IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i22p15079-d974107.html
   My bibliography  Save this article

State T21, Restrictions on Flavored E-Cigarette Products, and Non-Medical Cannabis Sales Legalization in Relation to Young Adult Reports of Vape Shop Age Verification and Product Offerings: A Multilevel Analysis

Author

Listed:
  • Zongshuan Duan

    (Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC 20052, USA)

  • Yan Wang

    (Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC 20052, USA)

  • Katelyn F. Romm

    (TSET Health Promotion Research Center, Department of Pediatrics, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA)

  • Lisa Henriksen

    (Stanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA 94304, USA)

  • Nina C. Schleicher

    (Stanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA 94304, USA)

  • Carla J. Berg

    (Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC 20052, USA
    George Washington Cancer Center, George Washington University, Washington, DC 20052, USA)

Abstract

Vape shop practices related to age verification and product offerings (e.g., other tobacco, cannabis), which may affect young-adult tobacco/substance use, are likely impacted by state-level policies (i.e., Tobacco 21 [T21], flavored e-cigarette restrictions, non-medical cannabis legalization). Using data from young adults (18–34 years) in 6 US states representing variability in whether/when they implemented the aforementioned policies, this study focused on past 6-month e-cigarette users who visited vape shops (Wave 1 [W1]: September–December 2018, n = 1127; W2: September–December 2019, n = 702; W3: September–December 2020, n = 549). Multilevel modeling examined T21 in relation to participants’ reports of age verification at last vape shop visit (among those < 27), and flavor restrictions and cannabis legalization in relation to noticing other tobacco or cannabis products at last visit. At W1–W3, 69.7%, 78.7%, and 75.8% of participants < 27 reported age verification, and participants increasingly noticed other tobacco (W2: 36.9%; W3: 48.6%) and cannabis products (W1: 25.8%; W2: 41.3%; W3: 58.3%). State T21 was unrelated to age verification (aOR = 1.19, 95%CI = 0.80–1.79); flavored e-cigarette restrictions correlated with noticing other tobacco products (aOR = 1.96, 95%CI = 1.10–3.51); flavored e-cigarette restrictions (aOR = 2.26, 95%CI = 1.57–3.24) and cannabis legalization (aOR = 2.84, 95%CI = 1.78–4.51) correlated with noticing cannabis products. Regulatory efforts must be informed by ongoing surveillance of such policies and their impact.

Suggested Citation

  • Zongshuan Duan & Yan Wang & Katelyn F. Romm & Lisa Henriksen & Nina C. Schleicher & Carla J. Berg, 2022. "State T21, Restrictions on Flavored E-Cigarette Products, and Non-Medical Cannabis Sales Legalization in Relation to Young Adult Reports of Vape Shop Age Verification and Product Offerings: A Multilev," IJERPH, MDPI, vol. 19(22), pages 1-12, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:15079-:d:974107
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/22/15079/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/22/15079/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Zongshuan Duan & Katelyn F. Romm & Lisa Henriksen & Nina C. Schleicher & Trent O. Johnson & Theodore L. Wagener & Steven Y. Sussman & Barbara A. Schillo & Jidong Huang & Carla J. Berg, 2022. "The Impact of Recent Tobacco Regulations and COVID-19 Restrictions and Implications for Future E-Cigarette Retail: Perspectives from Vape and Vape-and-Smoke Shop Merchants," IJERPH, MDPI, vol. 19(7), pages 1-15, March.
    2. Carla J. Berg & Lorien C. Abroms & Hagai Levine & Katelyn F. Romm & Amal Khayat & Christina N. Wysota & Zongshuan Duan & Yael Bar-Zeev, 2021. "IQOS Marketing in the US: The Need to Study the Impact of FDA Modified Exposure Authorization, Marketing Distribution Channels, and Potential Targeting of Consumers," IJERPH, MDPI, vol. 18(19), pages 1-10, October.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Carla J. Berg & Albert Melena & Friedner D. Wittman & Tomas Robles & Lisa Henriksen, 2022. "The Reshaping of the E-Cigarette Retail Environment: Its Evolution and Public Health Concerns," IJERPH, MDPI, vol. 19(14), pages 1-13, July.
    2. Elizabeth K. Do & Kathleen Aarvig & Emily M. Donovan & Barbara A. Schillo & Donna M. Vallone & Elizabeth C. Hair, 2023. "Underage Youth Continue to Obtain E-Cigarettes from Retail Sources in 2022: Evidence from the Truth Continuous Tracking Survey," IJERPH, MDPI, vol. 20(2), pages 1-7, January.
    3. Yu Wang & Zongshuan Duan & Scott R. Weaver & Lucy Popova & Claire A. Spears & David L. Ashley & Terry F. Pechacek & Michael P. Eriksen & Jidong Huang, 2022. "Consumption of JUUL vs. Other E-Cigarette Brands among U.S. E-Cigarette Users: Evidence from Wave 5 of the PATH Study," IJERPH, MDPI, vol. 19(17), pages 1-12, August.
    4. Lindsey S. Sparrock & Lilianna Phan & Julia Chen-Sankey & Kiana Hacker & Aniruddh Ajith & Bambi Jewett & Kelvin Choi, 2023. "Heated Tobacco Products: Awareness, Beliefs, Use and Susceptibility among US Adult Current Tobacco Users, 2021," IJERPH, MDPI, vol. 20(3), pages 1-11, January.
    5. Hagai Levine & Zongshuan Duan & Yael Bar-Zeev & Lorien C. Abroms & Amal Khayat & Sararat Tosakoon & Katelyn F. Romm & Yan Wang & Carla J. Berg, 2023. "IQOS Use and Interest by Sociodemographic and Tobacco Behavior Characteristics among Adults in the US and Israel," IJERPH, MDPI, vol. 20(4), pages 1-14, February.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:15079-:d:974107. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.