San Francisco Voters End the Sale of Flavored Tobacco Products Despite Strong Industry Opposition
Authors: Y. Tony Yang, Stanton Glantz
Journal: Annals of Internal Medicine (2018)

Ideas and Opinions20 November 2018San Francisco Voters End the Sale of Flavored Tobacco Products Despite Strong Industry OppositionY. Tony Yang, ScD, LLM, MPH and Stanton Glantz, PhDY. Tony Yang, ScD, LLM, MPHGeorge Washington University, Washington, DC (Y.T.Y.) and Stanton Glantz, PhDUniversity of California, San Francisco, San Francisco, California (S.G.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M18-2317 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail On 5 June 2018, voters in San Francisco, California, defied a $12 million campaign funded almost entirely by the R.J. Reynolds Tobacco Company (RJR) and supported implementation of a law prohibiting the sale of flavored tobacco products, including menthol cigarettes and flavored vaping liquids—the first such comprehensive ban in the United States (1). The prohibition had been passed unanimously by the City's Board of Supervisors in 2017 and was originally scheduled to take effect in April 2018, but shortly after the mayor signed it into law, RJR started collecting signatures to force a referendum. The company succeeded, suspending the law ...References1. Hoffman J. San Francisco Voters Uphold Ban on Flavored Vaping Products. The New York Times. 6 June 2018:A1. Accessed at www.nytimes.com/2018/06/06/health/vaping-ban-san-francisco.html on 8 August 2018. Google Scholar2. Ambrose BK, Day HR, Rostron B, Conway KP, Borek N, Hyland A, et al. Flavored tobacco product use among US youth aged 12–17 years, 2013–2014. JAMA. 2015;314:1871-3. [PMID: 26502219] doi:10.1001/jama.2015.13802 CrossrefMedlineGoogle Scholar3. Corey CG, Ambrose BK, Apelberg BJ, King BA. Flavored tobacco product use among middle and high school students—United States, 2014. MMWR Morb Mortal Wkly Rep. 2015;64:1066-70. [PMID: 26421418] doi:10.15585/mmwr.mm6438a2 CrossrefMedlineGoogle Scholar4. Hiatt RA, Sibley A, Fejerman L, Glantz S, Nguyen T, Pasick R, et al. The San Francisco Cancer Initiative: a community effort to reduce the population burden of cancer. Health Aff (Millwood). 2018;37:54-61. [PMID: 29309234] doi:10.1377/hlthaff.2017.1260 CrossrefMedlineGoogle Scholar5. Perks SN, Armour B, Agaku IT. Cigarette brand preference and pro-tobacco advertising among middle and high school students – United States, 2012–2016. MMWR Morb Mortal Wkly Rep. 2018;67:119-24. [PMID: 29389916] doi:10.15585/mmwr.mm6704a3 CrossrefMedlineGoogle Scholar6. Glantz SA, Balbach ED. Tobacco War: Inside the California Battles. Berkeley: Univ California Pr; 2000. Google Scholar7. City & County of San Francisco Ethics Commission. Campaign Finance Dashboards – June 5, 2018 and November 6, 2018 Elections. Accessed at https://sfethics.org/ethics/2018/03/campaign-finance-dashboards-june-5-2018-and-november-6-2018-elections.html on 8 August 2018. Google Scholar8. Voter's Edge California. Prohibiting Tobacco Retailers from Selling Flavored Tobacco Products. Accessed at https://votersedge.org/ca/en/ballot/election/area/69/measures/measure/3131?election_authority_id=38#basics on 17 September 2018. Google Scholar9. King BA, Tynan MA, Dube SR, Arrazola R. Flavored-little-cigar and flavored-cigarette use among U.S. middle and high school students. J Adolesc Health. 2014;54:40-6. [PMID: 24161587] doi:10.1016/j.jadohealth.2013.07.033 CrossrefMedlineGoogle Scholar10. Chaiton M, Schwartz R, Cohen JE, Soule E, Eissenberg T. Association of Ontario's ban on menthol cigarettes with smoking behavior 1 month after implementation. JAMA Intern Med. 2018;178:710-1. [PMID: 29507934] doi:10.1001/jamainternmed.2017.8650 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: George Washington University, Washington, DC (Y.T.Y.)University of California, San Francisco, San Francisco, California (S.G.)Note: The funding source had no role in the conduct of the research or preparation of the manuscript.Grant Support: Dr. Glantz was supported by National Institute on Drug Abuse grant R01DA043950.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M18-2317.Corresponding Author: Y. Tony Yang, ScD, LLM, MPH, Professor, Center for Health Policy and Media Engagement, George Washington University, 1919 Pennsylvania Avenue NW, Suite 500, Washington, DC 20006; e-mail, [email protected]edu.Current Author Addresses: Dr. Yang: Professor, Center for Health Policy and Media Engagement, George Washington University, 1919 Pennsylvania Avenue NW, Suite 500, Washington, DC 20006.Dr. Glantz: Professor, Center for Tobacco Control Research and Education, University of California, San Francisco, 530 Parnassus Avenue, Suite 366, San Francisco, CA 94143.Author Contributions: Conception and design: Y.T. Yang, S. Glantz.Analysis and interpretation of the data: S. Glantz.Drafting of the article: Y.T. Yang.Critical revision of the article for important intellectual content: Y.T. Yang, S. Glantz.Final approval of the article: Y.T. Yang, S. Glantz.Administrative, technical, or logistic support: Y.T. Yang.This article was published at Annals.org on 9 October 2018. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoThe U.S. Food and Drug Administration's Dilemma: How Tightly to Regulate Electronic Cigarettes? Steven A. Schroeder San Francisco Voters End the Sale of Flavored Tobacco Products Alain Braillon San Francisco Voters End the Sale of Flavored Tobacco Products Y. Tony Yang and Stanton Glantz Metrics Cited byReframing the banning of flavored tobacco in unprecedented times- an example from California's Senate bill 793Menthol cigarette use in substance use disorder treatment before and after implementation of a county-wide flavoured tobacco banUnder the influence"You have to vape to make it through": E-cigarette Outcome Expectancies among Youth and ParentsE-Cigarette Use among Current Smokers Experiencing HomelessnessCompliance with San Francisco's flavoured tobacco sales prohibitionNational Support for a Menthol Cigarette Sales BanDefeating JUUL's Effort to Rewrite San Francisco's E-Cigarette RegulationsEffects of e-cigarette use on cigarette smoking among U.S. youth, 2004–2018Tobacco industry and public health responses to state and local efforts to end tobacco sales from 1969-2020Net Effect of Young Adult Dual Combusted Cigarette and E-Cigarette Users' Anticipated Responses to Hypothetical E-Cigarette Marketing RestrictionsCharacteristics and Reach Equity of Policies Restricting Flavored Tobacco Product Sales in the United StatesSan Francisco Voters End the Sale of Flavored Tobacco ProductsAlain Braillon, MD, PhD 20 November 2018Volume 169, Issue 10Page: 708-709KeywordsAdolescentsAfrican American peopleChildrenFood and Drug AdministrationHealth promotionHeartLegislationMortalityPrevention, policy, and public healthTobacco control ePublished: 9 October 2018 Issue Published: 20 November 2018 Copyright & PermissionsCopyright © 2018 by American College of Physicians. 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