Evidence map›Paper›PMID 40898822›Full record

ArticleHealth economics2025

Comprehensive E-Cigarette Flavor Bans and Tobacco Use Among Youth and Adults.

Henry Saffer, Selen Ozdogan, Michael Grossman, Daniel Dench, Dhaval Dave

Abstract read
In one paragraph

Article in Health economics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Illegal markets for cigarettes and e-cigarettes.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  2. Article
  3. Article
  4. Toxicity and Appeal of Flavoured E-Cigarettes and Flavour Ban Outcomes: A Narrative Review.International journal of environmental research and public health · 2026
    Review
  5. Article
  6. Article
  7. Article
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  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Henry SafferNational Bureau of Economic Research (NBER), New York, New York, USA.ORCID 0000-0001-8433-6924
Selen OzdoganNational Bureau of Economic Research (NBER), New York, New York, USA.
Michael GrossmanNational Bureau of Economic Research (NBER), New York, New York, USA.ORCID 0000-0001-9863-4308
Daniel DenchGeorgia Institute of Technology, Atlanta, Georgia, USA.
Dhaval DaveNational Bureau of Economic Research (NBER), New York, New York, USA.

Funding

The Effects of New E-cigarette Internet Sales Bans and E-cigarette Flavor Bans on Tobacco Use by Youth, Young Adults and AdultsR01DA055976 · NIDA · NATIONAL BUREAU OF ECONOMIC RESEARCH · PI SAFFER, HENRY · 2022 to 2024
$955k
NIDA NIH HHS 5R01DA055976NIDA NIH HHS R01 DA055976
6 · The paper itself

Abstract

The vast majority of youth e-cigarette users consume flavored e-cigarettes, raising concerns from public health advocates that flavors may drive youth initiation and continued use of e-cigarettes. Flavors drew further notice from the public health community following the sudden outbreak of lung injury among vapers in 2019, prompting several states to enact sweeping bans on flavored e-cigarettes. In this study, we examine the effects of these comprehensive bans on e-cigarette use and potential spillovers into other tobacco use by youth, young adults, and adults. We utilize both standard difference-in-differences (DID) and synthetic DID methods, in conjunction with four national data sets. We find evidence that young adults decrease their use of e-cigarettes by about two to three percentage points, while increasing cigarette use. For youth, there is some suggestive evidence of increasing cigarette use, though these results are undermined by pre-trend differences between treatment and control units. The bans have no effect on e-cigarette and smoking participation among adults 25 and over. Our findings suggest that statewide comprehensive flavor bans may have generated an unintended consequence by encouraging substitution toward traditional smoking in some populations.

Indexed as

Electronic Nicotine Delivery SystemsFlavoring AgentsTobacco UseVapingAdolescentAdultFemaleHumansMaleUnited StatesYoung AdultFlavoring Agentscigarettese‐cigarettesflavor banssmokingtobacco

Identifiers

PMID40898822
PMCPMC12645907

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.