Evidence map›Paper›PMID 34525207›Full record

ReviewNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2022

A Comprehensive Qualitative Review of Studies Evaluating the Impact of Local US Laws Restricting the Sale of Flavored and Menthol Tobacco Products.

Todd Rogers, Elizabeth M Brown, Leah Siegel-Reamer, Basmah Rahman, Ashley L Feld, Minal Patel, Donna Vallone, Barbara A Schillo

Abstract readReview
In one paragraph

Review in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 4 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

52 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  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
  4. Pooled it
  5. Trial
  6. Article
  7. Article
  8. Toxicity and Appeal of Flavoured E-Cigarettes and Flavour Ban Outcomes: A Narrative Review.International journal of environmental research and public health · 2026
    Review
  9. Article
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  16. 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
    Article
  17. Do-It-Yourself Flavored Capsule Cigarettes: Exploiting Potential Regulatory Loopholes?Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  18. Unsubstantiated Claims by the Hookah Tobacco Industry to Exempt Flavored Hookah Tobacco Products From Flavor Bans.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  19. Recommendations for Centering Equity to Advance Federal and Local US Policies Regulating the Availability and Sale of Flavored Tobacco Products.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  20. Measuring susceptibility to use tobacco in an increasingly complex consumer marketplace: How many questions do we really need?Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2025
    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

8 authors.

Todd RogersCenter for Health Analytics, Media, and Policy, RTI International, Research Triangle Park, NC, USA.ORCID 0000-0002-1592-2150
Elizabeth M BrownCenter for Health Analytics, Media, and Policy, RTI International, Research Triangle Park, NC, USA.ORCID 0000-0001-7523-0685
Leah Siegel-ReamerCenter for Health Analytics, Media, and Policy, RTI International, Research Triangle Park, NC, USA.
Basmah RahmanTruth Initiative Schroeder Institute, Washington, DC, USA.ORCID 0000-0002-3576-2086
Ashley L FeldCenter for Health Analytics, Media, and Policy, RTI International, Research Triangle Park, NC, USA.ORCID 0000-0002-9943-2545
Minal PatelTruth Initiative Schroeder Institute, Washington, DC, USA.
Donna ValloneTruth Initiative Schroeder Institute, Washington, DC, USA.ORCID 0000-0001-9841-9333
Barbara A SchilloTruth Initiative Schroeder Institute, Washington, DC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the quality of evidence on the effectiveness of local US laws restricting the sale of flavored tobacco products.

methodsWe conducted a systematic search and qualitative scoping review of English-language papers published through May 2020 that evaluated flavored tobacco sales policies implemented by US jurisdictions during 2010-2019. We constructed a conceptual model for flavored and menthol tobacco sales restriction outcomes, assigned GRADE quality of evidence ratings to policy outcomes evaluated through the included studies, and summarized factors that might explain weak or inconsistent findings.

resultsWe found moderate to high quality of evidence associating policy implementation with reduced availability, marketing, and sales of policy-restricted products, and decreased youth and adult tobacco use of these products; however, policy exclusions and exemptions, implementation challenges, tobacco industry actions (e.g., marketing of concept-named flavored products; exploiting policy exemptions for certain store types), and consumer responses (e.g., cross-border or illicit purchasing) might undermine or mitigate intended policy effects.

conclusionsFlavored and menthol tobacco product sales restrictions implemented and evaluated in US jurisdictions appear to have achieved some of their intended outcomes; however, deficiencies in study designs, methods, and metrics could contribute to equivocal findings on quality of evidence associating policy implementation and outcomes. Gaps in the evidence are beginning to be filled with research using more rigorous study designs, improved measurement and analytic methods, and longer-term follow-up. IMPLICATIONS: In the absence of comprehensive federal action, US jurisdictions have the obligation to restrict flavored and menthol product sales to protect vulnerable populations from tobacco-related harms. The considerable expenditure of financial resources, political will, and time dedicated to policy adoption and implementation argue for evaluation studies designed to maximize the quality of evidence. This review offers generalizable insights into evaluation findings that can inform efforts to enhance tobacco control policy implementation and impact in the US and globally.

Indexed as

MentholTobacco ProductsAdolescentAdultCommerceFlavoring AgentsHumansTobacco UseFlavoring AgentsMenthol

Identifiers

PMID34525207
PMCPMC8887583

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.