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Harm reduction infographic

11/3/21--The tobacco industry has been trying to co-opt the term 'harm reduction' as part of its business strategy to expand its user base and grow the total market for nicotine products. Read

Tobacco and cannabis poly-substance and poly-product use trajectories across adolescence and young adulthood

11/3/21--This study characterized the prevalence, patterns, and racial/ethnic and sex differences of developmental trajectories of use and poly-use of 8 different widely-marketed tobacco and cannabis products across adolescence and young adulthood. Results indicate that over 40% of AYAs (adolescents and young adults) were classified into one of four poly-using trajectories involving use of multiple tobacco and cannabis products, including a sizeable subgroup characterized by substantial increases in poly-use after adolescence. Read

E-cigarette use and change in plans to quit cigarette smoking among adult smokers in the United States” Longitudinal findings from the PATH Study 2014-2019

11/3/21--In this study, U.S. nationally representative data was used to evaluate whether e-cigarette use by smokers initially not planning to ever quit is associated with change in plans to quit. Study results indicate that among adult daily cigarette smokers initially not planning to ever quit, subsequent daily e-cigarette use is associated with subsequent plans to quit smoking. Population-level research on e-cigarette use that is focused on smokers already motivated to quit may limit a complete evaluation of the smoker population. Read

Cigarette sales went up in 2020 for the first time in 20 years

10/27/21--Cigarette sales went up last year for the first time in 20 years, according to the Federal Trade Commission. Although it was only a 0.4% increase, it's still alarming since the number has been going down each year of the 21st century. It’s not known exactly why people are buying more cigarettes; however, some experts say more isolation and uncertainty increase the risk of substance abuse. Read

Prevalence of adolescent cannabis vaping: A systematic review and met-analysis of US and Canadian studies

10/25/21--The findings of this study suggest that the prevalence of cannabis vaping has increased among adolescents in the US and Canada and that more effective preventive and response measures are required. Read

In search of a better way to assess the risk of youth exposure to nicotine and tobacco products

9/27/21--The CDC examines middle school and high school students’ current (past 30 days) use of multiple tobacco products, including cigarettes, cigars, smokeless tobacco, hookahs, pipe tobacco, and electronic cigarettes (e-cigarettes). In addition to assessing current use of each product individually, the CDC tracks past 30-day use of any tobacco product (ATP). Both e-cigarette and ATP use rose dramatically in 2018 and 2019, leading public health authorities to label youth vaping an epidemic. Both measures declined in 2020. Read

PMPSA’s Population Health Impact Model

9/13/21--Stanton Glantz and his colleagues at the UCSF TCORS submitted this public comment to the FDA stating that the PMPSA’s Population Health Impact Model for IQOS underestimates the health impact of IQOS, does not adequately address new published research and information on population health impacts, and does not demonstrate benefits to individual or population health, so FDA should not issue an exposure modification MRTP order for IQOS 3. Read

FDA can and should prioritize youth over Juul and other e-cigs sales while it ponders the long term

9/10/21--Health groups successfully sued FDA to force action after years of delays and deadline extensions that allowed thousands of e-cigarettes to remain on the market without any FDA premarket review and millions of kids to become nicotine addicts. The order provided that any product that did not submit a PMTA by September 9, 2020, or that had not obtained a permissive marketing order from FDA by September 9, 2021, was being marketed illegally and was subject to enforcement action by FDA. Read

Longitudinal trajectories of E-cigarette use among adolescents: A 5-year, multiple cohort study of vaping with and without marijuana

9/1/21--This longitudinal study sought to identify and differentiate between developmental trajectories of past 30-day e-cigarette use with and without marijuana (i.e., liquid THC) across adolescence (11–19 years old). With one exception, all trajectories of e-cigarette use escalated with age. Moreover, age of onset and progression in use were positively related. The most problematic trajectories, corresponding to more frequent use, were observed among the younger cohorts compared to the oldest. Read

The vapes as strong as 125 cigarettes: Health fears over new craze among young people for super-strength nicotine devices

9/6/21--Health fears are sparked as a result of children buying super-strength vapes – equivalent to smoking 125 cigarettes. They are so powerful that young users have reported lengthy nosebleeds, coughing up blood, headaches, chest pains and dizzy spells. Last night experts warned vaping was a ‘huge crisis for young people’ and called for action. TikTok also launched an investigation after being alerted by the Mail and pledged to ban accounts and remove videos that promoted the possession or consumption of the products by minors. Read

