Demographics, Tobacco Use, and Tobacco Control Measures of California Cities With Flavored Tobacco Sales Restrictions

Health Promot Pract. 2024 May;25(3):455-459. doi: 10.1177/15248399221136861. Epub 2022 Nov 23.

Abstract

In 2020, California passed a flavored tobacco sales restriction (FTSR), but the tobacco companies filed a referendum, and the ban will not be implemented unless approved by voters in November 2022. This study examined the percentage of the California population covered by a city FTSR and identified groups more likely to be covered. Mean demographics as well as tobacco use and control measures were compared for California cities with (n = 93) and without (n = 389) a FTSR, and t tests were used to examine the differences. We calculated adjusted odds ratios using logistic regression models. City FTSR policies covered 20.7% of the California population. Adjusted predictors of having a FTSR included the American Lung Association tobacco control score (odds ratio [OR] = 1.27, 95% confidence interval [CI]: [1.17, 1.38]), voting democratic (OR = 1.06, 95% CI: [1.02, 1.10]). and having a lower adult smoking prevalence (OR = 0.84, 95% CI: [0.72, 0.99]). A state-level policy would cover all populations in California.

Keywords: data linkage; disparities; e-cigarette; flavors; policy; tobacco control; youth.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • California / epidemiology
  • Commerce* / legislation & jurisprudence
  • Commerce* / statistics & numerical data
  • Demography
  • Female
  • Flavoring Agents*
  • Humans
  • Male
  • Middle Aged
  • Smoking / epidemiology
  • Smoking / legislation & jurisprudence
  • Tobacco Control*
  • Tobacco Products* / economics
  • Tobacco Products* / legislation & jurisprudence
  • Tobacco Use / epidemiology
  • Tobacco Use / legislation & jurisprudence
  • Young Adult

Substances

  • Flavoring Agents