Evidence map›Paper›PMID 42110376›Full record

ArticleTobacco prevention & cessation2026

Clear in California: Sesh+ nicotine pouches' advertising under flavor restrictions.

Joanne Chen Lyu, Artur Galimov, Ollie Ganz, Pamela M Ling, Cassandra Stanton, Jenny E Ozga

Abstract readLetter
In one paragraph

Article in Tobacco prevention & cessation, 2026. 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

6 authors.

Joanne Chen LyuTSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, United States.
Artur GalimovDepartment of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, United States.
Ollie GanzRutgers Institute for Nicotine and Tobacco Studies, Rutgers Health, New Brunswick, United States.
Pamela M LingCenter for Tobacco Control Research and Education, University of California San Francisco, San Francisco, United States.
Cassandra StantonBehavioral Health and Health Policy Practice, Westat, Rockville, United States.
Jenny E OzgaBehavioral Health and Health Policy Practice, Westat, Rockville, United States.

Funding

USC Tobacco Center of Regulatory ScienceU54CA180905 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Jennifer Beth Unger · 2018 to 2026
$39.0M
Leadership and Logistics CoreU54DA046060 · NIDA · WESTAT, INC. · PI Andrea M Stroup · 2018 to 2026
$28.1M
NCI NIH HHS U54 CA180905NIDA NIH HHS U54 DA046060
6 · The paper itself

Abstract

Sesh+ oral nicotine pouches (ONPs) are marketed as premium nicotine products and promoted regularly on social media platforms such as TikTok, Instagram, and X (formerly Twitter). In July 2025, Sesh+ ran 2623 ads on X; 561 (21.4%) explicitly promoted their 'clear' ONPs as being available for purchase in California using taglines like 'Clear in California', 'California Clear', and 'Shop Sesh Clear in California'. California Senate Bill 793 (SB 793) prohibits retail sales of tobacco products, including ONPs that impart a 'characterizing flavor'. Sesh+ markets its 'clear' ONPs on its website as 'flavorless', and the 'clear' pouches were present on California's Unflavored Tobacco List in January 2026. The 'Clear in California' advertising raises concerns about geographically targeted marketing that turns regulatory compliance into a promotional message. By explicitly incorporating a state name and the term 'clear', the ads may imply special approval or regulatory endorsement, confusing consumers. Combined with youth-oriented social media content, this strategy may increase appeal to young audiences. Sesh+ advertising illustrates how ONP companies may transform legal compliance into a marketing asset, underscoring the need for continued surveillance of geographically targeted nicotine advertising and its implications for perceptions of harm, product appeal, and tobacco initiation.

Indexed as

Clear in Californiaflavor bannicotine pouchsocial media advertising

Identifiers

PMID42110376
PMCPMC13156920

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.