Impact of E-cigarette Minimum Legal Sales Age Laws on Current Cigarette Smoking

Details

• Alternative Title:
  J Adolesc Health
• Personal Author:
  Dutra, Lauren M. ; Glantz, Stanton A. ; Arrazola, René A. ; King, Brian A.
• Description:
  Introduction
  
  Research using state-level data suggests e-cigarette minimum legal sale age (MLSA) laws are positively associated with cigarette smoking among U.S. adolescents; research using individual-level data suggests a negative association. Existing studies have not controlled for e-cigarette use.
  
  Methods
  
  In 2016 and 2017, we regressed (logistic) current (past 30-day) cigarette smoking (from 2009–2014 National Youth Tobacco Surveys [NYTS]) on lagged (laws enacted each year counted for the following year) and unlagged (laws enacted January–June counted for that year) state e-cigarette MLSA laws prohibiting sales to youth aged <18 or <19 years (depending on the state). Models were adjusted for year and individual- (e-cigarette and other tobacco use, sex, race/ethnicity, and age) and state-level (smokefree laws, cigarette taxes, medical marijuana legalization, income, and unemployment) covariates.
  
  Results
  
  Cigarette smoking was not significantly associated with lagged MLSA laws after adjusting for year (OR=0.87, 95% CI:0.73–1.03; p=0.10) and covariates (OR=0.85, 0.69–1.03; p=0.10). Unlagged laws were significantly and negatively association with cigarette smoking (OR=0.84, 0.71–0.98, p=0.02), but not after adjusting for covariates (OR=0.84, 0.70–1.01, p=0.07). E-cigarette and other tobacco use, sex, race/ethnicity, age, and smokefree laws were associated with cigarette smoking (p<0.05). Results unadjusted for e-cigarette use and other tobacco use yielded a significant negative association between e-cigarette MLSA laws and cigarette smoking (lagged: OR=0.78, 0.64–0.93, p=0.01; unlagged: OR=0.80, 0.68–0.95, p=0.01).
  
  Conclusions
  
  After adjusting for covariates, state e-cigarette MLSA laws did not affect youth cigarette smoking. Unadjusted for e-cigarette and other tobacco use, these laws were associated with lower cigarette smoking.
  
  
• Subjects:
  Adolescent Adult Cigarette Smoking Commerce Electronic Nicotine Delivery Systems Female Humans Male Students United States Vaping

  More +
• Keywords:
  Cigarettes E-cigarettes Youth
• Source:
  J Adolesc Health. 62(5):532-538
• Pubmed ID:
  29422436
• Pubmed Central ID:
  PMC5930073
• Document Type:
  Journal Article
• Funding:
  R25 CA113710/CA/NCI NIH HHSUnited States/ ; R01 DA043950/DA/NIDA NIH HHSUnited States/ ; P50 CA180890/CA/NCI NIH HHSUnited States/ ; CC999999/Intramural CDC HHSUnited States/ ; T32 CA113710/CA/NCI NIH HHSUnited States/
• Volume:
  62
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:6db49a5d404fe3d9d62e44ab694b8af24f5ed44e61342df4eedcdaa858e02352
• Download URL:
  https://stacks.cdc.gov/view/cdc/53779/cdc_53779_DS1.pdf
• File Type:
  [PDF - 98.65 KB ]