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The Effect of E-Cigarette Flavor Bans on Tobacco Use

Author

Listed:
  • Chad D. Cotti
  • Charles J. Courtemanche
  • Yang Liang
  • Johanna Catherine Maclean
  • Erik T. Nesson
  • Joseph J. Sabia
Abstract
Advocates for sales restrictions on flavored e-cigarettes argue that flavors appeal to young people and lead them down a path to nicotine addiction. This study is among the first to examine the effect of state and local restrictions on the sale of flavored electronic nicotine delivery system (ENDS) products on youth and young adult tobacco use. Using data from the State and National Youth Risk Behavior Surveys, we find that the adoption of an ENDS flavor restriction reduces frequent and everyday youth ENDS use by 1.2 to 2.5 percentage points. Auxiliary analyses of the Behavioral Risk Factor Surveillance System show similar effects on ENDS use for young adults ages 18-20. However, we also detect evidence of an unintended effect of ENDS flavor restrictions that is especially clear among 18-20-year-olds: inducing substitution to combustible cigarette smoking. Finally, there is no evidence that ENDS flavor restrictions affect ENDS use among adults aged 21 and older or non-tobacco-related health behaviors such as binge drinking and illicit drug use.

Suggested Citation

  • Chad D. Cotti & Charles J. Courtemanche & Yang Liang & Johanna Catherine Maclean & Erik T. Nesson & Joseph J. Sabia, 2024. "The Effect of E-Cigarette Flavor Bans on Tobacco Use," NBER Working Papers 32535, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:32535
    Note: CH EH PE
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    References listed on IDEAS

    as
    1. Hunt Allcott & Charlie Rafkin, 2022. "Optimal Regulation of E-cigarettes: Theory and Evidence," American Economic Journal: Economic Policy, American Economic Association, vol. 14(4), pages 1-50, November.
    2. Kline Patrick & Santos Andres, 2012. "A Score Based Approach to Wild Bootstrap Inference," Journal of Econometric Methods, De Gruyter, vol. 1(1), pages 23-41, August.
    3. Abouk, Rahi & Courtemanche, Charles & Dave, Dhaval & Feng, Bo & Friedman, Abigail S. & Maclean, Johanna Catherine & Pesko, Michael F. & Sabia, Joseph J. & Safford, Samuel, 2023. "Intended and unintended effects of e-cigarette taxes on youth tobacco use," Journal of Health Economics, Elsevier, vol. 87(C).
    4. Jeff DeSimone & Daniel Grossman & Nicolas Ziebarth, 2023. "Regression Discontinuity Evidence on the Effectiveness of the Minimum Legal E-cigarette Purchasing Age," American Journal of Health Economics, University of Chicago Press, vol. 9(3), pages 461-485.
    5. Alexandre Belloni & Victor Chernozhukov & Christian Hansen, 2014. "Inference on Treatment Effects after Selection among High-Dimensional Controlsâ€," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 81(2), pages 608-650.
    6. Hansen, Benjamin & Sabia, Joseph J. & McNichols, Drew & Bryan, Calvin, 2023. "Do tobacco 21 laws work?," Journal of Health Economics, Elsevier, vol. 92(C).
    7. David Roodman & James G. MacKinnon & Morten Ørregaard Nielsen & Matthew D. Webb, 2019. "Fast and wild: Bootstrap inference in Stata using boottest," Stata Journal, StataCorp LP, vol. 19(1), pages 4-60, March.
    8. Brewer Mike & Crossley Thomas F. & Joyce Robert, 2018. "Inference with Difference-in-Differences Revisited," Journal of Econometric Methods, De Gruyter, vol. 7(1), pages 1-16, January.
    9. Friedman, Abigail S., 2015. "How does electronic cigarette access affect adolescent smoking?," Journal of Health Economics, Elsevier, vol. 44(C), pages 300-308.
    10. Cotti, Chad & Courtemanche, Charles & Maclean, Joanna Catherine & Nesson, Erik & Pesko, Michael F. & Tefft, Nathan W., 2022. "The effects of e-cigarette taxes on e-cigarette prices and tobacco product sales: Evidence from retail panel data," Journal of Health Economics, Elsevier, vol. 86(C).
    11. Sabia, Joseph J. & Anderson, D. Mark, 2016. "The effect of parental involvement laws on teen birth control use," Journal of Health Economics, Elsevier, vol. 45(C), pages 55-62.
    12. Michael F. Pesko, 2023. "Effects of e-cigarette minimum legal sales ages on youth tobacco use in the United States," Journal of Risk and Uncertainty, Springer, vol. 66(3), pages 261-277, June.
    13. Michael F. Pesko & Casey Warman, 2022. "Re‐exploring the early relationship between teenage cigarette and e‐cigarette use using price and tax changes," Health Economics, John Wiley & Sons, Ltd., vol. 31(1), pages 137-153, January.
    14. D. Mark Anderson & Daniel I. Rees, 2023. "The Public Health Effects of Legalizing Marijuana," Journal of Economic Literature, American Economic Association, vol. 61(1), pages 86-143, March.
    15. Abouk, Rahi & Adams, Scott, 2017. "Bans on electronic cigarette sales to minors and smoking among high school students," Journal of Health Economics, Elsevier, vol. 54(C), pages 17-24.
    16. W. Kip Viscusi, 2016. "Risk Beliefs and Preferences for E-cigarettes," American Journal of Health Economics, University of Chicago Press, vol. 2(2), pages 213-240, Spring.
    17. Michael F. Pesko & Charles J. Courtemanche & Johanna Catherine Maclean, 2020. "The effects of traditional cigarette and e-cigarette tax rates on adult tobacco product use," Journal of Risk and Uncertainty, Springer, vol. 60(3), pages 229-258, June.
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    More about this item

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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