Jason B Colditz1, Megan C Tulikangas2, Jaime E Sidani1, Zan M Dodson3, Michelle S Woods1, A Everette James4, Brian A Primack5. 1. Center for Research on Media, Technology, and Health, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. 2. Bureau of Public Policy and Community Relations, Allegheny County Health Department, Pittsburgh, PA, USA. 3. American Association of Geographers, Washington, DC, USA. 4. Health Policy Institute, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA. 5. College of Education and Health Professions, University of Arkansas, Fayetteville, AR, USA.
Abstract
BACKGROUND: The growing use of electronic nicotine delivery systems (ENDS) among adolescents is a public health concern. Taxation of these products is a viable approach to reduce ENDS use, particularly among adolescents. Opponents of taxation posit that it puts specialty retailers (ie, vape shops) out of business, thereby reducing availability of ENDS for adult smokers seeking harm reduction. Pennsylvania enacted substantial ENDS taxes in October 2016. This study sought to examine (1) the prevalence of Pennsylvania vape shops before and after ENDS taxes were enacted and (2) ENDS retail licensing compliance among vape shops. METHODS: We employed standardized searches for vape shops in Pennsylvania on the Yelp business-listing platform a month prior to and for 18 consecutive months following the imposition of ENDS taxes. We then compared listings to a public database of ENDS-related retail licenses to determine compliance status. RESULTS: The number of listed vape shops increased in a linear fashion by a magnitude of 23%. In addition, when we compared a final listing of retailers to data from the state tax authority, we found roughly a quarter (22%-29%) of vape shops to be noncompliant with maintaining a valid ENDS retail license. CONCLUSIONS: Overall, ENDS taxation in Pennsylvania has not appeared to reduce prevalence of vape shops as anticipated. However, stricter enforcement of the tax law is necessary to ensure compliance among retailers. These findings have implications for implementation and enforcement of ENDS tax policy nationwide, including states that currently lack such policies.
BACKGROUND: The growing use of electronic nicotine delivery systems (ENDS) among adolescents is a public health concern. Taxation of these products is a viable approach to reduce ENDS use, particularly among adolescents. Opponents of taxation posit that it puts specialty retailers (ie, vape shops) out of business, thereby reducing availability of ENDS for adult smokers seeking harm reduction. Pennsylvania enacted substantial ENDS taxes in October 2016. This study sought to examine (1) the prevalence of Pennsylvania vape shops before and after ENDS taxes were enacted and (2) ENDS retail licensing compliance among vape shops. METHODS: We employed standardized searches for vape shops in Pennsylvania on the Yelp business-listing platform a month prior to and for 18 consecutive months following the imposition of ENDS taxes. We then compared listings to a public database of ENDS-related retail licenses to determine compliance status. RESULTS: The number of listed vape shops increased in a linear fashion by a magnitude of 23%. In addition, when we compared a final listing of retailers to data from the state tax authority, we found roughly a quarter (22%-29%) of vape shops to be noncompliant with maintaining a valid ENDS retail license. CONCLUSIONS: Overall, ENDS taxation in Pennsylvania has not appeared to reduce prevalence of vape shops as anticipated. However, stricter enforcement of the tax law is necessary to ensure compliance among retailers. These findings have implications for implementation and enforcement of ENDS tax policy nationwide, including states that currently lack such policies.
