Exploring the Point-of-Sale Among Vape Shops Across the United States: Audits Integrating a Mystery Shopper Approach

Author:

Berg Carla J1ORCID,Barker Dianne C2,Meyers Christina3,Weber Amber3,Park Amy J3,Patterson Akilah3,Dorvil Sarah3,Fairman Robert T4ORCID,Huang Jidong4,Sussman Steve5,Livingston Melvin D1,Wagener Theodore L6,Hayes Rashelle B7,Pulvers Kim8,Getachew Betelihem3,Schleicher Nina9,Henriksen Lisa9

Affiliation:

1. Department of Prevention and Community Health, Milken Institute School of Public Health; George Washington Cancer Center, George Washington University, Washington, DC

2. Barker Bi-Coastal Health Consultants, Inc., Newport, RI

3. Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA

4. Department of Health Policy and Behavioral Sciences, School of Public Health, Georgia State University, Atlanta, GA

5. Departments of Preventive Medicine and Psychology, and School of Social Work, University of Southern California, Alhambra, CA

6. Ohio State University Comprehensive Cancer Center and Division of Medical Oncology, The Ohio State University, Columbus, OH

7. Department of Psychiatry, Virginia Commonwealth University School of Medicine, Richmond, VA

8. Department of Psychology, California State University San Marcos, San Marcos, CA

9. Stanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA

Abstract

Abstract Introduction Vape shops represent prominent, unique retailers, subject to Food and Drug Administration (FDA) regulation in the United States. Aims and Methods This study assessed compliance of US vape shop retail marketing strategies with new regulations (eg, required age verification, prohibited free samples) and pre-implementation conditions for other regulations (eg, health warning labels on all nicotine products, required disclosures of e-liquid contents). Results 95.0% of shops displayed minimum-age signage; however, mystery shoppers were asked for age verification at 35.6% upon entry and at 23.4% upon purchase. Although 85.5% of shops had some evidence of implementing FDA health warnings, 29.1% had signage indicating prohibited health claims, 16.3% offered free e-liquid samples, 27.4% had signage with cartoon imagery, and 33.3% were within two blocks of schools. All shops sold open-system devices, 64.8% sold closed-system devices, 68.2% sold their own brand of e-liquids, 42.5% sold e-liquids containing cannabidiol, 83.2% offered price promotions of some kind, and 89.9% had signage for product and price promotions. Conclusions Results indicated that most shops complied with some implementation of FDA health warnings and with free sampling bans and minimum-age signage. Other findings indicated concerns related to underage access, health claims, promotional strategies, and cannabidiol product offerings, which call for further FDA and state regulatory/enforcement efforts.

Funder

National Cancer Institute

US Fogarty International Center

NIH

TRDRP

USDHHS

US FDA

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health

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