Trends in youth use of non-cigarette tobacco products in England, Canada, and the US and the impact of England's menthol cigarette ban on use.

ABSTRACT:

Introduction

In England, non-cigarette tobacco products (e.g., cigarillos, cigars, waterpipes, bidis, smokeless tobacco, heated tobacco) are subject to fewer regulatory restrictions than cigarettes/rolling tobacco. This study assessed trends in youth use of these products in England, Canada, and the US, focussing on evaluating the impact of England's May 2020 ban on menthol in cigarettes but not non-cigarette tobacco.

Methods

Data were from the ITC Youth Tobacco and Vaping Survey (16-19-year-olds; N=129,575) across ten waves (2017-2024). Segmented regressions assessed changes in trends of non-cigarette tobacco products before vs. after May 2020, adjusting for race/ethnicity/sex/age.

Results

In England, non-cigarette tobacco use increased similarly before (aOR=1.16,1.0

SUBMITTER: Aria YK 

PROVIDER: S-EPMC12642716 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature