Original Investigation

Local Flavored Tobacco Bans and Youth Electronic Nicotine Delivery Systems Use

JAMA Health Forum 10.1001/jamahealthforum.2026.0631

April 10, 2026 at 11:00 AM EDT

Read the full article

Are local flavored tobacco bans associated with the use of electronic nicotine delivery systems (ENDS) and cigarettes among middle school and high school students in California?In this cross-sectional study of survey responses from 2 805 708 middle school and high school students, local flavored tobacco bans were associated with reduced ENDS use among youth over time.Results of this study suggest that adoption of flavored tobacco bans may have utility in broader policy implementation.

Corresponding Author: Giovanni Appolon, MPH, Herbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, 9500 Gilman Dr, La Jolla, CA 92093 (gappolon7560@sdsu.edu).

Link to the article in your story

We encourage you to link out to this article in your story using the link below. It includes an access token that will give free access to the article for your readers up to one year after publication. (The link will be live after the article publishes and embargo is lifted.)

Please see the article for additional information, including full author list, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

Need more information? Contact us.

Editor's Picks