Public Support for E-Cigarette-related Policies among a Nationally Representative Sample of US Adults

Public support for policies to regulate flavoured tobacco and e-cigarette products in rural California

INTRODUCTION

Flavoured tobacco control policy exemptions and electronic cigarette products may contribute to increased youth access and tobacco use disparities.

METHODS

We assessed public support among California Central Valley residents for four policies to regulate flavoured tobacco products and e-cigarettes. The probability-based, multimode survey was conducted with English-speaking and Spanish-speaking registered voters (n=845) across 11 counties between 13 and 18 August 2020. Weighted logistic regression analyses measured odds of policy support, adjusting for predictor variables (attitudes and beliefs) and covariates.

RESULTS

The weighted sample was 50% female and predominantly Latino (30%) or non-Hispanic white (46%); 26% had a high school education or less, and 22% an annual household income

DISCUSSION

Findings add to mounting evidence of support for policies to regulate flavoured tobacco and e-cigarette products. Results on attitudes and beliefs elucidate how these factors influence support.

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Key Words

• prevention
• priority/special populations
• public opinion
• public policy

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MESH Headings

• Adolescent
• Humans
• Female
• Male
• Electronic Nicotine Delivery Systems
• Nicotiana
• Tobacco Products
• Vaping/epidemiology
• Policy
• California/epidemiology
• Flavoring Agents

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Grants

• University of California Office of the President (UCOP) Tobacco-Related Disease Research Program

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Affiliation(s)

Denise Diaz Payán Department of Public Health, University of California Merced, Merced, California, USA Nicotine & Cannabis Policy Center, University of California Merced, Merced, California, USA
Nancy J Burke Department of Public Health, University of California Merced, Merced, California, USA Nicotine & Cannabis Policy Center, University of California Merced, Merced, California, USA
Jamie Persinger American Heart Association, California, Los Angeles, California, USA
Juliette Martinez American Heart Association, California, Los Angeles, California, USA
Lisa Jones Barker American Heart Association, California, Los Angeles, California, USA
Anna V Song Department of Psychological Sciences, University of California Merced, Merced, California, USA Nicotine & Cannabis Policy Center, University of California Merced, Merced, California, USA

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U.S. public opinion toward policy restrictions to limit tobacco product placement and advertising at point-of-sale and on social media

The Family Smoking Prevention and Tobacco Control Act granted the U.S. Food and Drug Administration authority to regulate tobacco advertising and promotion, including at the retail level, and preserved state, tribal, and local tobacco advertising and promotion authorities. Public health experts have proposed prohibiting point-of-sale tobacco advertisements and product displays, among other tobacco advertising restrictions. We examined the prevalence and correlates of public support, opposition, and neutrality toward proposed tobacco product placement and advertising restrictions at point-of-sale and on social media utilizing the National Cancer Institute's 2020 Health Information National Trends Survey (HINTS) (N = 3865), a cross-sectional, probability-based postal survey of U.S. addresses conducted from Feb 24, 2020 to June 15, 2020 (Bethesda, MD). Frequencies and unadjusted, weighted proportions were calculated for support, neutrality, and opposition toward the three policies under study, and weighted, adjusted multivariable logistic regression was employed to examine predictors of neutrality and opposition. Tests of significance were conducted at the p < 0.05 level. Sixty-two percent of U.S. adults supported a policy prohibiting tobacco product advertising on social media; 55% supported a policy restricting the location of tobacco product advertising at point-of-sale; and nearly 50% supported a policy to keep tobacco products out of view at the checkout counter. Neutrality and opposition varied by sociodemographic characteristics including age, sex, education, rurality, and presence of children in the household. Understanding public opinion toward tobacco product placement and advertising restrictions may inform policy planning and implementation.