The Effect of E-Cigarette Taxes on Substance Use

IF 3.4 2区经济学 Q1 ECONOMICS

Journal of Health Economics Pub Date : 2025-06-09 DOI:10.1016/j.jhealeco.2025.103022

Dhaval Dave , Yang Liang , Johanna Catherine Maclean , Caterina Muratori , Joseph J. Sabia

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引用次数: 0

Abstract

Public health advocates warn that the rapid growth of legal markets for electronic nicotine delivery systems (ENDS) may generate a “gateway” to marijuana and harder drug consumption, particularly among teenagers. This study explores the effects of ENDS taxes on substance use. Analyses are based on difference-in-differences and event-study methods applied to both survey (Youth Risk Behavior Surveillance System and Behavioral Risk Factor Surveillance System) and administrative (Treatment Episode Data Set) data. Our results imply that a one-dollar increase in ENDS taxes (2023$) is associated with a 1.0 to 1.5 percentage point decline in teen marijuana use and in co-use of ENDS and marijuana. This result is consistent with e-cigarettes and marijuana being economic complements. We also find that youth responses to ENDS taxes, in terms of their ENDS use and spillovers into marijuana use, appear to moderate over the longer term. We find no evidence that ENDS taxes affect drug treatment admissions or consumption of illicit drugs other than marijuana such as cocaine, methamphetamine, or opioids.

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电子烟税对物质使用的影响

公共健康倡导者警告说，电子尼古丁输送系统（ENDS）合法市场的快速增长可能会为大麻和更严重的毒品消费提供“通道”，尤其是在青少年中。本研究探讨了ENDS税对物质使用的影响。分析基于差异中的差异和事件研究方法，应用于调查（青少年风险行为监测系统和行为风险因素监测系统）和行政（治疗事件数据集）数据。我们的研究结果表明，ENDS税每增加1美元（2023美元），青少年大麻使用以及ENDS和大麻的共同使用就会下降1.0到1.5个百分点。这一结果与电子烟和大麻是经济互补的观点是一致的。我们还发现，就终端使用和对大麻使用的溢出效应而言，青年对终端税的反应在长期内似乎是温和的。我们没有发现证据表明ENDS税会影响药物治疗的入院率或大麻以外的非法药物的消费，如可卡因、甲基苯丙胺或阿片类药物。

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

Journal of Health Economics 医学-卫生保健

CiteScore

6.10

自引率

2.90%

发文量

审稿时长

49 days

期刊介绍： This journal seeks articles related to the economics of health and medical care. Its scope will include the following topics: Production and supply of health services; Demand and utilization of health services; Financing of health services; Determinants of health, including investments in health and risky health behaviors; Economic consequences of ill-health; Behavioral models of demanders, suppliers and other health care agencies; Evaluation of policy interventions that yield economic insights; Efficiency and distributional aspects of health policy; and such other topics as the Editors may deem appropriate.