State E-Cigarette Flavor Restrictions and Tobacco Product Use in Youths and Adults

Are statewide e-cigarette flavor restriction policies associated with e-cigarette and cigarette use among different age groups?In this cross-sectional study of 2019-2023 survey data on US high school-aged youths, young adults (ages 18-24 years), and adults ages 25 years or older, flavor policies were associated with reduced e-cigarette use among young adults and adults aged 25 years or older and increased cigarette use among youths and young adults, although results varied by state and year.This study found that flavor policies were associated with reductions in e-cigarette use and unintended increases in cigarette use, highlighting a need for future work on evaluating substitution effects and prevention of youth tobacco use.

Corresponding Author: Douglas E. Levy, PhD, Mongan Institute Health Policy Research Center, Massachusetts General Hospital, 100 Cambridge St, Ste 1600, Boston, MA 02114 (dlevy3@mgh.harvard.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.