4.7 Article

Effect of flavored E-cigarette bans in the United States: What does the evidence show?

Journal

PREVENTIVE MEDICINE
Volume 165, Issue -, Pages -

Publisher

ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/j.ypmed.2022.107063

Keywords

E-cigarettes; Cigarettes; Policy; Taxation; Bans

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The US federal government and many state and local governments have passed regulations to restrict the sales of electronic cigarettes, aiming to prevent youth smoking. However, this paper proposes a evidence-based model that suggests e-cigarettes have replaced the culture of youth smoking. Therefore, a re-evaluation of current policies is needed to ensure that the decrease in e-cigarette use does not lead to an increase in smoking rates.
The United States federal government, along with many state and local governments, have passed restrictions on electronic cigarette (e-cigarette) sales with the stated purpose of preventing youth use of these products. The justification for these restrictions includes the argument that youth e-cigarette use will re-normalize youth smoking, leading to increased rates of cigarette smoking by teenagers. However, in this paper, we propose an evidence-based version of this model based on several years' worth of longitudinal and econometric research, which suggests that youth e-cigarette use has instead worked to replace a culture of youth smoking. From this analysis, we propose a re-evaluation of current policies surrounding e-cigarette sales so that declines in ecigarette use will not come at the cost of increasing cigarette use among youth and adults.

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