Use of electronic nicotine delivery systems (ENDS), also known as e-cigarettes or
“vapes,” among youth and young adults has become a public health concern.[1] Electronic nicotine delivery systems’ use among cigarette-naïve individuals
is a risk factor for cigarette initiation and increasingly high rates of youth ENDS
use have emphasized the need for new policy interventions.[2-4] Research indicates that nicotine
can have adverse effects on the developing adolescent brain, and that adolescent use
of ENDS is associated with future cigarette initiation.[2,5] A common point of discussion is
the harm reduction potential of ENDS for aiding in cigarette smoking cessation,
although trying to quit smoking cigarettes is not a primary reason for using ENDS
among youth.[1] For adult smokers trying to quit, strong independent studies have
demonstrated the potential of ENDS as a cigarette cessation tool, though recent
systematic reviews have been inconclusive.[6,7] The health impact of ENDS is
still being investigated and debated, although recent research suggests that some
nicotine-containing products may be associated with the recent e-cigarette, or
vaping, product use–associated lung injury (EVALI) outbreak.[8] Likewise, although there are no known studies examining ENDS use among
pregnant women, the negative effects of nicotine on pregnancy and the developing
fetus are well-documented.[9] Still, public health regulations aimed at reducing adolescent use have faced
opposition due to their potentially negative impact on cigarette smoking adults who
wish to use e-cigarettes as a potential smoking cessation tool.Electronic nicotine delivery systems present new challenges to U.S. national, state,
and municipal tobacco control policies.In addition to point-of-sale youth access regulations (eg, age verification), other
common regulatory approaches to tobacco control include use restrictions (eg, clean
indoor air regulations), regulation of flavoring (eg, limiting flavors to tobacco
and menthol only) and labeling (eg, text or graphic warning labels on products,
disclosure of ingredients), and imposition of excise taxes.[10] Over the past 50 years, one of the most effective tobacco control strategies
has been increased taxes on tobacco products.[11] This may also be true for ENDS: a recent systematic review determined that a
10% increase in ENDS price corresponded to an 18% decrease in quantity consumed.[12] Higher prices of disposable ENDS have also been associated with lower
prevalence of adolescent use.[13] In addition, tax revenues can fund cessation programs, tobacco policy
enforcement efforts, and public health education programs that serve to decrease
tobacco use overall.[11] As of December 2019, 21 U.S. states and the District of Columbia impose a tax
on ENDS, e-liquids, or both.[14] In October 2016, Pennsylvania (PA) implemented one of the broadest taxation
approaches by imposing a 40% tax on the wholesale value of both ENDS and e-liquids,
and by instituting a retailer license requirement to monitor physical establishments
selling these products.[15,16]Little is currently known about retailer compliance with taxation or licensing
regulations in PA. For example, while there are penalties of up to US$1000 and
60 days in prison for selling or possessing untaxed products,[16] it is unclear how stringent enforcement has been on retailers. Thus, retail
licensing presents a crucial administrative framework, allowing for systematic
monitoring of known retailers. This also affords opportunities to implement more
targeted measures such as capping the number of available licenses or limiting
retailer proximity to schools and parks.[17-19] Several states also have
considered, or are considering, legislation to limit tobacco/ENDS sales by type of
establishment (eg, pharmacies) or in particular areas (eg, residential zones).[19] Implementation and enforcement of such approaches relies on effective retail
licensing infrastructure and compliance. In PA, retail licensing requirements for
ENDS went into effect in July 2016.[17] Retail licensing is required for all tobacco product and ENDS retailers in
PA. Separate licenses are available for tobacco retailers, “Other Tobacco Product”
retailers (OTP; including ENDS), combined tobacco-OTP retailers, and wholesalers.
Retail licenses are renewed every March 1 for a nominal fee of US$25.[20] However, the 40% wholesale tax is a nontrivial amount and an initial “floor
tax” of all existing OTP inventory was due from retailers within 90 days of the tax
going into effect.[21] Thereafter, wholesalers collect and pay the tax, thus increasing the cost
when retailers purchase new inventory.Electronic nicotine delivery systems’ retailers and industry advocates feared that
the tax on ENDS products would “doom” vape shops in PA and cause widespread
closures.[22,23] Specifically, industry advocates have claimed that more than
100 specialty retailers (ie, vape shops) have been put out of business by these tax
policies and have also expressed fears that taxation will ultimately “decimate” the
economic landscape for vape shops in PA.[22,23] These concerns were consistent
across other states as well, with advocacy groups that strongly oppose these
regulations arguing that they decimate businesses and reduce availability of ENDS as
harm reduction or cessation tools for cigarette-addicted adults.[24] However, there has been little empirical evidence to indicate that this
specific tax—or state taxes more broadly—have had a substantial overall impact in
the ENDS retailer market. Furthermore, as little is known about ENDS retailer tax
compliance, it is unclear how frequently retailers might attempt to evade taxes by
buying from noncompliant online wholesalers, having orders shipped to out-of-state
addresses, or using other measures. As such, the best available proxy measure that
we currently have available for tax compliance is retail licensing compliance.Therefore, we developed a strategy to monitor the prevalence of vape shops in PA
1 month prior to and in the 18 months following imposition of this ENDS tax. Our
study drew upon publicly available data to (1) examine the prevalence of PA vape
shops in the wake of the tax and (2) to examine retailers’ registration compliance
by comparing observed listings to state records of OTP retail licenses.
