Impact of tobacco control policies on adolescent smokeless tobacco and cigar use: a difference-in-differences approach.

ABSTRACT:

Background

While increasing cigarette taxes has been a major policy driver to decrease smoking, taxes on other tobacco products have received less attention. Our aims were to evaluate the impact of chewing tobacco/cigar taxes, cigarette taxes, and smoke-free legislation on adolescent male and female use of smokeless tobacco and cigars.

Methods

We analyzed data on 499,381 adolescents age 14-18 years from 36 US states in the Youth Risk Behavior Surveys (1999-2013) linked to state-level tobacco control policies. We conducted difference-in-differences regression models to assess whether changes in taxes and the enactment of smoke-free legislation were associated with smokeless tobacco use and, separately, cigar use. Models were stratified by adolescent sex.

Results

We fou

SUBMITTER: Hawkins SS 

PROVIDER: S-EPMC5813367 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature