Abstract
This cross-sectional study examines trends in menthol cigarette use compared with nonmenthol cigarette use in the US.
Highlights
The 2009 Family Smoking Prevention and Tobacco Control Act (TCA) provided the US Food and Drug Administration (FDA) with broad authority to regulate tobacco products
This study followed the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) reporting guideline
The menthol market share was estimated by calculating the mean for each year from 3 sources: the Maxwell Report (2000-2014), the US Federal Trade Commission’s cigarette reports (2000-2018), and the Euromonitor data (2004-2018)
Summary
The 2009 Family Smoking Prevention and Tobacco Control Act (TCA) provided the US Food and Drug Administration (FDA) with broad authority to regulate tobacco products. The TCA banned flavors in cigarettes, except menthol, and tasked the FDA with studying menthol cigarettes with an emphasis on specific groups, given high rates of use among youth smokers (52.5%) and Black smokers (86.5%).[1] The high rates of menthol cigarette use among Black smokers is driven by decades of targeted marketing by the tobacco industry.[1,2] The FDA’s Tobacco Product Scientific Advisory Committee concluded that menthol in cigarettes reduces the harshness of smoke and is associated with increased initiation,[2,3] higher dependence, and lower quit success,[2] among Black smokers.[4] This study updates previous estimates of menthol and nonmenthol cigarette consumption through 2018.5.
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