Bernstein Litowitz told to try again in effort to inspect JUUL’s books

8/24/21--Bernstein Litowitz, one of the leading plaintiffs firms for class actions against companies that suffer, drops in their values. They will have to try to make their inspection request again, this time under Delaware law. Grove represents Daniel Grove, who did not waive his rights to inspect corporate records under the California Corporations Code, threatened to bring an action in California to enforce inspection, and JUUL filed a case against Grove in Delaware seeking to declare he had no right to the books. Read

Use of electric cigarettes as a predictor of cannabis experimentation: A longitudinal study among German youth

8/12/21--This study aimed to investigate whether e-cigarette use longitudinally predicts experimentation with cannabis, and results indicate that e-cigarette use is associated with a subsequent initiation of cannabis use. This association seems to be stronger for youth who have a lower risk for substance use in general. Future studies need to investigate whether this is only true for experimental or also more frequent cannabis use. Read

All eyes of FDA: The upcoming regulation of Juul e-cigarettes

8/6/21--Following a court ruling, FDA must issue PMTA orders by September 9, pro or con, for every e-cigarette brand or variant that has applied to stay on the market and take any not receiving permissive orders off the market. So, the big questions are whether FDA will issue PMTA orders to allow the continued marketing of any e-cigarettes, and if so, what restrictions and requirements FDA might put on the permitted e-cigarettes, their flavors, and their marketing. Read

Association of 1 vaping session with cellular oxidative stress in otherwise healthy young people with no history of smoking or vaping

8/9/21--The purpose of this study was to evaluate the association of a single session of ECIG vaping on COS in immune cells in young people who do not smoke or vape compared with young people with long-term TCIG or ECIG use. Read

Effects of graphic warning labels of cigarette packs on US smokers’ cognitions and a random clinical trial

8/4/21-- This randomized clinical trial found that graphic warning labels decreased positive perceptions of cigarettes associated with branded cigarette packs but without clearly increasing health concerns. They also increased quitting cognitions but did not affect either cigarette cessation or consumption levels. Read

Young lured to tobacco addiction via e-cigarettes

7/27/21--According to the the World Health Organization (WHO), the tobacco industry's sleek marketing is attracting youngsters to e-cigarettes which can lead to tobacco addiction, despite claims by some executives that they aim to solve the smoking epidemic. The WHO is calling for greater regulation of smoke-free devices containing nicotine. Read

The tobacco industry and the environment

7/29/21--STOP. | A global tobacco industry watchdog reports that tobacco is a major ecosystem disruptor. By continuing to produce and profit from tobacco and by perpetuating the long-lasting harms to the environment, the tobacco industry undermines efforts toward ecosystem restoration. Read

A longitudinal analysis of e-cigarette use and cigar, little cigar or cigarillo initiation among youth and youth adults: 2017-2019

7/28/21--This study was designed to examine whether youth and young adult e-cigarette use is associated with initiation of cigars, little cigars, or cigarillos (CLCCs) and current use of flavored CLCCs. Study results raises new concerns about the effects of e-cigarette use on subsequent combustible tobacco use; therefore, restrictions on CLCCs should be considered in conjunction with current policies designed to reduce the youth vaping epidemic. Read

Goal-setting and positive parent-child relationships reduce risk of youth vaping

7/26/21--Adolescents who set goals for their future and those with strong parental support are less likely to use e-cigarettes and other tobacco products, according to a study by UPMC Children's Hospital of Pittsburgh and University of Pittsburgh School of Medicine physician-scientists. The research, published in the journal Pediatrics, suggests that strategies to prevent youth vaping may be different from what works to dissuade youth from smoking cigarettes. Read

Vaping on TikTok: a systematic thematic analysis

7/23/21--The rising popularity of TikTok among adolescents may influence their awareness and perceptions of e-cigarette use via user-generated content. This study aimed to examine how e-cigarette/vaping-related videos are portrayed on TikTok. Findings from this study illustrated that positively framed e-cigarette and vaping-related postings available without age restrictions on TikTok—a rising video-sharing platform that is popular among adolescents—have been viewed many times. Effective age restrictions are needed to reduce adolescents’ potential exposure to videos that portray vaping positively. Read

Does TikTok push vaping?

