Public Support for Policies to Regulate Flavored Tobacco and E-Cigarette Products in Rural California

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Tob Control. 2022 Jan 21:tobaccocontrol-2021-057031. doi: 10.1136/tobaccocontrol-2021-057031. Online ahead of print.


INTRODUCTION: Flavored tobacco policy exemptions and e-cigarette products can help increase youth access and disparities in tobacco use.

METHODS: We assessed public support among residents of California’s Central Valley for four policies aimed at regulating flavored tobacco products and e-cigarettes. The multimodal probability-based survey was conducted among English and Spanish-speaking registered voters (n=845) in 11 counties between August 13 and August 18, 2020. Weighted logistic regression analyzes measured odds of political support, by adjusting the predictor variables (attitudes and beliefs) and covariates.

RESULTS: The weighted sample was 50% female and predominantly Latino (30%) or non-Hispanic white (46%); 26% had a high school diploma or less and 22% an annual household income of less than US$30,000. Overall, 58% support a complete ban on the sale of flavored tobacco products and 59% support a ban on the sale of flavored e-cigarette products. Additionally, 81% support limiting the amount of nicotine in e-cigarette pods and 91% support imposing vaping-related health warning signs at local retailers. Flavor bans were more likely to be supported by women, older people, Latinos, non-smokers and non-vapers. Participants who believe minors have more access to flavored products were more likely to support all policies. People aware of the association between e-cigarettes and lung damage were more likely to support no-ban policies. Participants who believe e-cigarettes help reduce tobacco use or that e-cigarettes are relatively less addictive were less likely to support bans.

DISCUSSION: The findings add to growing evidence of support for policies to regulate flavored tobacco and e-cigarette products. Findings on attitudes and beliefs explain how these factors influence support.

PMID:35064014 | DOI:10.1136/tobaccocontrol-2021-057031

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