Donovan Emily M, Azadi Mona, Akbar Maham, Schillo Barbara A
Truth Initiative Schroeder Institute, Washington, District of Columbia (Mss Donovan and Azadi and Dr Schillo); and Truth Initiative, Washington, District of Columbia (Ms Akbar).
J Public Health Manag Pract. 2023;29(5):646-653. doi: 10.1097/PHH.0000000000001752. Epub 2023 Apr 13.
Flavored tobacco products contribute significantly to youth tobacco initiation and tobacco use disparities. In the last decade, 362 jurisdictions have enacted policies restricting the sale of flavored tobacco products; however, many policies are not fully comprehensive due to menthol and adult-only retailer exemptions. Although several of these restrictions have been amended since their original passage, to date, little is known about how amendments have affected policy comprehensiveness.
To describe how amendments to flavored tobacco product sales restrictions affect policy comprehensiveness.
We identified flavored tobacco product sales restrictions that had been amended at least once using an internal database of US state and local flavored tobacco product sales restrictions. To characterize policy comprehensiveness, we applied a 6-level flavored tobacco policy classification scheme-level 6 being most comprehensive-to amended restrictions. We conducted a descriptive analysis of each initial policy and its most recent amendment to identify changes in retailer, product, and flavor inclusions, as well as overall comprehensiveness.
Comprehensiveness of amended flavored tobacco product sales restrictions.
As of March 31, 2022, no states and 50 localities had amended their flavored tobacco product sales restriction. Amendments largely increased policy comprehensiveness; most laws prior to amendment were categorized as level 1 (n = 28, 56.0%), while after amendment, the plurality were categorized as level 6 (n = 25, 50.0%). Most commonly, amendments removed menthol exemptions (n ≥ 30, 60.0%) and adult-only retailer exemptions (n = 12, 24.0%).
Several local flavored tobacco product sales restrictions have been amended. Nearly all amendments increased policy comprehensiveness, primarily by removing exemptions for menthol products and exemptions for adult-only retailers. While policy advocates remain focused on passing comprehensive policies at initial passage, amendments have served as a tool to strengthen existing sales restrictions. This study along with ongoing flavored tobacco product sales restriction surveillance can inform policy advocacy and evaluation efforts.
调味烟草制品对青少年开始吸烟及烟草使用差异有重大影响。在过去十年中，362个司法管辖区已颁布政策限制调味烟草制品的销售；然而，由于薄荷醇和仅限成人的零售商豁免，许多政策并不完全全面。尽管其中一些限制自最初通过以来已被修订，但迄今为止，对于修订如何影响政策的全面性知之甚少。
描述调味烟草制品销售限制的修订如何影响政策的全面性。
我们使用美国州和地方调味烟草制品销售限制的内部数据库，确定了至少修订过一次的调味烟草制品销售限制。为了描述政策的全面性，我们对修订后的限制应用了一个6级调味烟草政策分类方案——6级最为全面。我们对每项初始政策及其最新修订进行了描述性分析，以确定零售商、产品和口味纳入方面的变化以及整体全面性。
修订后的调味烟草制品销售限制的全面性。
截至2022年3月31日，没有州修订其调味烟草制品销售限制，50个地方进行了修订。修订在很大程度上提高了政策的全面性；修订前大多数法律被归类为1级（n = 28，56.0%），而修订后，多数被归类为6级（n = 25，50.0%）。最常见的是，修订取消了薄荷醇豁免（n≥30，60.0%）和仅限成人的零售商豁免（n = 12，24.0%）。
一些地方的调味烟草制品销售限制已被修订。几乎所有修订都提高了政策的全面性，主要是通过取消薄荷醇产品豁免和仅限成人的零售商豁免。虽然政策倡导者仍专注于在最初通过时通过全面政策，但修订已成为加强现有销售限制的一种手段。这项研究以及正在进行的调味烟草制品销售限制监测可为政策倡导和评估工作提供信息。
