For example, San Marcos, California , passed an ordinance requiring any shop that sells tobacco products, including e-cigarettes and related devices, to purchase a city-issued tobacco retail license. The city partnered with the San Marcos Prevention Coalition and the Vista Community Clinic, which conducted surveys of local e-cigarette retailers and vape shops and determined that a number of businesses were selling these products to minors in violation of state law
Rojas et al
This could be due to smoking being more socially acceptable for males in this region and that they could also be subject to peer influence. Prof Kamran Siddiqi, professor in public health at the University of York in the UK, who researches smoking internationally, said the latest study, based on relatively small numbers and focused specifically on university students, may not necessarily indicate wider smoking rates among young people in the country
Mary's Medical Center in West Palm Beach, Florida , was not involved in the WashUMed study but shared his reaction to the findings