{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T19:38:36Z","timestamp":1792697916881,"version":"4.5.0"},"reference-count":22,"publisher":"BMJ","issue":"4","funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["T32TR004543"],"award-info":[{"award-number":["T32TR004543"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Tob Control"],"accepted":{"date-parts":[[2025,4,27]]},"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In 2020, Massachusetts became the first state in the USA to restrict the sale of flavoured tobacco products. One demographic group that is disproportionately impacted by flavoured tobacco use is young people. This study explored how Massachusetts\u2019 flavour restriction impacted young adults and the ways that flavoured tobacco products were acquired after policy implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between January and March 2024, we conducted 15 virtual, semistructured qualitative interviews with young adults (aged 19\u201329) who were living in Massachusetts and who reported ever using a flavoured tobacco product. The interview guide included questions about personal tobacco use, awareness of the flavour restriction policy and accessing flavoured tobacco products. After interviews were transcribed and coded, themes were identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Only 1 out of 15 participants believed that it would be hard for them to acquire flavoured tobacco products with Massachusetts\u2019 policy in place. Social sources were a common way participants reported getting flavoured tobacco products and one-third of participants mentioned seeing them sold on social media platforms. Snapchat was the most frequently reported platform; participants described the \u2018easy\u2019 process of connecting with sellers on Snapchat and how \u2018openly\u2019 people listed the products they had for sale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite Massachusetts implementing a comprehensive flavoured tobacco restriction (FTR), young adults report being able to access flavoured tobacco products with ease. Snapchat was the social media platform that participants brought up frequently to find people selling flavoured tobacco products. Preventing the sale of flavoured tobacco products through Snapchat and other social sources will be critical for Massachusetts\u2019 FTR to have its intended impact.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/tc-2024-058937","type":"journal-article","created":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T19:35:12Z","timestamp":1746646512000},"page":"549-551","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["\u2018I'm sure within 5 minutes I can find someone that will be selling it\u2019: qualitative insights into how social media facilitates the sale of banned flavoured tobacco products"],"prefix":"10.1136","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0673-6153","authenticated-orcid":false,"given":"Jill M","family":"Singer","sequence":"first","affiliation":[{"name":"College of Public Health, The Ohio State University, Columbus, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6895-4682","authenticated-orcid":false,"given":"Elizabeth G","family":"Klein","sequence":"additional","affiliation":[{"name":"College of Public Health, The Ohio State University, Columbus, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0336-1317","authenticated-orcid":false,"given":"Micah L","family":"Berman","sequence":"additional","affiliation":[{"name":"College of Public Health and Moritz College of Law, The Ohio State University, Columbus, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey J","family":"Wing","sequence":"additional","affiliation":[{"name":"College of Public Health, The Ohio State University, Columbus, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4743-2145","authenticated-orcid":false,"given":"Megan E","family":"Roberts","sequence":"additional","affiliation":[{"name":"College of Public Health, The Ohio State University, Columbus, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,5,7]]},"reference":[{"key":"2026102203551070000_35.4.549.1","unstructured":"Tobacco Free Kids . States and localities that have restricted the sale of flavored tobacco. Available: https:\/\/www.tobaccofreekids.org\/assets\/factsheets\/0398.pdf [Accessed 28 Mar 2023]."},{"key":"2026102203551070000_35.4.549.2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.13802"},{"key":"2026102203551070000_35.4.549.3","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2019.13804","article-title":"Association of flavored tobacco use with tobacco initiation and subsequent use among US youth and adults, 2013-2015","volume":"2","author":"Villanti","year":"2019","journal-title":"JAMA Netw Open"},{"key":"2026102203551070000_35.4.549.4","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntaa224"},{"key":"2026102203551070000_35.4.549.5","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntx181"},{"key":"2026102203551070000_35.4.549.6","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6937e1"},{"key":"2026102203551070000_35.4.549.7","unstructured":"Mass.gov . 2019 tobacco control law. Available: https:\/\/www.mass.gov\/guides\/2019-tobacco-control-law [Accessed 11 Jan 2023]."},{"key":"2026102203551070000_35.4.549.8","unstructured":"Singer JM . Tobacco use before and after massachusetts\u2019 statewide flavored tobacco restriction: how equitable is this policy? The Ohio State University; 2024. Available: https:\/\/etd.ohiolink.edu\/acprod\/odb_etd\/r\/etd\/search\/10?p10_accession_num=osu1718399495306585&clear=10&session=102313849554833 [Accessed 24 2025]."},{"key":"2026102203551070000_35.4.549.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2021.114523"},{"key":"2026102203551070000_35.4.549.10","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1177\/160940691101000304","article-title":"\u2018Is that what I said?\u2019 Interview transcript approval by participants: an aspect of ethics in qualitative research","volume":"10","author":"Mero-Jaffe","year":"2011","journal-title":"Int J Qual Methods"},{"key":"2026102203551070000_35.4.549.11","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol-2019-055424"},{"key":"2026102203551070000_35.4.549.12","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2021.106916"},{"key":"2026102203551070000_35.4.549.13","doi-asserted-by":"publisher","DOI":"10.1136\/tc-2022-057348"},{"key":"2026102203551070000_35.4.549.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2020.106576"},{"key":"2026102203551070000_35.4.549.15","doi-asserted-by":"publisher","DOI":"10.1080\/07448481.2021.1965149"},{"key":"2026102203551070000_35.4.549.16","doi-asserted-by":"publisher","DOI":"10.5888\/pcd18.200550"},{"key":"2026102203551070000_35.4.549.17","doi-asserted-by":"publisher","DOI":"10.1136\/tc-2023-058315"},{"key":"2026102203551070000_35.4.549.18","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntae081"},{"key":"2026102203551070000_35.4.549.19","doi-asserted-by":"publisher","DOI":"10.1186\/s12954-024-01027-5"},{"key":"2026102203551070000_35.4.549.20","unstructured":"Snap . Illegal or regulated activities | community guidelines explainer. Available: https:\/\/values.snap.com\/privacy\/transparency\/community-guidelines\/illegal-or-regulated-activities [Accessed 18 Jul 2024]."},{"key":"2026102203551070000_35.4.549.21","doi-asserted-by":"publisher","DOI":"10.1037\/pag0000415"},{"key":"2026102203551070000_35.4.549.22","unstructured":"Massarat EAV Risa Gelles Watnick and Navid . Teens, Social media and technology 2022. Pew Research Center August; 2022. Available: https:\/\/www.pewresearch.org\/internet\/2022\/08\/10\/teens-social-media-and-technology-2022\/ [Accessed 18 Jul 2024]."}],"container-title":["Tobacco Control"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/tc-2024-058937","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T18:42:05Z","timestamp":1792694525000},"score":1,"resource":{"primary":{"URL":"https:\/\/tobaccocontrol.bmj.com\/lookup\/doi\/10.1136\/tc-2024-058937"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,7]]},"references-count":22,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026,7,28]]},"published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1136\/tc-2024-058937"],"URL":"https:\/\/doi.org\/10.1136\/tc-2024-058937","relation":{},"ISSN":["0964-4563","1468-3318"],"issn-type":[{"value":"0964-4563","type":"print"},{"value":"1468-3318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,7]]}}}