{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:16:51Z","timestamp":1787314611984,"version":"build-2736575974"},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2023,12,23]],"date-time":"2023-12-23T00:00:00Z","timestamp":1703289600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["U54CA229974"],"award-info":[{"award-number":["U54CA229974"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["K01DA056424"],"award-info":[{"award-number":["K01DA056424"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]},{"name":"FDA Center for Tobacco Products"},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["U01CA253858"],"award-info":[{"award-number":["U01CA253858"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>E-cigarette flavor bans could reduce or exacerbate population health harms. To determine how US e-cigarette flavor restrictions might influence tobacco use behavior, this study assesses responses to real-world and hypothetical flavor bans among young adults who use flavored e-cigarettes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aims and Methods<\/jats:title>\n                  <jats:p>An online, national survey of young adults ages 18\u201334 who use flavored e-cigarettes was conducted in 2021 (n\u2005=\u20051253), oversampling states affected by e-cigarette flavor restrictions. Participants were asked about their responses to real-world changes in the availability of flavored e-cigarettes. Unaffected participants were asked to predict their responses under a hypothetical federal e-cigarette flavor ban.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The most common response to real-world changes in flavored e-cigarettes availability was to continue vaping (~80%). Among those who exclusively vaped, 12.5% switched to combustible tobacco. Quitting all forms of tobacco was selected by 5.3% of those exclusively vape versus 4.2% who dual use. Under a hypothetical federal ban, more than half of respondents stated they would continue vaping; 20.9% and 42.5% of those who exclusively vape versus dual use would use combustible tobacco. Quitting all tobacco products was endorsed by 34.5% and 17.2% of those who exclusively vape versus dual use.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Young adults who vape flavored e-cigarettes have mixed responses to e-cigarette flavor bans. Under both real-world and hypothetical e-cigarette flavor bans, most who use flavored e-cigarettes continue vaping. Under a real-world ban, the second most common response among those who exclusively vape is to switch to smoking; under a hypothetical federal ban, it is to quit all tobacco.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Implications<\/jats:title>\n                  <jats:p>This is the first national survey to directly ask young adults who use flavored e-cigarettes about their responses to real-world changes in flavored e-cigarette availability due to state and local flavor restrictions. The survey also asked individuals to predict their responses under a hypothetical federal e-cigarette flavor ban. Most who use flavored e-cigarettes would continue vaping following e-cigarette flavor restrictions, but many would switch to or continue using combustible tobacco, highlighting potential negative public health consequences of these policies. Policymakers must consider the impact of e-cigarette flavor bans on both e-cigarette and cigarette use.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ntr\/ntad258","type":"journal-article","created":{"date-parts":[[2023,12,23]],"date-time":"2023-12-23T22:25:05Z","timestamp":1703370305000},"page":"1113-1117","source":"Crossref","is-referenced-by-count":12,"title":["Responses to Real-World and Hypothetical E-Cigarette Flavor Bans Among US Young Adults Who Use Flavored E-Cigarettes"],"prefix":"10.1093","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8353-4259","authenticated-orcid":false,"given":"Jamie","family":"Tam","sequence":"first","affiliation":[{"name":"Department of Health Policy and Management, Yale School of Public Health , New Haven, CT , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelyn","family":"Jimenez-Mendoza","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, University of Michigan School of Public health , Ann Arbor, MI , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4157-4217","authenticated-orcid":false,"given":"John","family":"Buckell","sequence":"additional","affiliation":[{"name":"Health Economics Research Centre, Nuffield Department of Population Health, University of Oxford , Oxford , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1741-5451","authenticated-orcid":false,"given":"Jody","family":"Sindelar","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management, Yale School of Public Health , New Haven, CT , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1076-5037","authenticated-orcid":false,"given":"Rafael","family":"Meza","sequence":"additional","affiliation":[{"name":"Department of Integrative Oncology, BC Cancer Research Institute, BC Cancer Research Institute , Vancouver, British Columbia , Canada"},{"name":"School of Population and Public Health, University of British Columbia , Vancouver, British Columbia , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,12,23]]},"reference":[{"key":"2024072205520258900_CIT0001","author":"U.S. Food & Drug Administration","year":"2020"},{"key":"2024072205520258900_CIT0002","doi-asserted-by":"crossref","first-page":"102676","DOI":"10.1016\/j.jhealeco.2022.102676","article-title":"The effects of E-cigarette taxes on E-cigarette prices and tobacco product sales: evidence from retail panel data","volume":"86","author":"Cotti","year":"2022","journal-title":"J Health Econ"},{"issue":"2","key":"2024072205520258900_CIT0003","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1136\/tobaccocontrol-2017-054165","article-title":"Should flavours be banned in cigarettes and e-cigarettes? Evidence on adult smokers and recent quitters from a discrete choice experiment","volume":"28","author":"Buckell","year":"2019","journal-title":"Tob Control."},{"issue":"8","key":"2024072205520258900_CIT0004","doi-asserted-by":"crossref","first-page":"1427","DOI":"10.1111\/add.14610","article-title":"The impact of flavors, health risks, secondhand smoke and prices on young adults\u2019 cigarette and e-cigarette choices: a discrete choice experiment","volume":"114","author":"Buckell","year":"2019","journal-title":"Addiction."},{"key":"2024072205520258900_CIT0005","doi-asserted-by":"crossref","article-title":"E-cigarette flavor restrictions\u2019 effects on tobacco product sales","author":"Friedman","DOI":"10.2139\/ssrn.4586701"},{"key":"2024072205520258900_CIT0006","article-title":"The Health Consequences of Smoking\u201450 Years of Progress: A Report of the Surgeon General","volume-title":"Atlanta, GA","author":"U.S. Department of Health and Human 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