Department of Public Health, University of California Merced, Merced, California, USA
Nicotine & Cannabis Policy Center, University of California Merced, Merced, California, USA.
Tob Control. 2023 Apr;32(e1):e125-e129. doi: 10.1136/tobaccocontrol-2021-057031. Epub 2022 Jan 21.
Flavoured tobacco control policy exemptions and electronic cigarette products may contribute to increased youth access and tobacco use disparities.
We assessed public support among California Central Valley residents for four policies to regulate flavoured tobacco products and e-cigarettes. The probability-based, multimode survey was conducted with English-speaking and Spanish-speaking registered voters (n=845) across 11 counties between 13 and 18 August 2020. Weighted logistic regression analyses measured odds of policy support, adjusting for predictor variables (attitudes and beliefs) and covariates.
The weighted sample was 50% female and predominantly Latino (30%) or non-Hispanic white (46%); 26% had a high school education or less, and 22% an annual household income <US$30 000. Overall, 58% support a comprehensive flavoured tobacco product sales ban, and 59% support a flavoured e-cigarette product sales ban. In addition, 81% support limiting the amount of nicotine in e-cigarette pods, and 91% support mandating vaping health warning signs at local retailers. Flavour bans were more likely to be backed by women, seniors, Latinos, non-smokers and non-vapers. Participants who believe minors have more access to flavoured products had greater odds of supporting all policies. Those aware of the association between e-cigarettes and lung injury were more likely to support non-ban policies. Participants who believe e-cigarettes help to reduce tobacco use or e-cigarettes are relatively less addictive were less likely to support bans.
Findings add to mounting evidence of support for policies to regulate flavoured tobacco and e-cigarette products. Results on attitudes and beliefs elucidate how these factors influence support.
调味烟草控制政策豁免和电子烟产品可能导致青少年更容易获得烟草制品并加剧烟草使用方面的差异。
我们评估了加利福尼亚中央谷居民对四项监管调味烟草制品和电子烟政策的支持情况。这项基于概率的多模式调查于 2020 年 8 月 13 日至 18 日在 11 个县使用英语和西班牙语对已登记选民(n=845)进行。加权逻辑回归分析衡量了政策支持的可能性,同时调整了预测变量(态度和信念)和协变量。
加权样本中,50%为女性,主要为拉丁裔(30%)或非西班牙裔白人(46%);26%的人受教育程度为高中或以下,22%的人家庭年收入<30000 美元。总体而言,58%的人支持全面禁止调味烟草制品销售,59%的人支持禁止调味电子烟产品销售。此外,81%的人支持限制电子烟烟弹中尼古丁的含量,91%的人支持要求当地零售商张贴电子烟健康警示标志。调味烟草制品禁令更有可能得到女性、老年人、拉丁裔、不吸烟者和非电子烟使用者的支持。认为未成年人更容易获得调味产品的参与者更有可能支持所有政策。那些意识到电子烟与肺部损伤之间存在关联的人更有可能支持非禁令政策。那些认为电子烟有助于减少烟草使用或电子烟相对不易上瘾的人不太可能支持禁令。
研究结果增加了支持监管调味烟草和电子烟产品政策的证据。关于态度和信念的研究结果阐明了这些因素如何影响支持。