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

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Title: Young adult responses to taxes on cigarettes and electronic nicotine delivery systems.
Authors: Friedman, Abigail S., Pesko, Michael F.
Source: Addiction. Dec2022, Vol. 117 Issue 12, p3121-3128. 8p. 1 Chart, 4 Graphs.
Subjects: Taxation, Electronic cigarettes, Scientific observation, Confidence intervals, Multiple regression analysis, Government policy, Descriptive statistics, Smoking, Tobacco products, Tobacco, Adults
Geographic Terms: United States
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 (β̂ = −0.025; 95% CI, −0.037, −0.014) alongside increases in recent smoking (β̂ = 0.037; 95% CI, 0.013, 0.061), primarily reflecting greater dual use (β̂ =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. [ABSTRACT FROM AUTHOR]
Copyright of Addiction is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Young adult responses to taxes on cigarettes and electronic nicotine delivery systems.
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  Data: <searchLink fieldCode="AR" term="%22Friedman%2C+Abigail+S%2E%22">Friedman, Abigail S.</searchLink><br /><searchLink fieldCode="AR" term="%22Pesko%2C+Michael+F%2E%22">Pesko, Michael F.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Addiction%22">Addiction</searchLink>. Dec2022, Vol. 117 Issue 12, p3121-3128. 8p. 1 Chart, 4 Graphs.
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  Data: <searchLink fieldCode="DE" term="%22Taxation%22">Taxation</searchLink><br /><searchLink fieldCode="DE" term="%22Electronic+cigarettes%22">Electronic cigarettes</searchLink><br /><searchLink fieldCode="DE" term="%22Scientific+observation%22">Scientific observation</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Multiple+regression+analysis%22">Multiple regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Government+policy%22">Government policy</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Smoking%22">Smoking</searchLink><br /><searchLink fieldCode="DE" term="%22Tobacco+products%22">Tobacco products</searchLink><br /><searchLink fieldCode="DE" term="%22Tobacco%22">Tobacco</searchLink><br /><searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
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  Data: 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 (β̂ = −0.025; 95% CI, −0.037, −0.014) alongside increases in recent smoking (β̂ = 0.037; 95% CI, 0.013, 0.061), primarily reflecting greater dual use (β̂ =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. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Addiction is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1111/add.16002
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      – Code: eng
        Text: English
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      – SubjectFull: Multiple regression analysis
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      – SubjectFull: Government policy
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Smoking
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      – SubjectFull: Tobacco products
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      – SubjectFull: United States
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      – TitleFull: Young adult responses to taxes on cigarettes and electronic nicotine delivery systems.
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            NameFull: Friedman, Abigail S.
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            – D: 01
              M: 12
              Text: Dec2022
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              Y: 2022
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