ArticleTobacco control2025
US state implementation of policies restricting sales of flavoured E-cigarettes: a qualitative analysis.
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 3 papers.
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Who cites it
3 citing papers in PubMed.
- A Qualitative Comparative Analysis of State Flavored E-Cigarette Policy Implementation and E-Cigarette Use.American journal of preventive medicine · 2026Article
- Barriers and facilitators to enforcing E-cigarette regulations for online sales.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026Article
- Cooling the Conversation: Discourse About Menthol and Flavored Tobacco Restrictions on TikTok.Substance use & misuse · 2026Article
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Authors and funding
12 authors.
Funding
Abstract
backgroundE-cigarettes are the most popular nicotine product among youth in the USA and the majority of young people use products with flavours such as mint, menthol, fruit and candy. Between December 2019 and December 2022, seven US states and the District of Columbia put in place restrictions on the sale of flavoured e-cigarettes. Studies of e-cigarette flavour restrictions have found varied policy effects across different populations. While some qualitative research has investigated policy implementation details, no studies to date have systematically examined how flavour restrictions are implemented.
methodsFrom April to December 2023, we conducted key informant interviews guided by Bullock's policy implementation process model and determinants framework to investigate how states are implementing flavour restriction policies.
resultsKey themes in implementation included the roles of clear product definitions and enforcement processes, coordination across state and local governments, adequate resources and communication with retailers. We found between-state heterogeneity in these factors, with key informants reporting challenges with one or more of these components.
conclusionsImplementing policies restricting the sale of flavoured e-cigarettes is complex and variable from state to state. Future implementation efforts and policy evaluations should take this variability into account.
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