Evidence map›Paper›PMID 40680522›Full record

ArticleDrug and alcohol dependence2025

Impact of state cigarette and e-cigarette flavors bans on smoking, vaping and dual use in the United States.

John Buckell, Jamie Tam, Evelyn Jimenez Mendoza, Rafael Meza, Jody Sindelar

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Toxicity and Appeal of Flavoured E-Cigarettes and Flavour Ban Outcomes: A Narrative Review.International journal of environmental research and public health · 2026
    Review
  3. Article
  4. 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

5 authors.

John BuckellHealth Economics Research Centre, Nuffield Department of Population Health, University of Oxford, United Kingdom University of Oxford Richard Doll Building, Old Road Campus, Headington, Oxford OX3 7LF, United Kingdom. Electronic address: john.buckell@ndph.ox.ac.uk.
Jamie TamDepartment of Health Policy and Management, Yale School of Public Health, 60 College St., New Haven, CT 06520, United States. Electronic address: jamie.tam@yale.edu.
Evelyn Jimenez MendozaDepartment of Epidemiology, University of Michigan School of Public health, 1415 Washington Heights, Ann Arbor, MI 48109, United States.
Rafael MezaDepartment of Integrative Oncology, BC Cancer Research Institute BC Cancer Research Institute, 675 West 10th Avenue, Vancouver, BC V5Z 1L3, Canada.
Jody SindelarDepartment of Health Policy and Management, Yale School of Public Health, 60 College St., New Haven, CT 06520, United States.

Funding

Yale Center for the Study of Tobacco Product Use and Addiction (YCSTP) Project 2: Addictive Threshold of Nicotine and the Impact of SweetenersU54DA036151 · NIDA · YALE UNIVERSITY · PI LISA M FUCITO · 2018 to 2026
$41.6M
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 CA229974NIDA NIH HHS U54 DA036151
6 · The paper itself

Abstract

BACKGROUND AND

aimsSome states have banned flavors in various tobacco products. This can reduce use of banned products and induce substitution towards non-banned products. The net impact must be determined empirically. The aim of this study is to evaluate the impacts of these bans on both use and substitution.

settingUS tobacco market.

participants3220 individuals aged 18-41 in the United States who smoked and/or vaped (past 30-day use) completed an online survey. MEASUREMENTS: Multinomial logistic models regressed changes in tobacco product use between two time periods on: states with and without bans on flavored e-cigarettes and menthol cigarettes, individuals' characteristics, and other state-level tobacco policies. Estimated models were used to simulate impacts of flavor bans for people who dual use.

resultsPolicies' impacts were only observed for those who dual use cigarettes and e-cigarettes. Most who dual use did not change their tobacco product use regardless of state policy. Some significant differences were found by states for those who quit both products. Massachusetts, with bans on both flavored e-cigarettes and menthol cigarettes, had the greatest predicted rate of quitting both products (9 %) compared to states without (3 %). States with e-cigarette flavors bans had higher cessation of e-cigarette use among those who dual use.

conclusionsFlavor bans on cigarettes and e-cigarettes were associated with reduced vaping among those who dual use. Massachusetts saw a higher proportion of quitting all tobacco products, likely because people who smoked in Massachusetts could not substitute with flavored e-cigarettes which had been banned.

Indexed as

Electronic Nicotine Delivery SystemsFlavoring AgentsSmokingTobacco ProductsVapingAdolescentAdultFemaleHumansMaleSmoking CessationSurveys and QuestionnairesUnited StatesYoung AdultFlavoring AgentsCigarettesE-cigarettesFlavor bansMenthol banPredicted impactsTobacco policy

Identifiers

PMID40680522
PMCPMC12670314

What OpenQuestion holds

Textmetadata
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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.