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Loopholes for Underage Access in E-Cigarette Delivery Sales Laws, United States, 2022
Sunday Azagba1, Todd Ebling1, Olayemi Timothy Adekeye1
1Sunday Azagba, Todd Ebling, and Olayemi Timothy Adekeye are with the Ross and Carol Nese College of Nursing, Pennsylvania State University, University Park. Mark Hall is with the Department of Social Science and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC. Jessica King Jensen is with the Department of Health and Kinesiology, University of Utah, Salt Lake City.
Abstract:
Objectives. To comprehensively catalog and review state e-cigarette delivery sales laws as well as capture their scope and dimensions. Methods. We conducted an in-depth review to determine whether states had at least 1 form of e-cigarette delivery sales law. We coded laws for 5 key policy domains: (1) delivery terminology used in laws, (2) age verification requirements, (3) packaging label requirements, (4) permit or registration requirements, and (5) fines and penalties for violations. Results. Overall, 34 states had e-cigarette delivery sales laws with varying scopes and dimensions. In 27 states, these laws required at least 1 form of age verification requirements. We identified mandatory packaging labels in 12 states, and 7 states where permits were required. There were considerable differences among states on the scale of fines and penalties for violations. Conclusions. Our findings reveal extensive heterogeneity in e-cigarette delivery sales laws among states, particularly regarding the scope and dimensions of these laws. Public Health Implications. The mapping of e-cigarette delivery sales policies showed several potential loopholes that may diminish their effectiveness. (Am J Public Health. 2023;113(5):568-576. https://doi.org/10.2105/AJPH.2023.307228).
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