Evidence map›Paper›PMID 33850007›Full record

ArticleTobacco control2022

Sources of flavoured e-cigarettes among California youth and young adults: associations with local flavoured tobacco sales restrictions.

Shivani Mathur Gaiha, Lisa Henriksen, Bonnie Halpern-Felsher, Todd Rogers, Ashley L Feld, Jennifer Gaber, Elizabeth Andersen-Rodgers

Abstract read
In one paragraph

Article in Tobacco control, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. 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
  2. Guideline
  3. Article
  4. Article
  5. Gaps in Awareness of the United States Minimum Legal Age of E-Cigarette and Cigarette Sales: Implications for Public Health Messaging.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
    Article
  6. Article
  7. Cross-State Border Nicotine Vaping Products Purchase-Early Evidence From State Emergency Sales Restrictions in 2019.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Vaping Flavors and Flavor Representation: A Test of Youth Risk Perceptions, Novelty Perceptions, and Susceptibility.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Article
  12. Article
  13. Flavored Tobacco Sales Restrictions and Teen E-cigarette Use: Quasi-experimental Evidence From California.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. A Comprehensive Qualitative Review of Studies Evaluating the Impact of Local US Laws Restricting the Sale of Flavored and Menthol Tobacco Products.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Shivani Mathur GaihaDivision of Adolescent Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0002-0636-8936
Lisa HenriksenStanford Prevention Research Center, Stanford University School of Medicine, Stanford, California, USA lhenriksen@stanford.edu.ORCID 0000-0002-9288-3562
Bonnie Halpern-FelsherDivision of Adolescent Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0001-9276-1322
Todd RogersCenter for Health Analytics, Media, and Policy, RTI International, Research Triangle Park, North Carolina, USA.ORCID 0000-0002-1592-2150
Ashley L FeldCenter for Health Analytics, Media, and Policy, RTI International, Research Triangle Park, North Carolina, USA.
Jennifer GaberCenter for Health Analytics, Media, and Policy, RTI International, Research Triangle Park, North Carolina, USA.
Elizabeth Andersen-RodgersCalifornia Tobacco Control Branch, California Department of Public Health, Sacramento, California, USA.

Funding

PROJECT 5: IMPACT OF CHANGING TOBACCO PRODUCT USE ON HEALTHCARE COSTS FOR GENERAL AND VULNERABLE POPULATIONSU54HL147127 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHAFFEE, BENJAMIN W · 2018 to 2022
$20.4M
TOBACCO CONTROL PROGRAMU58DP005969 · DP · CALIFORNIA DEPARTMENT OF PUBLIC HEALTH · PI FERREIRA, LESLIE · 2015 to 2015
$2.7M
Countering E-cigarette Marketing in the Retail Environment among Adolescents and Young AdultsR00CA267477 · NCI · BOSTON CHILDREN'S HOSPITAL · PI SHIVANI MATHUR GAIHA · 2024 to 2026
$738k
Countering E-cigarette Marketing in the Retail Environment among Adolescents and Young AdultsK99CA267477 · NCI · STANFORD UNIVERSITY · PI GAIHA, SHIVANI MATHUR · 2021 to 2023
$442k
NCCDPHP CDC HHS U58 DP005969NCI NIH HHS K99 CA267477NCI NIH HHS R00 CA267477NHLBI NIH HHS U54 HL147127
6 · The paper itself

Abstract

purposeThis study compares access to flavoured JUUL and other e-cigarettes from retail, online and social sources among underage and young adult e-cigarette users who live in California jurisdictions that restrict sales of flavoured tobacco with the rest of the state.

methodsAn online survey used social media advertisements to recruit participants (n=3075, ages 15-29) who lived in one of nine jurisdictions that restrict sales (n=1539) or in the rest of state, and oversampled flavoured tobacco users. Focusing on past-month e-cigarette users (n=908), multilevel models tested whether access to flavoured JUUL and other e-cigarettes from retail, online and social sources differed by local law (yes/no) and age group (15-20 or older), controlling for other individual characteristics.

resultsThe percent of underage users who obtained flavoured JUUL and other e-cigarettes in the past month was 33.6% and 31.2% from retail, 11.6% and 12.7% online, and 76.0% and 70.9% from social sources, respectively. Compared with underage and young adult users in the rest of California, those in localities that restrict the sales of flavoured tobacco were less likely to obtain flavoured JUUL from retail sources (Adjusted OR=0.54, 95% CI 0.36 to 0.80), but more likely to obtain it from social sources (Adjusted OR=1.55, 95% CI 1.02 to 2.35). The same pattern was observed for other brands of flavoured e-cigarettes.

conclusionAlthough local laws may reduce access to flavoured e-cigarettes from retail sources, more comprehensive state or federal restrictions are recommended to close the loopholes for online sources. Dedicated efforts to curtail access from social sources are needed.

Indexed as

Electronic Nicotine Delivery SystemsTobacco ProductsVapingAdolescentAdultCaliforniaFlavoring AgentsHumansYoung AdultFlavoring Agentselectronic nicotine delivery devicespriority/special populationspublic policy

Identifiers

PMID33850007
PMCPMC8511356

What OpenQuestion holds

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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.