{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T23:56:19Z","timestamp":1772150179001,"version":"3.50.1"},"reference-count":23,"publisher":"BMJ","issue":"e1","funder":[{"DOI":"10.13039\/100000009","name":"Foundation for the National Institutes of Health","doi-asserted-by":"publisher","award":["R03DA048460"],"award-info":[{"award-number":["R03DA048460"]}],"id":[{"id":"10.13039\/100000009","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000009","name":"Foundation for the National Institutes of Health","doi-asserted-by":"publisher","award":["U54CA229974."],"award-info":[{"award-number":["U54CA229974."]}],"id":[{"id":"10.13039\/100000009","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Tob Control"],"accepted":{"date-parts":[[2022,11,16]]},"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>This study examines how current smokers using menthol cigarettes or flavoured cigars, and current users of flavoured e-cigarettes may respond to three hypothetical flavour-ban scenarios: (1) banning only menthol cigarettes and flavoured cigars; (2) also banning e-cigarettes with any non-tobacco flavours except menthol; and (3) also banning e-cigarettes with any non-tobacco flavours, including menthol.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Recruited from mTurk, respondents were asked if they would quit all tobacco-nicotine use or continue or start using products that were still legally available. The patterns of responding to each ban scenario, for both flavoured smokers and users of non-tobacco flavoured e-cigarettes, were summarised. Multinomial logistic regressions were used to estimate associations between demographics, smoking or e-cigarette use status and reactions to a ban.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A ban on menthol cigarettes and flavoured cigars would lead to 12%\u201320% of flavoured smokers trying to quit all tobacco use and 32%\u201352% switching to non-flavoured smoking, with the remaining switching to e-cigarettes or other products. Compared with a ban on only menthol cigarettes and flavoured cigars, also banning flavoured e-cigarettes would increase the likelihood of quitting all tobacco-nicotine use (OR=2.58) but also increase the likelihood of switching to non-flavoured smoking (OR=1.74).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our results indicate that a ban on menthol cigarettes and flavoured cigars would decrease smoking. However, it is unclear if adding a ban of menthol e-cigarettes would lead to additional benefits because without menthol e-cigarettes as an alternative, some smokers and e-cigarette users may switch to non-flavoured tobacco smoking, rather than quit all tobacco use.<\/jats:p><\/jats:sec>","DOI":"10.1136\/tc-2022-057439","type":"journal-article","created":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T18:22:34Z","timestamp":1669746154000},"page":"e125-e127","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Should menthol e-cigarettes be banned? Reaction of adult smokers and users of e-cigarettes to hypothetical bans"],"prefix":"10.1136","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0009-0010","authenticated-orcid":false,"given":"Yong","family":"Yang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0627-0987","authenticated-orcid":false,"given":"Eric N","family":"Lindblom","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth D","family":"Ward","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8139-2418","authenticated-orcid":false,"given":"Ramzi G","family":"Salloum","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,11,29]]},"reference":[{"key":"2024051310590814000_33.e1.e125.1","unstructured":"U.S. Food and Drug Administration . Preliminary scientific evaluation of the possible public health effects of menthol versus Nonmenthol cigarettes. Silver Spring, MD; 2013."},{"key":"2024051310590814000_33.e1.e125.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2011.06.039"},{"key":"2024051310590814000_33.e1.e125.3","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-017-4987-z"},{"key":"2024051310590814000_33.e1.e125.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2013.07.033"},{"key":"2024051310590814000_33.e1.e125.5","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0194145"},{"key":"2024051310590814000_33.e1.e125.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2019.106077"},{"key":"2024051310590814000_33.e1.e125.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2017.01.026"},{"key":"2024051310590814000_33.e1.e125.8","unstructured":"Campaign for Tobacco-Free Kids . States and localities that have estricted the sale of flavored tobacco products, 2022. Available: https:\/\/www.tobaccofreekids.org\/assets\/factsheets\/0398.pdf"},{"key":"2024051310590814000_33.e1.e125.9","unstructured":"FDA . FDA proposes rules prohibiting menthol cigarettes and flavored Cigars to prevent youth initiation, significantly reduce tobacco-related disease and death, 2022. Available: https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-proposes-rules-prohibiting-menthol-cigarettes-and-flavored-cigars-prevent-youth-initiation"},{"key":"2024051310590814000_33.e1.e125.10","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol-2017-054165"},{"key":"2024051310590814000_33.e1.e125.11","article-title":"Effect of menthol cigarette and other menthol tobacco product bans on tobacco purchases in the RTI iShoppe virtual convenience store","volume":"29","author":"Guillory","year":"2020","journal-title":"Tob Control"},{"key":"2024051310590814000_33.e1.e125.12","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2011.300179"},{"key":"2024051310590814000_33.e1.e125.13","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1001\/jamainternmed.2017.8650","article-title":"Association of Ontario's ban on menthol cigarettes with smoking behavior 1 month after implementation","volume":"178","author":"Chaiton","year":"2018","journal-title":"JAMA Intern Med"},{"key":"2024051310590814000_33.e1.e125.14","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol-2018-054841"},{"key":"2024051310590814000_33.e1.e125.15","doi-asserted-by":"crossref","first-page":"50","DOI":"10.18001\/TRS.5.1.5","article-title":"Menthol cigarette smoker reactions to an implemented menthol cigarette ban","volume":"5","author":"Soule","year":"2019","journal-title":"Tob Regul Sci"},{"key":"2024051310590814000_33.e1.e125.16","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2019.305207"},{"key":"2024051310590814000_33.e1.e125.17","doi-asserted-by":"crossref","unstructured":"Chung-Hall J , Fong GT , Meng G . Evaluating the impact of menthol cigarette bans on cessation and smoking behaviours in Canada: longitudinal findings from the Canadian arm of the 2016\u20132018 ITC four country smoking and Vaping surveys. 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