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Change history 08 March 2025 A Correction to this paper has been published: Abbreviations BMI: Body mass index BRFSS: Behavior Risk Factor Surveillance System CI: Confidence interval COPD: Chronic obstructive pulmonary disease MESA: Multi-Ethnic Study of Atherosclerosis NHANES: National Health and Nutrition Examination Survey P30D: Past 30-day PATH: Population Assessment of Tobacco and Health RR: Risk ratio W15: Waves 15 References Global Initiative for Chronic Obstructive Lung Disease

Draft policy guidance was published on March 14, 2019 (with an initial statement by the FDA Commissioner laying out major tenets of the guidance in November 2018) and brands may have changed marketing practices in advance of our study, which examines changes around the final policy