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The Effects of New E-cigarette Internet Sales Bans and E-cigarette Flavor Bans on Tobacco Use by Youth, Young Adults and Adults

Principal Investigator: Henry Saffer
Funding Mechanism: National Institutes of Health - Grant
ID Number: 1R01DA055976-01
Award Date: 3/18/2022
Institution: National Bureau of Economic Research


This study will evaluate the impact of two policies on tobacco use by youth, young adults, and adults: (1) a ban on internet sales of all e-cigarette products; and (2) a ban on all added flavors in all e-cigarette products, including those exempt from the 2020 FDA enforcement policy to remove cartridge-based flavored e-cigarettes other than tobacco and menthol from the market. Study aims are: (1a) to estimate the effects of state-level bans and the FDA enforcement policy on all internet sales of e-cigarettes on youth use of e-cigarettes and combustible and smokeless tobacco products; (1b) to estimate the effects of state-level bans and the FDA enforcement policy on all internet sales of e-cigarettes on the use of e-cigarettes, use of all combusted and smokeless products, and on measured cotinine levels among young adults and adults; (2a) to estimate the effect of comprehensive state-level e-cigarette flavor bans on youth use of e-cigarettes and all combusted and smokeless tobacco products; and (2b) to estimate the effect of comprehensive state-level e-cigarette flavor bans on the use of e-cigarettes and all combusted and smokeless tobacco products, and on measured cotinine levels among young adults and adults. To achieve Aim 1, researchers will build models using data from all states that have adopted online sales restrictions at different timepoints prior to the FDA enforcement policy; they will separately estimate the impact of the state-level bans and the FDA enforcement policy. To achieve Aim 2, they will build models using data from six states adopting complete e-cigarette flavor bans. Models will incorporate data on youth, young adult, and adult usage from various sources including (but not limited to) Monitoring the Future (MTF) and the Population Assessment of Tobacco and Health (PATH) Study. Study findings may inform future regulatory activities related to e-cigarettes.

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