--
通讯作者:
Ward, Kenneth D
Ward, Kenneth D
中科院分区:
其他
文献类型:
--
作者:
Yang, Yong;Lindblom, Eric N;Ward, Kenneth D

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目的:香料在烟草制品的产生和使用中起着重要作用。美国食品和药物管理局,州和城市一直在实施或考虑禁止调味电子烟或任何调味烟草产品。这项研究经验性地评估了第一次全面禁止除烟草味电子烟以外的所有调味烟草产品对加州州旧金山弗朗西斯科年轻人的影响。方法:使用亚马逊土耳其机器人,对18-34岁的旧金山弗朗西斯科居民(N=247)进行了调查,了解他们在禁令之前和之后的烟草使用情况。结果:18- 24岁和25- 34岁的总体香料烟使用率分别从81%和85%下降到69%和76%。18- 24岁和25- 34岁的调味电子烟流行率分别从57%和56%下降到45%和48%。雪茄的流行也减少了。然而,吸烟人数增加,尽管在25- 34岁之间没有统计学意义。66%的人不支持这项禁令,65%的人认为禁令没有完全执行。大多数使用者报告称,尽管有禁令,他们仍然能够以多种方式获得调味烟草产品。结论:这些研究结果表明,全面的地方香料禁令本身并不能大幅减少居民中调味烟草产品的可用性或使用。尽管如此,地方禁令仍然可以显着减少整体电子烟使用和雪茄吸烟,但可能会增加吸烟。
OBJECTIVE: Flavors play an important role in the initiation and use of tobacco products. The FDA, states, and cities have been implementing or considering banning flavored e-cigarettes or any flavored tobacco products. This study empirically assessed the impact of one of the first comprehensive bans of all flavored tobacco products other than tobacco-flavored e-cigarettes among young adults in San Francisco, California.METHODS: Using Amazon Mechanical Turk, a sample of San Francisco residents aged 18-34 who previously used tobacco products (N=247) were surveyed about their tobacco use both before and after the ban. Descriptive statistics and regression models were applied.RESULTS: The prevalence of overall flavored tobacco use decreased from 81% and 85% to 69% and 76% for 18-24years and 25-34years old, respectively. The prevalence of flavored e-cigarettes decreased from 57% and 56% to 45% and 48% for 18-24years and 25-34years old, respectively. The prevalence of cigars uses reduced as well. However, cigarette smoking increased, although not statistically significant among 25-34years old. 66% of participants did not support the ban and 65% believed the ban had not been enforced completely. Most users reported being able to obtain flavored tobacco products in multiple ways despite the ban.CONCLUSIONS: These findings suggest that comprehensive local flavor bans, by themselves, cannot sharply reduce the availability or use of flavored tobacco products among residents. Nevertheless, local bans can still significantly reduce overall e-cigarette use and cigar smoking but may increase cigarette smoking.