Advances in Tobacco Control
Prohibiting Flavored Tobacco Products
Flavored tobacco products are enticing to youth and young adults. Eliminating the sale of flavored tobacco products has, therefore, been an overarching goal of tobacco control.1 Examples of flavors used in tobacco products include menthol, mint, candy, grape, apple, and cherry, flavors associated with cocktails (e.g., appletini, pina colada), concept flavors such as ice, and synthetic flavors. In 2009, a prohibition on flavors in cigarettes was implemented through the Family Smoking Prevention and Tobacco Control Act, but menthol and tobacco flavors were exempted.2 The US Food and Drug Administration announced several enforcement policies to address other flavored products, including cigars labelled as cigarettes and flavored e-cigarettes.3 Additionally, the FDA has the authority to restrict flavors in products on a product-by-product basis through the premarket review of new tobacco products. Currently, the FDA has proposed product standards that would eliminate flavors in all cigarettes and cigars.
States and localities also have authority to restrict the sale of flavored tobacco products. As of July 2025, 7 states and nearly 400 jurisdictions (e.g., cities and counties) prohibit sales of some flavored tobacco products, and a few have a policy covering all flavored tobacco products (Map 4.2.17, Map 4.2.18).4,5
Prohibiting the sale of flavored e-cigarettes reduces overall purchases of these products (Figure 4.2.19).6 Specifically, it reduces e-cigarette use by youth and young adults (though not among adults).7 The decline in e-cigarette use among youth and young adults may be offset, however, by an increase in youth or young adult use of non-flavored e-cigarettes and/or cigarettes and cigars.8
States and localities also have authority to restrict the sale of flavored tobacco products. As of July 2025, 7 states and nearly 400 jurisdictions (e.g., cities and counties) prohibit sales of some flavored tobacco products, and a few have a policy covering all flavored tobacco products (Map 4.2.17, Map 4.2.18).4,5
Prohibiting the sale of flavored e-cigarettes reduces overall purchases of these products (Figure 4.2.19).6 Specifically, it reduces e-cigarette use by youth and young adults (though not among adults).7 The decline in e-cigarette use among youth and young adults may be offset, however, by an increase in youth or young adult use of non-flavored e-cigarettes and/or cigarettes and cigars.8
Box 7
The Special Case of Menthol
Menthol in tobacco products enables initiation into and development of tobacco dependence because of its anaesthetic and cooling effects; this allows the tobacco smoke to be inhaled with less harshness or irritation which in turn increases its addiction potential.1 There is also some evidence that menthol leads to smoking behavior…
Sources
- Preliminary Scientific Evaluation of the Possible Public Health Effects of Menthol Versus Nonmenthol Cigarettes (fda.gov)
- https://www.fda.gov/news-events/press-announcements/fda-commits-evidence-based-actions-aimed-saving-lives-and-preventing-future-generations-smokers
- https://www.fda.gov/news-events/press-announcements/fda-finalizes-enforcement-policy-unauthorized-flavored-cartridge-based-e-cigarettes-appeal-children
- States & localities that have restricted the sale of flavored tobacco products, Campaign for Tobacco Free Kids. Available from https://assets.tobaccofreekids.org/factsheets/0398.pdf
- https://legislature.maine.gov/legis/bills/bills_129th/billtexts/SP036401.asp
- CDC Foundation. (2024). Monitoring U.S. E-Cigarette Sales: State Trends Data Brief. Issue 04, December 2023. https://www.cdcfoundation.org/QuarterlyECigaretteSalesDataBrief_12.31.2023.pdf?inline
- Cotti, C. D., Courtemanche, C. J., Liang, Y., Maclean, J. C., Nesson, E. T., & Sabia, J. J. (2024). The Effect of E-Cigarette Flavor Bans on Tobacco Use (No. w32535). National Bureau of Economic Research.
- Tam J, Jimenez-Mendoza E, Buckell J, Sindelar J, Meza R. Responses to Real-World and Hypothetical E-Cigarette Flavor Bans Among US Young Adults Who Use Flavored E-Cigarettes. Nicotine & Tobacco Research. 2023;26(8):1113-1117.