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The Effect of E-Cigarette Flavor Bans on Tobacco Use

Author

Listed:
  • Cotti, Chad D.

    (Department of Ag, Food, and Resource Economics Michigan State University and Center for Demography of Health and Aging University of Wisconsin-Madison)

  • Courtemanche, Charles J.

    (Department of Economics Gatton College of Business and Economics University of Kentucky Lexington, KY 40506-0034 and NBER)

  • Liang, Yang

    (Department of Economics Center for Health Economics & Policy Studies San Diego State University San Diego, CA 92182)

  • Maclean, Johanna Catherine

    (Schar School of Policy and Government George Mason University Arlington, VA 22201 and NBER)

  • Nesson, Erik T.

    (Wake Forest University, Economics Department)

  • Sabia, Joseph J.

    (Center for Health Economics & Policy Studies San Diego State University San Diego, CA 92182 and IZA & ESSPRI)

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

  • Cotti, Chad D. & Courtemanche, Charles J. & Liang, Yang & Maclean, Johanna Catherine & Nesson, Erik T. & Sabia, Joseph J., 2024. "The Effect of E-Cigarette Flavor Bans on Tobacco Use," Working Papers 114, Wake Forest University, Economics Department.
    • Handle: RePEc:ris:wfuewp:0114
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    More about this item

    Keywords

    ENDS flavor restrictions; flavored e-cigarettes; youth tobacco use;
    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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