The Illegal Experimental Tobacco Marketplace I: Effects of Vaping Product Bans

Author:

Freitas-Lemos Roberta1ORCID,Stein Jeffrey S1,Tegge Allison N12,Kaplan Brent A3ORCID,Heckman Bryan W4ORCID,Cummings K Michael5,Bickel Warren K1ORCID

Affiliation:

1. Fralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA

2. Department of Statistics, Virginia Tech, Blacksburg, VA

3. Department of Family and Community Medicine, University of Kentucky, Lexington, KY

4. Center for the Study of Social Determinants on Health, Meharry Medical College, Nashville, TN

5. Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC

Abstract

Abstract Objectives Banning vaping products may have unintended outcomes, such as increased demand for illegal products. This study experimentally examined the effects of a vaping ban and a flavored vaping ban on the probability of purchasing illicit vaping products, and factors affecting purchasing from a hypothetical illegal marketplace. Methods A crowdsourced sample of exclusive cigarette smokers, exclusive e-cigarette users, and frequent dual users (n = 150) completed hypothetical purchasing trials in an Experimental Tobacco Marketplace under three conditions (no ban, vaping ban, and flavored vaping ban). Participants chose to purchase in a hypothetical legal experimental tobacco marketplace (LETM) or illegal experimental tobacco marketplace (IETM). Vaping products were available in each marketplace depending on the condition. Other tobacco products were always available in the LETM. A hypothetical illicit purchase task with five fine amounts assessed the effect of monetary penalties. Results Participants from all groups were more likely to purchase from the IETM when product availability in the LETM was more restricted, with e-cigarette users being most affected. The likelihood of purchasing illegal products was systematically decreased as monetary penalties associated with the IETM increased, with e-cigarette users showing greater persistence in defending their illicit purchases. Conclusions Restricting vaping products from the marketplace may shift preference towards purchasing vaping products in the illegal marketplace. Nevertheless, penalties imposed on consumer’s behavior might be effective in preventing illicit trade. The IETM is a methodological extension that supports the utility and flexibility of the ETM as a framework for understanding the impact of different tobacco regulatory policies. Implications This study suggests that limiting or banning vaping products as a possible strategy to reduce the adverse effects of vaping products could result in some tobacco-users seeking banned products from illegal sources. Monetary fines were shown to reduce illegal purchases. Therefore, policymakers should consider implementing strategies that may mitigate illegal purchases.

Funder

National Cancer Institute

National Institutes of Health

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health

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