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Assessing dual nicotine use in Spain: Transition to cessation or sustained consumption?

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  • Cabezas-Ares, Alfredo
  • Pinto-Hernández, Fernando
  • Delgado-Rodríguez, María Jesús

Abstract

Spain’s aging population, coupled with the persistent prevalence of smoking, places increasing pressure on the country’s healthcare system. Novel nicotine products, such as e-cigarettes and heated tobacco products (HTPs), may serve as an adequate, less harmful alternative and cessation tool for smokers. However, critics are concerned about the risk of uptake among never-smokers and high rates of dual use of both conventional cigarettes and alternatives. Therefore, it is crucial to determine whether dual use presents a transitional phase toward cessation or if alternatives are a complementary nicotine source for smokers. The outcome of this assessment should guide whether regulations should harmonize or differentiate nicotine products based on the relative harm of each product.

Suggested Citation

  • Cabezas-Ares, Alfredo & Pinto-Hernández, Fernando & Delgado-Rodríguez, María Jesús, 2026. "Assessing dual nicotine use in Spain: Transition to cessation or sustained consumption?," Research in Economics, Elsevier, vol. 80(2).
    • Handle: RePEc:eee:reecon:v:80:y:2026:i:2:s109094432600013x
    DOI: 10.1016/j.rie.2026.101124
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