Abstract
After proposing the “Deeming Rule” in 2014, the U.S. Food and Drug Administration (FDA) began regulating the manufacturing, marketing, and sales of electronic cigarette (e-cigarette) products as tobacco products in 2016. The current study conducted vape shop store observations and surveyed Los Angeles–area shop employees (assessing their beliefs, awareness, and perceptions of e-cigarettes and related FDA regulations) at two time points one year apart to better understand what vape shop retailers would do given FDA’s soon-to-be-enacted Deeming Rule. The study also compared retailer beliefs/awareness/actions and store characteristics immediately after the Deeming Rule proposal versus a year after the Rule had been proposed, right before its enactment. Two data collection waves occurred before the Deeming Rule enactment, with Year 1 surveying 77 shops (2014) and Year 2 surveying 61 shops (2015–2016). Between the data collection points, 16 shops had closed. Among the shops that were open at both time points, the majority (95% in Year 1; 74% in Year 2) were aware of some FDA regulations or other policies applying to vape shops. However, overall awareness of FDA regulations and state/local policies governing e-cigarettes significantly decreased from Year 1 to Year 2. At both time points, all shops offered customers free puffs of nicotine-containing e-liquids (prohibited by the then upcoming Deeming Rule). Perceptions of e-cigarette safety also significantly decreased between the years. Exploring vape shop retailer perceptions and store policies (i.e., free puffs/samples displays, perceptions of e-cigarette safety, etc.) over time will help the FDA assess the needs of the vape shop community and develop more effective retailer education campaigns and materials targeted to increase compliance with the newly enacted regulations.
Highlights
Electronic cigarettes (e-cigarettes) are popular among current, former, and non-cigarette-smokers, and appealing to youth and young adults [1,2,3,4,5]
This study looks at differences in ethnic locations since these particular population groups are known to be vulnerable to tobacco use [7,8,9]
Year 2, perceptions of e-cigarette safety significantly shifted from 28% thinking that e-cigarettes were completely safe and 70% thinking they were safer than regular cigarettes to 2% thinking they were completely safe and 98% thinking they were safer than regular cigarettes (p < 0.005)
Summary
Electronic cigarettes (e-cigarettes) are popular among current, former, and non-cigarette-smokers, and appealing to youth and young adults [1,2,3,4,5]. The overall growth in popularity of e-cigarettes has resulted in a recent surge of new vape shops throughout the United States and around the world [1,2,3,4]. The extent to which vape shops contribute to the initiation of e-cigarette use by current, former, and non-cigarette-smokers, youth, and other vulnerable populations remains. Res. Public Health 2018, 15, 313; doi:10.3390/ijerph15020313 www.mdpi.com/journal/ijerph
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More From: International Journal of Environmental Research and Public Health
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