Evidence map›Paper›PMID 39870520›Full record

ArticleTobacco control2025

Tobacco product flavour policies in the USA.

Travis R Whitacre, Alyssa Crippen, Mayah Monthrope, Tanisha Narine, Alex C Liber, Abigail S Friedman

Abstract read
In one paragraph

Article in Tobacco control, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Preventive medicine reports · 2026
    Article
  4. Where Do E-cigarette Users Buy Their E-cigarette Products? Results From a Nationally Representative Sample of Adult E-cigarette Users in the United States.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Article
  5. Article
  6. Article
  7. 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

6 authors.

Travis R WhitacreDepartment of Health Policy and Management, Yale University School of Public Health, New Haven, Connecticut, USA.
Alyssa CrippenDepartment of Health Policy and Management, Yale University School of Public Health, New Haven, Connecticut, USA.
Mayah MonthropeYale College, Yale University, New Haven, Connecticut, USA.
Tanisha NarineYale College, Yale University, New Haven, Connecticut, USA.
Alex C LiberPolicy and Regulatory Science Program, RTI International, Atlanta, Georgia, USA.ORCID 0000-0001-7863-3906
Abigail S FriedmanDepartment of Health Policy and Management, Yale University School of Public Health, New Haven, Connecticut, USA abigail.friedman@yale.edu.ORCID 0000-0002-2352-8786

Funding

Research Project 3: Modeling the Impact of Tobacco Control Policies on Polytobacco Use and Associated Health DisparitiesU54CA229974 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI David Mendez Emilien · 2018 to 2026
$39.2M
NCI NIH HHS U54 CA229974
6 · The paper itself

Abstract

objectivesCharacterise US residents' exposure to restrictions on sales of flavoured electronic nicotine delivery system (ENDS), cigars and menthol cigarettes across states and time, and assess correlations between these policies.

methodsFrom 2022 to 2024, we compiled flavour policy locations from advocacy groups and online searches, located corresponding legal texts and reviewed these to identify policy details, including effective dates. Using census data, we calculated the proportion of state residents covered by each policy quarterly from 2009 to 2024 and estimated correlations between them and cigarette taxes.

resultsBy January 2024, menthol cigarettes, flavoured cigars and flavoured ENDS sales restrictions covered 15.0%, 18.1% and 28.1% of US residents. About 1 in 10 US residents is subject to flavoured ENDS restrictions without concurrent restrictions on flavoured cigar and menthol cigarette sales. Strong correlations between flavour policy coverage and cigarette tax rates indicate a need to adjust for exposure to a range of tobacco control policies in analyses evaluating any one of these regulations' effects.

conclusionsWhile state and local adoption of restrictions on flavoured tobacco product sales has proliferated, flavour policy coverage for combustible tobacco products lags well behind that for ENDS. If this leads some people who vape flavoured ENDS to substitute towards flavoured cigars and/or menthol cigarettes, this policy combination could harm population health. POLICY IMPLICATIONS: Rapid implementation of proposed US Food and Drug Administration rules barring flavoured cigar and menthol cigarette sales is needed to ensure that regulation of more lethal, combustible tobacco products is not more lenient than restrictions on less harmful nicotine products.

Indexed as

CommerceElectronic Nicotine Delivery SystemsFlavoring AgentsTobacco ProductsHumansMentholTaxesUnited StatesFlavoring AgentsMentholDisparitiesElectronic nicotine delivery devicesPublic policySurveillance and monitoring

Identifiers

PMID39870520
PMCPMC12501946

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.