7/26/21--To identify vaping-related videos out of the billions posted on TikTok, doctoral student Tianze Sun of the University of Queensland in Saint Lucia, Australia and colleagues searched for hashtags such as #vaping and #vapetricks, as well as one associated with the Juul brand of e-cigarette. They then selected 1,000 with the most page views, eventually discarding 192 that proved to be duplicates or were discovered not to involve vaping despite the hashtags. The most disturbing result from the study is that 20% showed users performing tricks with vaping devices and were also the most viewed by far at 460 million. Read

FDA must act quickly on menthol ban to save Black lives, advocates argue

7/23/21--Tobacco control advocates argued that the FDA must act swiftly to ban all menthol products and address the "pernicious targeting" of Black smokers, during an online briefing hosted by the Alliance for Health Policy and sponsored by the Robert Wood Johnson Foundation. Read

Protecting women and girls from tobacco and alcohol promotion

7/19/21--According to Emma Feeny and colleagues, gender transformative measures could curb the industries’ expansion into low and middle income countries, contain the burden of chronic disease, and promote gender equity. Without urgent action, the number of women and girls consuming tobacco and alcohol is likely to rise substantially in the coming years as a result of the combination of changing gender norms, aggressive industry marketing, and continuing population growth in low and middle income countries. Read

Juul bought out medical journal for 51K

7/13/21--Juul Labs is facing scrutiny for funding and working on studies of their products, and paying a journal to publish them. Juul teamed up with healthcare consultants Pinney Associates and the Centre for Substance Use Research (CSUR), chiefly, to examine its tobacco vaping device, as FDA weighs whether to grant the company a Premarket Tobacco Product Application (PMTA) as a safer alternative to cigarettes. Read

Effects of menthol use and transitions in use on short-term and long-term cessation from cigarettes among US smokers

7/10/21--This study was designed to estimate the effect of menthol use and transitions in use (switching to or from menthol) on short-term and long-term cessation from cigarette smoking and whether this differed across demographic groups (age, sex, race). Results demonstrate that menthol impaired menthol smokers’ attempts to quit smoking but switching from menthol improved success. This suggests that removing menthol may improve menthol smokers’ success during quit attempts. Read

Webinar: E-cigarettes and vaping – What you need to know

7/6/21--Vaping is becoming an increasing concern for schools and parents, and this webinar will provide up-to-date and relevant information on the research around vaping and trends in use among youth. Information will also be provided on how to best prevent e-cigarette and vaping use among youth. Read

Text message support prompts young adults to quite vaping

7/6/21--Tailored, interactive text messages improved quit rates among young adults using e-cigarettes, a randomized trial in JAMA Internal Medicine reported. The trial’s 2588 participants, aged 18 to 24 years, expressed a strong desire to quit using e-cigarettes. Nearly all vaped daily and had previously attempted to quit. Three-quarters of the participants were current students and more than 80% were White. Read

E-cigarette manufacturers’ compliance with clinical trial reporting expectants: a case series of registered trials by Juul Labs

6/29/21--The reporting of clinical trials sponsored by Juul Labs, the largest e-cigarette company in the USA, is assessed against accepted reporting standards. Findings raise substantial concerns regarding these trials. Clinicians, public health professionals, and the public cannot make informed choices about the benefits or hazards of e-cigarettes if the results of clinical trials are not completely and transparently reported. Clarification and potential enforcement of reporting laws may be required. Read

Juul to pay $40 million to settle N.C. vaping case

6/28/21--Juul Labs has agreed to pay North Carolina $40 million to settle the first of a spate of lawsuits brought by states and localities claiming the e-cigarette company’s marketing practices fueled widespread addiction to nicotine among young people and created a new public health problem. Read

FDA must do more to stop youth vaping, House members say

6/23/21--House members told FDA Acting Commissioner Janet Woodcock, MD, at a hearing on youth vaping that the FDA should be doing more to stop kids from getting addicted to e-cigarettes. Subcommittee chairman Raja Krishnamoorthi (D-Ill.) began the hearing by laying out statistics on the problem and he focused some of his questions on flavored e-cigarettes, noting that the agency's 2020 e-cigarette "flavor ban" included two exemptions: one for tobacco and menthol flavors for Juul and other cartridge-based devices, and another for all flavors of disposable e-cigarettes. Read

