State Laws Regarding Indoor Public Use, Retail Sales, and Prices of Electronic Cigarettes — U.S. States, Guam, Puerto Rico, and U.S. Virgin Islands, September 30, 2017

Marynak, Kristy; Kenemer, Brandon; King, Brian A.; Tynan, Michael A.; MacNeil, Allison; Reimels, Elizabeth

doi:10.15585/mmwr.mm6649a1

Cited by 35 publications

(33 citation statements)

References 2 publications

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“…Information about whether and when state laws regarding e-cigarettes were implemented was derived for all the 50 states, the District of Columbia, Puerto Rico, and Guam according to the CDC State Tobacco Activities Tracking and Evaluation System. 33 Consistent with a recent report by the CDC, 33 US states were classified according to whether the state has implemented each type of the following state laws: prohibiting e-cigarette use in indoor areas of private workplaces, restaurants, and bars; requiring retailers to purchase a license to sell e-cigarettes;…”

Section: Ascertainment Of State Laws Regarding E-cigarettesmentioning

confidence: 99%

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Association of Electronic Cigarette Regulations With Electronic Cigarette Use Among Adults in the United States

Liu

et al. 2020

JAMA Netw Open

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IMPORTANCE Millions of Americans use electronic cigarettes (e-cigarettes). A growing number of state and local governments have started to draft and implement laws regarding the sale, marketing, and use of e-cigarettes. The association of US state regulations regarding e-cigarettes with e-cigarette use remains unknown. OBJECTIVE To examine the association of US state regulations regarding e-cigarettes with current e-cigarette use among adults in the United States. DESIGN, SETTING, AND PARTICIPANTS This cross-sectional study included adults aged 18 years or older from the 2016 and 2017 Behavioral Risk Factor Surveillance System, which is a nationwide, telephone-administered survey that collects state-representative data on health-related risk behaviors, chronic health conditions, and use of preventive services. Data analysis was performed from February 1, 2019, to April 31, 2019. EXPOSURES United States state laws regulating e-cigarette use, including prohibiting e-cigarette use in indoor areas of private workplaces, restaurants, and bars; requiring retailers to purchase a license to sell e-cigarettes; prohibiting self-service displays of e-cigarettes; prohibiting sales of tobacco products, including e-cigarettes, to persons younger than 21 years; and e-cigarette taxes. MAIN OUTCOMES AND MEASURES Current use of e-cigarettes. RESULTS Among 894 997 participants aged 18 years or older (503 688 women [51.3%], 679 443 non-Hispanic white [62.6%], 71 730 non-Hispanic black [16.3%], 69 823 Hispanic [11.4%], and 74 001 non-Hispanic other races [9.8%]), 28 907 (weighted prevalence, 4.4%) were currently using e-cigarettes. The age-standardized weighted prevalence of current e-cigarette use varied across US states and territories, from 1.0% in Puerto Rico to 6.2% in Guam. After adjustment for demographic, socioeconomic, and lifestyle factors, including conventional cigarette use, the odds ratios of current e-cigarette use were 0.90 (95% CI, 0.83-0.98) for state laws prohibiting e-cigarette use in indoor areas of private workplaces, restaurants, and bars; 0.90 (95% CI, 0.85-0.95) for state laws requiring retailers to purchase a license to sell e-cigarettes; 1.04 (95% CI, 0.99-1.09) for state laws prohibiting self-service displays of e-cigarettes; 0.86 (95% CI, 0.74-0.99) for state laws prohibiting sales of tobacco products, including e-cigarettes, to persons younger than 21 years; and 0.89 (95% CI, 0.83-0.96) for state laws applying taxes to e-cigarettes. CONCLUSIONS AND RELEVANCE These findings suggest that several state regulations regarding e-cigarettes may be associated with reduced e-cigarette use among US adults.

