Minimum Legal Age of Tobacco Sales Law as a Commitment Mechanism: A Regression Discontinuity Design

Author(s)

Zemlyanska Y
Zurich University of Applied Sciences, Steinhausen, ZG, Switzerland

OBJECTIVES: The economic rationale for minimum legal age (MLA) of sale restrictions is founded in the commitment-value they provide. Smokers impose negative externalities upon themselves in the form of damage to health and loss of life expectancy. Additionally, smoking initiation at an early age leads to smoking in later life and is associated with higher costs for public healthcare systems. In 2007 UK raised the MLA of tobacco sale from 16 to 18. Nevertheless, evidence suggests that the law is not properly implemented with 58% of youths under 18 reporting buying cigarettes from stores in 2008 and 38% in 2016. This study addresses the question whether access restriction laws succeed as a commitment mechanism to prevent individuals with low self-control from initiating into smoking at an early age.

METHODS: First, the immediate impact of the reform was tested on a sample of the British Household Panel Survey (BHPS) in terms of a reduction in propensity to smoke, applying a regression discontinuity framework and a narrow window of two years before and after the reform; next, the impacted cohort was followed into the future using data from Understanding Society to see whether the reduction in uptake was maintained throughout adulthood or if the policy only had a temporary “access” effect.

RESULTS: Intention to treat effect was a 11.3 percentage point reduction in propensity to smoke for individuals who could not legally buy cigarettes before the reform. Results from the second part of analysis were not statistically significant.

CONCLUSIONS: Increasing the MLA of tobacco sale produced a temporary effect of delaying smoking initiation. Access restriction laws are not a perfect commitment mechanism because of enforcement issues and availability of non-retail sources of tobacco. Consequently, the age restriction might be more effective if combined with legislation regulating possession of tobacco for those underage.

Conference/Value in Health Info

2024-11, ISPOR Europe 2024, Barcelona, Spain

Value in Health, Volume 27, Issue 12, S2 (December 2024)

Code

EPH121

Topic

Epidemiology & Public Health, Methodological & Statistical Research

Topic Subcategory

Confounding, Selection Bias Correction, Causal Inference, Public Health

Disease

Mental Health (including addition), Respiratory-Related Disorders (Allergy, Asthma, Smoking, Other Respiratory)

Explore Related HEOR by Topic


Your browser is out-of-date

ISPOR recommends that you update your browser for more security, speed and the best experience on ispor.org. Update my browser now

×