Evidence map›Paper›PMID 32368612›Full record

ArticleAddictive behaviors reports2020

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

Yong Yang, Eric N Lindblom, Ramzi G Salloum, Kenneth D Ward

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Addictive behaviors reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 72 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 4 pooled it
8.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

72 citing papers in PubMed, 4 syntheses or guidelines pooled it, 106 citations in OpenAlex.

  1. A systematic review investigating policy design and implementation of US state and local policy to restrict the sale of flavored tobacco products.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Pooled it
  2. The Public Health Impacts of Flavored Cigar Bans: A Systematic Review and Meta-Analysis.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Pooled it
  3. The Impact of Menthol Cigarette Bans: A Systematic Review and Meta-Analysis.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Pooled it
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  18. Flavored Tobacco Product Use Among California Adolescents Before and Immediately After a Statewide Flavor Ban.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
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  19. Effects of Very Low Nicotine Content Cigarettes and Nicotine Vaping Device Characteristics on Choices to Smoke, Vape, or Abstain in Early Young Adults.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
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12 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Yong YangSchool of Public Health, University of Memphis, Memphis, TN 38152, United States.
Eric N LindblomO'Neill Institute for National & Global Health Law, Georgetown University Law Center, Washington, DC 20001, United States.
Ramzi G SalloumDepartment of Health Outcomes and Policy, University of Florida, Gainesville, FL 32608, United States.
Kenneth D WardSchool of Public Health, University of Memphis, Memphis, TN 38152, United States.
University of Memphis · USGeorgetown University · USUniversity of Florida Health · US

Funding

Modeling the impact of flavor bans among young adult tobacco users using discrete choice experiments and agent-based modelingR03DA048460 · NIDA · UNIVERSITY OF MEMPHIS · PI YANG, YONG · 2019 to 2020
$144k
NIDA NIH HHS R03 DA048460
6 · The paper itself

Abstract

objectiveFlavors 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.

methodsUsing 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.

resultsThe prevalence of overall flavored tobacco use decreased from 81% and 85% to 69% and 76% for 18-24 years and 25-34 years old, respectively. The prevalence of flavored e-cigarettes decreased from 57% and 56% to 45% and 48% for 18-24 years and 25-34 years old, respectively. The prevalence of cigars uses reduced as well. However, cigarette smoking increased, although not statistically significant among 25-34 years 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.

conclusionsThese 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.

Indexed as

CigarCigarettesE-cigarettesFlavorFlavor banSmokingVaping

Identifiers

PMID32368612
PMCPMC7186365
OpenAlexW3015076136

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.