Perceptions of a Menthol Cigarette Ban: Focus Group Study With US Adults who Smoke Menthol Cigarettes

PurposeThis study examined perceptions of a proposed US menthol cigarette ban among adults who smoke menthol cigarettes.DesignFocus group discussions.SettingVirtual focus groups with 7-9 participants each.Participants50 US adults (age 21+) who currently smoke menthol cigarettes participated in six focus groups: two with Black participants; two lesbian, gay, or bisexual participants; and two general population groups.MethodsEach 90-minute session was audio-recorded and transcribed. We used qualitative thematic analyses to examine participants' views on reasons for the ban and its potential impact on tobacco use, with a focus on differences across the three identity-based groups.ResultsMany participants, across all group types, believed the ban aimed to protect youth and future generations due to menthol's appeal and higher addictiveness. Some viewed the ban as government overreach, racially targeted, and economically or politically motivated. Several indicated they would seek menthol cigarettes through illicit markets that might emerge post-ban. Some considered switching to non-menthol cigarettes, vapes, or marijuana. However, several felt the ban could help them reduce smoking and quit entirely, citing non-menthol cigarettes' lower appeal and concerns about vaping's addictiveness and harms. Black participants expressed specific concerns about over-policing, racial profiling, community safety, and potential increases in crime related to menthol access.ConclusionsConcerns about over-policing and targeted enforcement align with tobacco industry narratives, illustrating the pervasiveness of negative industry messaging. Findings underscore the importance of proactive communication about the ban's public health goals, while addressing community concerns about policing and racial equity.