Cotti Chad, Courtemanche Charles, Liang Yang, Maclean Johanna Catherine, Nesson Erik, Sabia Joseph J
Department of Agricultural, Food and Resource Economics, Michigan State University.
Department of Economics and Institute for the Study of Free Enterprise, University of Kentucky, IZA & NBER.
J Health Econ. 2025 Aug;102:103013. doi: 10.1016/j.jhealeco.2025.103013. Epub 2025 May 22.
Advocates for sales restrictions on flavored e-cigarettes argue that flavors appeal to young people and lead them down a path to nicotine addiction. Using data from a variety of surveys (Youth Risk Behavior Surveys, Behavioral Risk Factor Surveillance Survey, and Population Assessment of Tobacco and Health), 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. We find robust evidence that the adoption of an ENDS flavor restriction reduces short-run frequent and everyday ENDS use among youths by approximately two-to-three percentage-points. Some evidence suggests that this effect weakens after two years. We also document reductions in ENDS use among young adults aged 18-30 that appear to strengthen after two years. Finally, evidence suggests substitution from flavored ENDS to unflavored ENDS and cigarettes among certain age groups.
支持对调味电子烟实施销售限制的人士认为,调味电子烟吸引年轻人,并使他们走上尼古丁成瘾之路。本研究利用各种调查(青少年风险行为调查、行为风险因素监测调查以及烟草与健康人口评估)的数据,率先考察了州和地方对调味电子尼古丁传送系统(ENDS)产品销售的限制对青少年和青年烟草使用的影响。我们发现有力证据表明,实施ENDS调味限制可使青少年短期内频繁和日常使用ENDS的情况减少约两到三个百分点。一些证据表明,两年后这种影响会减弱。我们还记录到18至30岁的青年成年人使用ENDS的情况有所减少,而且这种减少在两年后似乎有所增强。最后,有证据表明特定年龄组存在从调味ENDS转向无味ENDS和香烟的替代情况。