New WHO report shows how manufacturers attempt to avoid regulation of e-cigarettes and heated tobacco products

6/21/21--A new WHO report “Litigation relevant to regulation of novel and emerging nicotine and tobacco products: comparison across jurisdictions” offers governments examples of the legal arguments that industry has used in attempts to evade or minimize regulation, as well as how courts have addressed those arguments. Read

Who sells tobacco, who stops? A comparison across different tobacco retailing schemes

6/18/21--This study examines patterns of tobacco retailing across three legislative environments with three different licensing schemes (an annual fee-based license, a zero-cost, one-off notification scheme and no notification/licensing scheme). Results of this study indicate that, unexpectedly, the annual license fee to sell tobacco was not significantly associated with a lower rate of selling tobacco or a higher rate of stopping. Read

Effect of flavor manipulation on ENDS (JUUL) users’ experiences, puffing behavior and nicotine exposure among US college students

6/18/21--This study evaluates the impact of ENDS flavor manipulation on user’s puffing behavior, subjective experience, harm perception and nicotine exposure among college-aged ENDS users. Results of this pilot study provides evidence that ENDS flavors have a substantial effect in enhancing young current ENDS users’ experiences, product appeal and motivation to use the product in the future. It highlights that limiting flavors could play a potential role when designing strategic policies to reduce the appeal of ENDS use among young people. Read

Exposure to JUUL use: cue reactivity effects in young adult current and former smokers

6/18/21--This study examines whether observing the use of this device would elicit similar responses in smokers. Exploratory analyses were also conducted to determine whether JUUL can act as a smoking cue for former smokers. Study results conclude that the use of JUUL affects the user and elicits responses in observers, It is the study first to demonstrate that exposure to JUUL use may act as a smoking cue and exposure to JUUL use may affect tobacco control efforts. Read

Altria-Juul deal goes to trial

6/2/21--Altria Group Inc. and the Federal Trade Commission are squaring off over allegations that the Marlboro maker engaged in anticompetitive practices ahead of its 2018 investment in e-cigarette startup Juul Labs Inc. If the FTC prevails, it could unwind Altria’s 35% interest in Juul. The agency is seeking to force Altria to divest its stake and terminate the companies’ noncompete agreement. The case is being heard by an administrative law judge, who will make an initial decision; the agency’s commissioners will then vote on the matter. Read

Covid 19: How to harm reduction advocates and the tobacco industry capitalized on the pandemic to promote nicotine

6/2/21--In the early days of the pandemic, media outlets around the world reported that smokers seemed to be under-represented among patients seriously ill with covid-19 in China and France. The headlines asked, does nicotine protect against covid-19? The stories made headlines worldwide, and they were also picked up by libertarian media outlets. The World Health Organization worried that decades of tobacco control could be undermined. It has since been roundly disproved that smoking protects against covid-19. Read

JUUL ‘new technology’ pods exhibit greater electrical power and nicotine than previous devices

5/20/21--In 2019, JUUL Labs began marketing in the European Union ‘new technology’ pods that incorporated a new wick that it claimed provided ‘more satisfaction’. In this study,  design and materials of construction, electrical characteristics, liquid composition and nicotine and carbonyl emissions of new technology JUUL pods were compared to their predecessors. Read

Framework for the public health assessment of electronic cigarettes

5/19/21--Electronic cigarettes (e-cigarettes) are relatively new products with substantial public health impacts. Evidence on their effects is diverse and emerging rapidly, presenting challenges to high-quality policymaking and decision-making. This paper addresses these challenges by developing and presenting a framework for the public health assessment of e-cigarettes, using the Australian context as an example. Read

An inexpensive intervention to reduce e-cigarette use among young adults

5/17/21--The results of a double-blind randomized clinical trial examining a text messaging intervention that uses cognitive and behavioral coping skills to promote abstinence of e-cigarette use among 18- to 24-year-olds indicate that when compared to the control, the intervention significantly increased the rate of 30-day point prevalence abstinence at 7 months postrandomization (18.6% vs 24.1%). Read

Effectiveness of vaping cessation text message program among young e-cigarette users

