E-cigarette minimum legal sale age laws and traditional cigarette use among rural pregnant teenagers

Michael F. Pesko, Janet M. Currie

Research output: Contribution to journalArticlepeer-review

29 Scopus citations


Teenagers under 18 could legally purchase e-cigarettes until states passed minimum legal sale age laws. These laws may have curtailed teenagers' use of e-cigarettes for smoking cessation. We investigate the effect of e-cigarette minimum legal sale age laws on prenatal cigarette smoking and birth outcomes for underage rural teenagers using data on all births from 2010 to 2016 from 32 states. We find that the laws increased prenatal smoking in by 0.6 percentage points (pp) overall. These effects were concentrated in prepregnancy smokers, with no effect on prepregnancy non-smokers. These results suggest that the laws reduced cigarette smoking cessation during pregnancy rather than causing new cigarette smoking initiation. Our results may indicate an unmet need for assistance with smoking cessation among pregnant teenagers.

Original languageEnglish (US)
Pages (from-to)71-90
Number of pages20
JournalJournal of Health Economics
StatePublished - Jul 2019

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health
  • Health Policy


  • Birth outcomes
  • E-cigarettes
  • Electronic nicotine delivery systems
  • Prenatal smoking
  • Purchasing age laws
  • Tobacco control


Dive into the research topics of 'E-cigarette minimum legal sale age laws and traditional cigarette use among rural pregnant teenagers'. Together they form a unique fingerprint.

Cite this