In this article, Dr. Allem presents his research covering policies and laws designed to block children and adolescents from purchasing e-cigarettes, how those those measures are failing, and why e-cigarette use among adolescents is a public health concern.
Californians – including minors – are still able to buy flavored electronic cigarettes online, even after the state’s much-publicized ban went into effect. That’s the key finding of my team’s new study, published in JAMA Network Open.
On Dec. 21, 2022, California enacted Senate Bill 793, which prohibited the sale of most flavored tobacco products, including e-cigarettes, to people of all ages. Hookahs, premium cigars and loose-leaf tobacco were exempted from the legislation.
The ban was motivated, in large part, by a desire to reduce to reduce consumption of tobacco among young people — who are particularly attracted to the flavors in e-cigarettes, such as mango and crème.
Since 2021, we have been collecting data on the tobacco industry. As part of this project, we also worked to determine whether minors could illegally purchase flavored e-cigarettes online.
Before and after the passage of SB 793, our researchers — all posing online as minors under the age of 21 — attempted to buy flavored e-cigarette products from 26 websites that sold them in California.
A “purchase attempt” occurred when a researcher was able to add a flavored e-cigarette product to their cart, make it through the age verification system — if any — and provide their credit card information.
Before SB 793, our purchase attempt success rate was 52%. After SB 793, our success rate actually rose — to almost 61%.
Why it matters for adolescent health
Vaping and e-cigarette use may have long-term impacts on a user’s heart and lungs and many other parts of the body, despite being marketed as a safer alternative to smoking.
E-cigarette use among adolescents is a public health concern, particularly since these products have a special appeal to young people.
The nicotine in e-cigarettes can impair an adolescent’s brain development. In addition, the aerosols that those who vape breathe in can contain cancer-causing chemicals and heavy metals such as nickel, tin and lead.
In addition, flavored tobacco products are known to make it difficult to quit nicotine.
Research shows that the U.S. Food and Drug Administration’s 2009 ban on flavored cigarettes reduced adolescent tobacco use. That’s why California has spearheaded progressive tobacco control policies – not only with SB 793, but through local sales restrictions in dozens of California cities. But young people may still have access to flavored tobacco products online.
What still isn’t known
It remains unclear as to why flavored e-cigarettes are still available from online retailers in California. It may be that vendors are flouting the new law, are ignorant of it, or do not believe the new law applies to online sales.
A comprehensive evaluation of SB 793 compliance among brands and vendors that sell their products online in California would help determine the extent to which flavored e-cigarettes are still available. This research would provide data on retailer awareness of the new legislation and would show whether they understand the potential consequences for being in violation of the new law.
Our research had several limitations. For one, our protocol for the study was developed during the COVID-19 pandemic. With the health and safety of our team in mind, we avoided in-person interactions. This means that we did not receive the package of flavored e-cigarettes from a delivery person.
[Related: Flavored cannabis marketing is criticized for targeting kids]
Since we stopped our attempted online purchases with placing items in an electronic shopping cart, this precluded our ability to examine whether age would have been verified at delivery and to calculate the actual purchase rate. However, only four websites in our study stated that age verification would actually occur at delivery.
Even with these caveats, these findings warrant urgent attention from state agencies to enforce the ban on flavored e-cigarette products in California.
What other research is being done
Another research team collected weekly Google search rates related to online shopping for cigarettes and vaping products in California from January 2018 to May 2023. They found that shopping queries were 194% higher than expected for cigarettes and 162% higher than expected for e-cigarettes – which suggests consumers are searching on Google for vendors promoting banned products.
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Jon-Patrick Allem, Associate Professor of Social and Behavioral Sciences, Rutgers University. His research shows the different ways that corporations influence adolescent health, with current projects focused on identifying sources of exposure to tobacco marketing among adolescents and young adults. Dr. Allem aims to apply his research in ways to protect the health of large numbers of children.
This article is republished from The Conversation under a Creative Commons license. Read the original article.