5/17/21--In a randomized clinical trial designed to determine the effectiveness of a text message program for vaping cessation among 2588 young adults vs assessment-only control, postrandomization abstinence rates were 24.1% among participants assigned to the text message intervention and 18.6% among participants assigned to an assessment-only control at 7 months, which is a statistically significant difference. No baseline characteristics moderated the treatment-outcome relationship, including nicotine dependence. Read

The Japan Foundation

5/10/21--The Japan Foundation describes itself as “Japan’s only institution dedicated to carrying out comprehensive international cultural exchange programs throughout the world”. Established in 1972 with 25 overseas offices including nine in Asian countries, six in European countries and five in the Americas, it has well-established financial links with a number of corporations including Japan Tobacco International. In 2021 it was a sponsor, alongside Philip Morris International, of the high-profile Future of Asia conference. Read

The youth e-cigarette epidemic: New estimates of JUUL Labs’ revenue from youth users in the US

5/1/21-This study was conducted by creating several scenarios to estimate the percentages of JUUL’s net revenue from adults and youth in the US in 2018. Survey results indicate that a substantial proportion of JUUL’s profits in 2018 were a result of use by youth. It could be required that all e-cigarette companies actively ensure that use by youth is below a pre-determined small fraction of their sales, requiring that a high penalty be paid by those that fail to do so. Read

Ecigs double risk of relapse among former smokers

5/7/21--Laura Barufaldi and her colleagues at the National Cancer Institute of Brazil recently published Risk of smoking relapse with the use of electronic cigarettes: A systematic review with meta-analysis of longitudinal studies that identified six relevant studies from the US, UK and France, three of which have quantitative results. They found that risk of relapse is doubled among former smokers who use e-cigarettes than among non-users. Read

Increases in frequent vaping cannabis among high school seniors in the United States 2018-2019

5/7/21--In a study comparing and examining the prevalence of self-reported frequent vaping of cannabis (defined as using ≥10 times in the past month) between 2018 and 2019 cohorts, frequent vaping of cannabis is increasing among adolescents in the United States, particularly among selected subgroups. Read

Is FDA going to ban menthol as a “characterizing flavor” or an ingredient? It matters

4/29/21--Today the FDA, with important support from the Biden Administration, announced that it would be moving to ban menthol as a “characterizing flavor” in cigarettes. In so doing, the FDA acted as requested in a Citizen’s Petition submitted by the Public Health Law Center in 2013. Read

ACLU statement on FDA menthol cigarette ban

4/28/21--Seemingly, the Food and Drug Administration are moving forward with a plan to ban menthol cigarettes this week. Aamra Ahmad, senior legislative counsel with the American Civil Liberties Union, highlighted serious concerns that a ban on menthol cigarettes will disproportionately impact Black and Brown communities. Read

FDA commits to evidence-based actions aimed at saving lives and preventing future generations of smokers

4/29/21--The U.S. Food and Drug Administration announced it is committing to advancing two tobacco product standards to significantly reduce disease and death from using combusted tobacco products, the leading cause of preventable death in the U.S. The FDA is working toward issuing proposed product standards within the next year to ban menthol as a characterizing flavor in cigarettes and ban all characterizing flavors (including menthol) in cigar. Read

Marlboro-maker Phillip Morris keeps cannabis options open

4/28/21--Marlboro-maker Philip Morris International Inc. is beginning to take a closer look at the marijuana market. According to Chief Executive Officer Andre Calantzopoulos, the company is assessing factors like the toxicity of cannabis, efficacy, and differences between pharmaceutical and consumer options, while also continuing to analyzing the industry because the market is so young and there isn’t robust regulation yet, he said. Read

Big Four + Big Four: adding up the Government’s lobbying links

4/28/21-- Andy Rowell (Group Editor) and Phil Chamberlain (Managing Editor) of Tobacco Tactics at the Tobacco Control Research Group attempt to unravel the complex relationships between the tobacco industry, those who speak for them and the people in power. Read

Big tobacco, big conflict of interest

4/29/21--According to new research from the University of Bath and Corporate Accountability, published by Tobacco Control, despite overwhelming historical evidence of the tobacco industry using ‘independent’ third parties such as The Foundation for a Smoke-Free World (the Foundation), scientific publishing processes are still failing to address the problem of industry-linked science finding its way into scientific journals as an often hidden agenda. Read

