Young adult responses to taxes on cigarettes and electronic nicotine delivery systems.

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  • Author(s): Friedman AS;Friedman AS; Pesko MF; Pesko MF; Pesko MF
  • Source:
    Addiction (Abingdon, England) [Addiction] 2022 Dec; Vol. 117 (12), pp. 3121-3128. Date of Electronic Publication: 2022 Jul 29.
  • Publication Type:
    Observational Study; Journal Article; Research Support, N.I.H., Extramural
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 9304118 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1360-0443 (Electronic) Linking ISSN: 09652140 NLM ISO Abbreviation: Addiction Subsets: MEDLINE
    • Publication Information:
      Publication: Oxford : Wiley-Blackwell
      Original Publication: Abingdon, Oxfordshire, UK : Carfax Pub. Co., c1993-
    • Subject Terms:
      Electronic Nicotine Delivery Systems* ; Tobacco Products* ; Vaping*/epidemiology; Young Adult ; Humans ; United States ; Adult ; Adolescent ; Smoking ; Taxes
    • Abstract:
      Background and Aims: Although over half of United States states have passed taxes on electronic nicotine delivery systems (ENDS), recent evidence links ENDS tax rates to increases in smoking, suggesting potentially substantive health costs. Overall health implications will depend on how these taxes affect transitions from experimentation to regular smoking and vaping. Current analyses have not assessed ENDS tax rates' effects in young adulthood (ages 18-25). This study measures the relationship between ENDS and cigarette tax rates and ENDS use and smoking in young adulthood, a key period for initiation of regular tobacco use.
      Design: Observational study of data from the Current Population Survey's 2010-2019 Tobacco Use Supplements.
      Setting: The United States.
      Participants/cases: A total of 38 906 18 to 25 year-olds MEASUREMENTS: Multivariable linear regressions estimated two-way fixed effects analyses to assess ENDS and cigarette tax rates' relationships to recent and daily smoking and vaping, adjusting for an array of potential sociodemographic and policy confounders along with state and year fixed effects.
      Findings: A $1 increase in ENDS taxes yielded significant reductions in young adults' daily vaping ( β ̂ = -0.025; 95% CI, -0.037, -0.014) alongside increases in recent smoking ( β ̂ = 0.037; 95% CI, 0.013, 0.061), primarily reflecting greater dual use ( β ̂ =2.078; 95% CI, 0.890, 4.852; P = 0.09). A $1 cigarette tax increase yielded 2.1 and 2.5 percentage point increases in recent and daily vaping, with 95% CIs of (0.004, 0.038) and (0.018, 0.032) respectively.
      Conclusions: In the United States, higher ENDS tax rates are associated with decreased ENDS use but increased cigarette smoking among 18- to 25-year-olds, with associations reversed for cigarette taxes.
      (© 2022 The Authors. Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction.)
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    • Grant Information:
      R01 DA045016 United States DA NIDA NIH HHS
    • Contributed Indexing:
      Keywords: Cigarettes; electronic nicotine delivery systems; smoking; taxes; tobacco control; vaping
    • Publication Date:
      Date Created: 20220719 Date Completed: 20221103 Latest Revision: 20240910
    • Publication Date:
      20240910
    • Accession Number:
      PMC9796020
    • Accession Number:
      10.1111/add.16002
    • Accession Number:
      35852452