Wang Quan, Qin Yixin, Song Yingming, Lv Yumeng, Jiang Yuan, Yang Li
School of Public Health, Peking University, Beijing, China.
Saw Swee Hock School of Public Health, National University of Singapore, Singapore.
Glob Health Med. 2025 Jun 30;7(3):185-188. doi: 10.35772/ghm.2025.01049.
China introduced universal e-cigarette regulations in 2018 to curb youth vaping, including flavor bans, online sales prohibitions, and taxation. While these policies are not explicitly age-targeted, their design disproportionately impacts adolescents due to young people's price sensitivity, preference for flavored products, and reliance on online purchases. This study examines how such regulations achieve outcomes akin to age-based bans without directly restricting moral agency or risking discrimination. We believe that universal measures like flavor restrictions and taxes amplify their impact on youth through behavioral and economic mechanisms - termed "asymmetric amplification". Results suggest these policies effectively reduce youth vaping while sidestepping ethical controversies tied to generational bans. However, challenges like informal sales channels and adolescent stigma require complementary enforcement. This paper highlights a pragmatic and ethically sound approach to youth tobacco control and offers new insights into policy design for public health practitioners and regulators worldwide.
中国于2018年出台了通用电子烟法规,以遏制青少年吸电子烟的行为,包括口味禁令、禁止网上销售和征税。虽然这些政策没有明确以年龄为目标,但由于年轻人对价格敏感、偏爱调味产品以及依赖网购,其设计对青少年的影响尤为严重。本研究探讨了此类法规如何在不直接限制道德行为能力或不冒歧视风险的情况下,实现类似于基于年龄的禁令的效果。我们认为,口味限制和税收等通用措施通过行为和经济机制——称为“不对称放大”——增强了它们对青少年的影响。结果表明,这些政策有效地减少了青少年吸电子烟的行为,同时避免了与代际禁令相关的伦理争议。然而,非正式销售渠道和青少年污名化等挑战需要配套的执法措施。本文强调了一种务实且符合伦理的青少年烟草控制方法,并为全球公共卫生从业者和监管机构的政策设计提供了新的见解。