Evidence map›Paper›PMID 40787206›Full record

ArticleAJPM focus2025

The Behavioral Impact of the Massachusetts Flavored Tobacco Products Ban on Cigarette Smoking Among Adults Aged ≥21 Years.

Evan A Winiger, Pavel N Lizhnyak, Scott W Drenkard, Andrea R Vansickel

Abstract read
In one paragraph

Article in AJPM focus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Evan A WinigerAltria Center for Research & Technology, Altria Client Services LLC, Richmond, Virginia.
Pavel N LizhnyakAltria Center for Research & Technology, Altria Client Services LLC, Richmond, Virginia.
Scott W DrenkardAltria Center for Research & Technology, Altria Client Services LLC, Richmond, Virginia.
Andrea R VansickelAltria Center for Research & Technology, Altria Client Services LLC, Richmond, Virginia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: In June of 2020, Massachusetts became the first state to implement a statewide ban on flavored tobacco. To date, no study has analyzed the behavioral outcomes of a comprehensive statewide ban on flavored tobacco products among representative state samples of adults aged ≥21 years. Methods: Using a difference-in-difference model from repeated cross-sectional data (Behavioral Risk Factor Surveillance System), the authors compared cigarette smoking prevalence in Massachusetts before (January 2017-May 2020) with that after (June 2020-December 2022) the implementation of a flavor ban, with 35 states serving as a comparison. Sensitivity analyses were conducted to ensure the robustness of the difference-in-difference findings. Results: There was a consistent decline in smoking prevalence in Massachusetts (14.1% in 2017 to 10.7% in 2022) and comparator states (18.5% in 2017 to 14.8% in 2022). When adjusting for sociodemographic and the year-fixed effect, the analysis indicated significant effects of time (AOR=1.05; 95% CI=1.00, 1.11, Conclusions: The results indicate that the comprehensive flavor ban in Massachusetts did not significantly impact smoking prevalence relative to that in comparator states without flavor bans.

Indexed as

BRFSSpublic healthpublic policySmoking prevalencestatewide flavored tobacco ban

Identifiers

PMID40787206
PMCPMC12332195

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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.