Surprise! Juul publishes a paper concluding that e-cigs save lives

4/27/21--A group of Juul scientists have published “Modeling the population health impact of E.N.D.S in the U.S.” that concludes that “the availability of ENDS is projected to reduce smoking and prevent 2.5 million premature deaths by 2100.” Read

E-cigarette users in rural Appalachia develop more severe lung injuries, according to new study

4/20/21--Researchers with the West Virginia University School of Medicine are investigating severe lung injuries occurring among e-cigarette users in rural Appalachia. In a recent study, Sunil Sharma—section chief of pulmonary/critical care and sleep medicine at the School of Medicine—and his colleagues present a case study of patients with EVALI (electronic cigarettes and vaping-associated lung injury) admitted to WVU hospitals from August 2019 to March 2020. Read

Biden Administration considering rule to cut nicotine in cigarettes

4/19/21--The Biden administration is considering requiring tobacco companies to lower the nicotine in all cigarettes sold in the U.S. to levels at which they are no longer addictive, according to people familiar with the matter. Administration officials are considering the policy as they approach a deadline for declaring the administration’s intentions on another tobacco question: whether or not to ban menthol cigarettes. Read

Nicotine pouches

4/9/21--To secure the tobacco industry’s medium to long-term future, in light of growing tobacco regulations and a rapidly shrinking cigarette market, transnational tobacco companies (TTC) have been diversifying into alternative tobacco and nicotine products.12 They are also increasingly marketing these products in low and middle income countries. Three of the ‘big four’ TTCs have invested in Swedish-style snus and leaf-free variants called nicotine pouches, which they have promoted as part of their harm reduction or ‘reduced risk’ strategies. Read

Vape seller are using popular music videos to promote e-cigarettes to young people – and it’s working

4/6/21--A recent study uncovered that participants exposed to any electronic cigarette product placement or imagery in music videos were more likely to have used an electronic cigarette in the past month compared to participants with no exposure.the Tobacco Master Settlement Agreement of 1998 prohibits product placement for cigarettes and chew tobacco in television, music videos and motion pictures, but those restrictions do not apply to electronic cigarettes. Read

Why FDA’s reduced exposure marketing order for IQOS is not a reliable global model

3/25/21--Lauren Lempert, Stella Bialous, and Stanton Glantz recently published “FDA’s reduced exposure marketing order for IQOS: why it is not a reliable global model” in Tobacco Control to explain what happened in the US and why the FDA process — which followed US law — is not a good model for the rest of the world. They argue that FDA should not have even authorized reduced exposure claims. Read

Democrats urge FDA to clear market of all flavored e-cigarettes

3/23/21--The 43 House Democrats sent the letter to Acting FDA Commissioner Janet Woodcock urging the agency to take all flavored e-cigarettes off the market. The lawmakers want the FDA to ban all flavored e-cigarettes upon further review and nix the exemption the FDA has for methanol and disposable e-cigarettes. Read

Targeting the European Commission: The 7 lobbying techniques of Big Tobacco

3/17/21--This report presents and analyses key contacts between the European Commission (EC) and the tobacco industry (TI) – including third parties in receipt of TI funds, as well as influential vaping groups that are financially independent, but whose messaging is consistent with the TI. These documented contacts, in 2019 and 2020, were accessed via document requests sent to eight separate EC departments, known as Directorates-General (DGs). Read

Disposable e-cigarette use among U.S. youth – An emerging public health challenge

3/16/21--According to data from the National Youth Tobacco Survey (NYTS), 19.6% of high school students (3.02 million) and 4.7% of middle school students (550,000) reported current (within the preceding 30 days) e-cigarette use in 2020 — 1.8 million fewer than in 2019.2 However, e-cigarette use among youth remains prominent and the landscape of devices is evolving, both of which pose a public health challenge. The changes in device type–specific e-cigarette use during 2019 and 2020 was accessed. Read

Flavored tobacco product restrictions in Massachusetts associated with reductions in adolescent cigarette and e-cigarette use

3/8/21--This study examines the associations between county-level flavored tobacco product restrictions, tobacco 21 policies and smoke-free laws prohibiting e-cigarettes with adolescent cigarette and e-cigarette use in Massachusetts, and to assess whether policy effects varied by age. Results indicate adolescents in Massachusetts decreased their use of cigarettes and e-cigarettes in response to local restrictions that limited the sale of flavored tobacco products to adult-only retail tobacco stores. Read