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How does electronic cigarette access affect adolescent smoking?

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  • Friedman, Abigail S.

Abstract

Understanding electronic cigarettes’ effect on tobacco smoking is a central economic and policy issue. This paper examines the causal impact of e-cigarette access on conventional cigarette use by adolescents. Regression analyses consider how state bans on e-cigarette sales to minors influence smoking rates among 12 to 17 year olds. Such bans yield a statistically significant 0.9 percentage point increase in recent smoking in this age group, relative to states without such bans. Results are robust to multiple specifications as well as several falsification and placebo checks. This effect is both consistent with e-cigarette access reducing smoking among minors, and large: banning electronic cigarette sales to minors counteracts 70 percent of the downward pre-trend in teen cigarette smoking for a given two-year period.

Suggested Citation

  • Friedman, Abigail S., 2015. "How does electronic cigarette access affect adolescent smoking?," Journal of Health Economics, Elsevier, vol. 44(C), pages 300-308.
    • Handle: RePEc:eee:jhecon:v:44:y:2015:i:c:p:300-308
    DOI: 10.1016/j.jhealeco.2015.10.003
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    References listed on IDEAS

    as
    1. Lillard, Dean R. & Molloy, Eamon & Sfekas, Andrew, 2013. "Smoking initiation and the iron law of demand," Journal of Health Economics, Elsevier, vol. 32(1), pages 114-127.
    2. Jonathan Gruber, 2001. "Risky Behavior among Youths: An Economic Analysis," NBER Books, National Bureau of Economic Research, Inc, number grub01-1.
    3. Jonathan Gruber & Jonathan Zinman, 2001. "Youth Smoking in the United States: Evidence and Implications," NBER Chapters, in: Risky Behavior among Youths: An Economic Analysis, pages 69-120, National Bureau of Economic Research, Inc.
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    More about this item

    Keywords

    Smoking; Electronic cigarettes; Cigarettes; Adolescent behavior;
    All these keywords.

    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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