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The Impact of Tobacco Control Policies on Adolescent Smoking: Comparing Self-Reports and Biomarkers

Author

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  • Erik Nesson

    (Department of Economics, Miller College of Business, Ball State University)

Abstract

This paper provides new evidence on how tobacco control policies affect adolescent smoking as measured by self-reported measures and serum cotinine levels, a biomarker of nicotine exposure. I use data from the National Health and Nutrition Examination Surveys covering 1988–1994 and 1999–2012. Higher cigarette excise taxes lead to statistically significant decreases in smoking prevalence as measured by both self-reports and serum cotinine levels. Among self-reported smokers, cigarette excise taxes are associated with statistically significant reductions in serum cotinine levels but not in cigarette consumption. Among likely smokers, as defined by serum cotinine levels, I do not find that cigarette excise taxes reduce serum cotinine levels on the intensive margin, but I do find that tobacco control policies, especially policies directed at minors, may increase the incidence of misreported smoking status.

Suggested Citation

  • Erik Nesson, 2017. "The Impact of Tobacco Control Policies on Adolescent Smoking: Comparing Self-Reports and Biomarkers," American Journal of Health Economics, University of Chicago Press, vol. 3(4), pages 507-527, Fall.
    • Handle: RePEc:ucp:amjhec:v:3:y:2017:i:4:p:507-527
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    File URL: https://www.journals.uchicago.edu/doi/pdf/10.1162/AJHE_a_00086
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    Cited by:

    1. Sen Choudhury, Rebecca & Conway, Karen Smith, 2020. "The effect of tobacco policies on youth physical activity," Economics & Human Biology, Elsevier, vol. 38(C).
    2. Cotti, Chad & Courtemanche, Charles & Maclean, Joanna Catherine & Nesson, Erik & Pesko, Michael F. & Tefft, Nathan W., 2022. "The effects of e-cigarette taxes on e-cigarette prices and tobacco product sales: Evidence from retail panel data," Journal of Health Economics, Elsevier, vol. 86(C).
    3. Rusty Tchernis & Keith Teltser & Arjun Teotia, 2024. "Does quitting smoking increase obesity? Evidence that accounts for misreporting," Southern Economic Journal, John Wiley & Sons, vol. 91(1), pages 257-277, July.
    4. Cotti, Chad & Nesson, Erik & Tefft, Nathan, 2018. "The relationship between cigarettes and electronic cigarettes: Evidence from household panel data," Journal of Health Economics, Elsevier, vol. 61(C), pages 205-219.
    5. Cotti, Chad & DeCicca, Philip & Nesson, Erik, 2024. "The effects of tobacco 21 laws on smoking and vaping: Evidence from panel data and biomarkers," Journal of Health Economics, Elsevier, vol. 98(C).
    6. Meier, Armando N. & Odermatt, Reto & Stutzer, Alois, 2021. "Tobacco sales prohibition and teen smoking," Journal of Economic Behavior & Organization, Elsevier, vol. 188(C), pages 998-1014.

    More about this item

    Keywords

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    JEL classification:

    • D12 - Microeconomics - - Household Behavior - - - Consumer Economics: Empirical Analysis
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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