Changes in price, income and e-cigarette affordability for young people in the USA from 2015 to 2021.

IF 4 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Tobacco Control Pub Date : 2024-10-29 DOI:10.1136/tc-2024-058619

Megan C Diaz, Karl Braganza, Tyler Minter, Elizabeth C Hair, John A Tauras

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引用次数: 0

Abstract

Background: E-cigarette products are the most popular tobacco/nicotine product used among youth and young adults in the USA. While emerging research has shown that e-cigarette taxes increase their price, no study to date has examined e-cigarette tax burdens nor their affordability for youth and young adults.

Methods: Using real (2021 US dollars) prices per mL of e-liquid data from NielsenIQ and annual real (2021 US dollars) personal income data from Integrated Public Use Microdata Series, we calculate relative income prices and examine average annual percentage changes in affordability using Joinpoint trend analysis from 2015 to 2021. In addition, we use tax data to calculate e-cigarette tax burdens as a percentage of price per 1 mL of e-liquid.

Results: In all states analysed, tax burdens increased from 2015 to 2021. E-cigarette prices decreased considerably from 2019 to 2021; in 2021 the real (2021 US dollars) average price of 1 mL of e-liquid was US$4.45. E-cigarettes on average became more affordable for all age groups and states; however, e-cigarettes tended to be less affordable in states with ad-valorem tax structures. On average, 16-17-year-olds needed 31% of their annual income to purchase 100 mL of e-liquid, whereas 18-19-year-olds, 20-24-year-olds and 25-34-year-olds needed 9%, 3% and 1%, respectively.

Conclusions: E-cigarettes have become more affordable for young people, but less so in states with ad-valorem tax structures. Policy efforts should focus on reducing e-cigarette affordability, especially for youth, through tax-induced increases in e-cigarette prices to levels high enough to outpace income growth.

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2015 年至 2021 年美国年轻人价格、收入和电子烟负担能力的变化。

背景：电子烟产品是美国青少年最常用的烟草/尼古丁产品。虽然新的研究表明电子烟税收会提高电子烟的价格，但迄今为止还没有研究对电子烟税收负担以及青少年和年轻成年人的负担能力进行过调查：我们使用尼尔森智库（NielsenIQ）提供的每毫升电子烟液的实际价格（2021 年美元）数据和综合公共使用微数据系列（Integrated Public Use Microdata Series）提供的年度实际个人收入数据（2021 年美元），计算出相对收入价格，并使用加入点趋势分析法（Joinpoint trend analysis）研究了 2015 年至 2021 年负担能力的年均百分比变化。此外，我们还使用税收数据计算电子烟税收负担占每 1 毫升电子烟液价格的百分比：结果：在分析的所有州中，2015 年至 2021 年的税负都有所增加。从 2019 年到 2021 年，电子烟价格大幅下降；2021 年，1 毫升电子烟液的实际平均价格（2021 年美元）为 4.45 美元。平均而言，各年龄组和各州的电子烟价格都有所下降；但在实行从价税结构的州，电子烟的价格往往较低。平均而言，16-17 岁的青少年需要年收入的 31% 才能购买 100 毫升电子烟液，而 18-19 岁、20-24 岁和 25-34 岁的青少年则分别需要 9%、3% 和 1%：结论：电子烟对年轻人来说更容易负担得起，但在实行从价税结构的州，年轻人负担不起。政策努力的重点应该是通过税收将电子烟价格提高到足以超过收入增长的水平，从而降低电子烟的可负担性，尤其是对年轻人而言。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Tobacco Control 医学-公共卫生、环境卫生与职业卫生

CiteScore

9.10

自引率

26.90%

发文量

223

审稿时长

6-12 weeks

期刊介绍： Tobacco Control is an international peer-reviewed journal covering the nature and consequences of tobacco use worldwide; tobacco''s effects on population health, the economy, the environment, and society; efforts to prevent and control the global tobacco epidemic through population-level education and policy changes; the ethical dimensions of tobacco control policies; and the activities of the tobacco industry and its allies.