Promoting Health Equity in Tobacco Outcomes: Examining Support for Endgame Policies Among Sample of U.S Adults

Tobacco remains the leading cause of preventable death in the U.S. Endgame policies focus on addressing the causes of inequities in tobacco outcomes. While potentially impactful, public support in the U.S. is understudied. This study examined the public's support for comprehensive Endgame policies. A cross-sectional online survey of U.S. adults (N = 506) measured support for 36 Endgame policies. Participants also indicated preferred levels of government tobacco regulation and researchers examined factors associated with support. Support varied by policy category, from highest to lowest: Pricing/Nicotine, Packaging, Smoke-Free Housing, Retail Density, Sales Restrictions, and Eliminating Underage Penalties. Regulation preference varied, with some supporting national uniformity and others expressing distrust in specific government levels. Smoking status and Republican identification related to lower policy support. Support for Endgame policies varied in the sample. More research is needed to understand additional factors associated with policy support and strategies to promote support.