Regulatory Strategies for Preventing and Reducing Nicotine Vaping Among Youth: A Systematic Review

Reiter, Anna; Hébert-Losier, Andréa; Mylocopos, Genevieve; Filion, Kristian B.; Windle, Sarah B.; O'Loughlin, Jennifer L.; Grad, Roland; Eisenberg, Mark J.

doi:10.1016/j.amepre.2023.08.002

Cited by 3 publications

(1 citation statement)

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“…Interestingly, we found that adult vapers who lived in states with higher e-cigarette excise taxes were more likely to perceive vaping as more costly than smoking, which is consistent with existing literature that shows higher e-cigarette taxes reduce e-cigarette use and sales. (Cotti et al, 2022;Reiter et al, 2024;Yan et al, 2023) In contrast, cigarette taxes were not significantly associated with cost comparison among adult vapers. Our findings are different from a previous study that shows cigarettes taxes are associated with perceiving cigarettes as more costly than ecigarettes among US adult smokers and e-cigarette users.…”

Section: Discussionmentioning

confidence: 83%

Cost Comparison and Spending on Tobacco Products: Evidence from A Nationally Representative Sample of Adult E-Cigarette Users

Ma,

Yang,

Ahn

et al. 2024

Preprint

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Background: Over 20 states and local jurisdictions in the U.S. have imposed e-cigarette taxes. It is important to evaluate how adult vapers, including those who also smoke respond to e-cigarette taxation. The purpose of this study is to examine factors associated with adult vapers' cost perception of e-cigarettes relative to cigarettes and budget allocations between two products. Methods: We recruited a nationally representative sample of 801 adult e-cigarette users in the U.S., who participated in an online survey in April and May 2023. Nested-ordered logit models and ordinary least squares regressions were used in the analysis. Results: On average, monthly e-cigarette spending was $82.22, and cigarette spending was $118.77 among dual users. Less frequent e-cigarette use and higher state-level e-cigarette taxes were associated with perceiving smoking as cheaper than vaping. Age and exclusive use of tank systems were associated with perceiving vaping as cheaper than smoking. Exclusive use of tank systems was also associated with lower e-cigarette spending. Adults who used e-cigarettes more frequently preferred to report weekly budget on e-cigarettes (p < 0.01), and among dual users, everyday smokers preferred to report weekly (versus monthly) budget on cigarettes compared to someday smokers (p < 0.001). Conclusion: Among US adult vapers, frequencies of tobacco use and e-cigarette device type are closely related to cost measures; and e-cigarette taxes are associated with cost perception of e-cigarettes relative to cigarettes, suggesting potential financial disincentive for vaping. Policymaker may consider imposing differential taxes by e-cigarette product types due to their different costs to consumers.

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Section: Discussionmentioning

confidence: 83%

Cost Comparison and Spending on Tobacco Products: Evidence from A Nationally Representative Sample of Adult E-Cigarette Users

Ma,

Yang,

Ahn

et al. 2024

Preprint

View full text Add to dashboard Cite

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‘You just wanna hit it … ‘cause like it smells like fun’: a qualitative investigation of adolescents’ experiences of nicotine vaping in Aotearoa New Zealand

Ball,

Pettie (Ngāti Pūkenga),

Poasa

et al. 2024

Kōtuitui: New Zealand Journal of Social Sciences Online

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Cost Comparison and Spending on Tobacco Products: Evidence From A Nationally Representative Sample of Adult E-cigarette Users

Ma,

Yang,

Ahn

et al. 2024

Nicotine and Tobacco Research

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Introduction Over 20 states and local jurisdictions in the U.S. have imposed e-cigarette taxes. It is important to evaluate how adult vapers, including those who also smoke respond to e-cigarette taxation. The purpose of this study is to examine factors associated with adult vapers’ cost comparison between e-cigarettes and cigarettes (i.e., which one is perceived to be more expensive) and expenditures (i.e., dollars spent) on these two products. Methods We recruited a nationally representative sample of 801 adult e-cigarette users in the U.S., who participated in an online survey in April-May 2023. Nested-ordered logit and ordinary least squares regressions were used in analysis. Results On average, adult vapers spent $82.22 per month on e-cigarettes, and dual users spent $118.77 per month on cigarettes. More frequent e-cigarette use, lower state-level e-cigarette taxes, age and exclusive use of rechargeable tank systems with e-liquids were associated with considering e-cigarettes as less expensive than cigarettes. Exclusive use of tank systems was associated with lower e-cigarette spending. Adults who used e-cigarettes more frequently preferred to report weekly (versus monthly) spending on e-cigarettes; among dual users, everyday smokers were more likely to think of weekly (versus monthly) spending on cigarettes compared to someday smokers. Conclusions Among US adult vapers, tobacco use frequency and e-cigarette device type are closely related to cost measures; e-cigarette taxes are associated with cost comparison between e-cigarettes and cigarettes, suggesting potential financial disincentive for vaping. Policymaker may consider imposing differential taxes by e-cigarette product types due to their different costs to consumers. IMPLICATIONS This study provides supportive evidence that e-cigarette taxes may impact how vapers compare the costs of e-cigarettes relative to cigarettes. Given different expenditures and cost comparisons by e-cigarette device types, tax and policy design may need to take into consideration of e-cigarette device types. We also found that indoor tobacco use restrictions in shared housing may reduce vaping, and future research is needed. The associations between socio-demographics and cost comparison and expenditures reflect known patterns in price responsiveness and vaping prevalence. Cost comparison and expenditures are related measures, which may further reflect product affordability.

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Regulatory Strategies for Preventing and Reducing Nicotine Vaping Among Youth: A Systematic Review

Cited by 3 publications

References 50 publications

Cost Comparison and Spending on Tobacco Products: Evidence from A Nationally Representative Sample of Adult E-Cigarette Users

Cost Comparison and Spending on Tobacco Products: Evidence from A Nationally Representative Sample of Adult E-Cigarette Users

‘You just wanna hit it … ‘cause like it smells like fun’: a qualitative investigation of adolescents’ experiences of nicotine vaping in Aotearoa New Zealand

Cost Comparison and Spending on Tobacco Products: Evidence From A Nationally Representative Sample of Adult E-cigarette Users

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