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Do state regulations on e-cigarettes have impacts on the e-cigarette prevalence?

Jungmi Jun1, Joon Kyoung Kim2

  • 1School of Journalism and Mass Communications, University of South Carolina, Columbia, South Carolina, USA JUNJ@mailbox.sc.edu.

Tobacco Control
|March 24, 2020
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State regulations on electronic cigarettes, including taxation and licensure, are linked to reduced initiation and use among adults. Comprehensive policies show significant differences in e-cigarette prevalence.

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electronic nicotine delivery devicespackaging and labellingpublic policytaxation

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Area of Science:

  • Public Health
  • Health Policy
  • Tobacco Control

Background:

  • Electronic cigarette (e-cigarette) use has rapidly increased, prompting state-level regulatory actions.
  • Five key types of state regulations were examined: e-cigarette definition, special tax, packaging, youth access, and licensure.
  • Understanding the impact of these diverse regulations on e-cigarette initiation and usage is crucial for public health.

Purpose of the Study:

  • To investigate the association between five types of state electronic cigarette regulations and the initiation and current use of e-cigarettes.
  • To analyze these associations across different age groups (18-24, 25-34) and the overall adult population.
  • To determine if a greater number of state regulations correlates with lower e-cigarette prevalence.

Main Methods:

  • Utilized data from the 2017 Behavioral Risk Factor Surveillance System and a review of US e-cigarette regulations.
  • Employed logistic regression analyses to assess the odds of e-cigarette initiation and current use.
  • Adjusted for socio-demographic covariates in analyses for individuals aged 18-34 and the entire sample.

Main Results:

  • Each of the five examined state e-cigarette laws was associated with decreased odds of initiation and use in the total sample.
  • In the 18-24 age group, licensure laws showed a significant association with lower initiation.
  • In the 25-34 age group, licensure and taxation were linked to reduced initiation and current e-cigarette use.

Conclusions:

  • State-level policy efforts, particularly comprehensive regulatory approaches, demonstrate potential in significantly reducing e-cigarette prevalence.
  • The findings highlight the effectiveness of specific regulations like licensure and taxation in curbing e-cigarette uptake.
  • Implementing a broader range of state regulations on e-cigarettes may lead to more substantial public health benefits.