Characterizing and assessing compliance of online vendors to the state of Massachusetts ENDS product sales ban.

Autor:	Nali MC; Global Health Policy Institute, San Diego, United States.; Department of Anesthesiology, University of California San Diego School of Medicine, San Diego, United States., Purushothaman V; Department of Anesthesiology, University of California San Diego School of Medicine, San Diego, United States.; Master's Program in Public Health, University of California San Diego School of Medicine, San Diego, United States., Xu Q; Global Health Policy Institute, San Diego, United States.; Department of Healthcare Research and Policy, University of California San Diego - Extension, San Diego, United States., Cuomo RE; Global Health Policy Institute, San Diego, United States.; Department of Anesthesiology, University of California San Diego School of Medicine, San Diego, United States.; Department of Healthcare Research and Policy, University of California San Diego - Extension, San Diego, United States., Mackey TK; Global Health Policy Institute, San Diego, United States.; Department of Anesthesiology, University of California San Diego School of Medicine, San Diego, United States.; Department of Healthcare Research and Policy, University of California San Diego - Extension, San Diego, United States.; Division of Infectious Diseases and Global Public Health, Department of Medicine, University of California San Diego School of Medicine, San Diego, United States.
Jazyk:	angličtina
Zdroj:	Tobacco induced diseases [Tob Induc Dis] 2021 Jan 20; Vol. 19, pp. 05. Date of Electronic Publication: 2021 Jan 20 (Print Publication: 2021).
DOI:	10.18332/tid/131199
Abstrakt:	Introduction: Recent reports of lung injury associated with Electronic Nicotine Delivery System (ENDS) products precipitated by increasing vaping prevalence and interest in flavors among adolescents has led to policies that restrict the sale, distribution, and accessibility of ENDS products. This study assessed compliance of online ENDS vendors to the Massachusetts temporary sales ban. Methods: The study involved structured web surveillance for online ENDS vendors using keyword searches on Google search engine (October to November 2019.) Once vendors were identified, we conducted simulated online purchases, defined as placing an order for an ENDS product by putting it in the website shopping cart without finalizing payment. Simulated purchases and content analysis of websites was conducted to determine compliance characteristics. Fisher's exact test was used to identify associations between compliance and website characteristics such as location and age verification requirements. Results: Simulated online purchases from 50 identified ENDS vendors yielded 72% (n=36) stores that were non-compliant and allowed placement of ENDS product orders, without restrictions, to a Massachusetts address. The remaining 14 websites had processes in place to prevent orders from buyers located in Massachusetts. Other characteristics of interest, including use of age verification, location data, and web registrar/registrant data were collected and reported. Conclusions: The September 2019 Massachusetts executive order was a comprehensive ban on selling ENDS products both online and offline. However, our study found that close to three-fourths of the vendors appeared to be non-compliant, indicating that implementation and enforcement are ongoing challenges for future tobacco control efforts on the internet. Policymaking needs to be specifically tailored to address the unique challenges of online environments, particularly in the context of identifying non-compliant sites, ensuring age verification, and addressing non-US sellers. Competing Interests: The authors have each completed and submitted an ICMJE form for disclosure of potential conflicts of interest. The authors declare that they have no competing interests, financial or otherwise, related to the current work. M.C. Nali, Q. Xu, and T.K. Mackey report funding from S-3 Research LLC, outside the submitted work. (© 2021 Nali M.C. et al.)
Databáze:	MEDLINE
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