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Section: Ascertainment Of State Laws Regarding E-cigarettesmentioning

confidence: 99%

“…33 Some states have adopted multiple laws, whereas others have not. 32,33 Previous studies 4,34,35 have found substantial variations in the prevalence of current e-cigarette use among adults across US states; however, the association of state laws regarding e-cigarettes with e-cigarette use is still unknown.…”

Section: Introductionmentioning

confidence: 99%

Association of Electronic Cigarette Regulations With Electronic Cigarette Use Among Adults in the United States

Liu

et al. 2020

JAMA Netw Open

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“…However, opportunities exist for states and localities to give an estimated 243.6 million U.S. residents, including 55.7 million children, greater protection from secondhand EVP aerosol exposure in indoor public places. 2 …”

Section: Discussionmentioning

confidence: 99%

“…Currently, three quarters (75.4%) of the U.S. population live in states where EVP use is not prohibited in indoor areas of all worksites, restaurants, and bars.2 This is a public health concern because EVP use in these settings can expose bystanders to secondhand aerosol,3, 4, 5 complicate enforcement of existing smoke-free policies, and influence the social acceptability of tobacco use 1, 2 6. …”

Section: Introductionmentioning

confidence: 99%

U.S. Adult Attitudes About Electronic Vapor Product Use in Indoor Public Places

Wang

Marynak

Gentzke

et al. 2019

American Journal of Preventive Medicine

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Introduction The U.S. Surgeon General has concluded that aerosol from electronic vapor products, such as e-cigarettes, can contain harmful and potentially harmful constituents. This study assessed the prevalence and determinants of U.S. adult attitudes toward electronic vapor product use in indoor public places. Methods Data from 2017 Summer Styles, an Internet survey of U.S. adults aged ≥18 years (n = 4,107) were analyzed in 2017. Respondents were asked, Do you favor or oppose allowing the use of electronic vapor products in indoor public places such as workplaces, restaurants, and bars? Responses were strongly favor, somewhat favor, somewhat oppose, and strongly oppose. Multivariate Poisson regression was used to determine sociodemographic correlates of opposition (somewhat or strongly). Results In 2017, a total of 82.4% of adults strongly or somewhat opposed the use of electronic vapor products in indoor public places, including 28.0% of current (past 30-day) electronic vapor product users and 52.7% of current cigarette smokers. After adjustment, opposition was significantly lower among current and former electronic vapor product users than never users, current cigarette smokers than never smokers, and people living with tobacco product users. Opposition was significantly higher among adults aged ≥45 years than those aged 18–24 years and among adults who had rules prohibiting electronic vapor product use in their vehicles or homes than those without such rules. Conclusions Approximately eight in ten U.S. adults, including more than one quarter of electronic vapor product users, opposed electronic vapor product use in indoor public places. Prohibiting electronic vapor product use in indoor public areas can protect bystanders from the health risks of secondhand electronic vapor product aerosol exposure.

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“…As countries increasingly consider constraining smoking and vaping in outdoor settings, 8,9 it is important to base such policies on objective data. Vaping can be done stealthily 10 and the devices can be pocketed between puffs, so observers may be less likely to see vaping compared to smoking.…”

Section: Discussionmentioning

confidence: 99%

Observed vaping and smoking in outdoor public places: piloting objective data collection for policies on outdoor vaping

Thomson

Nee‐Nee

Sutherland

et al. 2019

Australian and New Zealand Journal of Public Health

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State Laws Regarding Indoor Public Use, Retail Sales, and Prices of Electronic Cigarettes — U.S. States, Guam, Puerto Rico, and U.S. Virgin Islands, September 30, 2017

Cited by 35 publications

References 2 publications

Association of Electronic Cigarette Regulations With Electronic Cigarette Use Among Adults in the United States

Association of Electronic Cigarette Regulations With Electronic Cigarette Use Among Adults in the United States

U.S. Adult Attitudes About Electronic Vapor Product Use in Indoor Public Places

Observed vaping and smoking in outdoor public places: piloting objective data collection for policies on outdoor vaping

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