Methods
The Yelp business-listing platform has been successfully used in studies tracking
vape shop prevalence in New Jersey and Florida.[25,26] We used Yelp to track vape
shop prevalence in PA, an ideal test bed for examining this type of tax policy as a
political microcosm of the United States with an active health policy landscape.[10]Data collection began in September 2016 (1 month before the tax went into effect) and
continued at monthly intervals through April 2018. Study data were retrieved
directly from the Yelp Application Programming Interface (API; version 2), using a
standardized Python script, to ensure reproducibility and inclusiveness of search
strategies over time.[27] New business listings are added to Yelp from publicly listed address
information and are updated by business owners as well as Yelp users.[28] While this improves detection over relying on business owners alone, there is
no benchmark of how fast detection takes place, either broadly or within business
categories. Updates are presumed to happen relatively quickly, given Yelp’s
popularity with 36 million unique mobile users per month and prompts users receive
to verify information for locations they visit.[29] As such, 18 months of posttax follow-up should be ample time to
comprehensively detect openings and closures in the wake of the PA tax.Our searches centered within 37 census regions with 25-mile search radii,
systematically covering most of PA. Search terms included vape, vapor,
vaping, ecig, e-cig, and e-cigarette. We obtained Yelp
metadata to confirm that establishments were categorically listed as “vape shops”
and were considered open for business. Consistent with best-practice
recommendations, and to maintain a narrow focus, we excluded vape shops that were
cross-listed as “head shops” (ie, selling cannabis paraphernalia) or “tobacco shops”
by Yelp.[30] Businesses can be reclassified by the business owner or users of the platform
and so may not appear as a vape shop across all consecutive searches. To account for
this, we considered an establishment as a currently operating (ie, open) vape shop
at a particular time point if it was classified as such at both a preceding and a
future time point. Otherwise, we treated vape shops that failed to appear in
consecutive searches as closed as of the final valid data point.Establishments that we identified as vape shops at the final time point (April 2018)
were cross-referenced on the opendataPA online portal,[31] a comprehensive listing of all establishments with current retail permits for
“OTP” to determine whether they had a valid retail permit to sell ENDS products.
Because the opendataPA database contains nearly 18 000 records in total, a listing
of the most likely potential matches to Yelp listings was first generated using a
standard text comparison algorithm prior to human adjudication.[32] We used the Python difflib package to cross-reference
textual similarities between each Yelp listing and a subset of over 11 000
establishments licensed to sell ENDS products in the March 1, 2018, through February
28, 2019, licensing year. We refreshed the licensing data from the database in July
2018, to ensure adequate coverage of lag time in database updates or license
applications that may have been submitted late. This licensing data included a broad
scope of establishments, such as convenience stores, and did not differentiate
business categories (eg, vape shops were grouped among all other business
categories). Therefore, we set difflib to match Yelp listings to licensing data
based on name and address fields, to rank them by similarity. Then, 2 human coders
collaboratively reviewed and compared the top 3 license database matches to each
Yelp establishment. Yelp listings were classified as “matched” (similar name and
address in database), “possible match” (similar name or address, but not both), or
“no match” (unable to locate a similar database record). We further confirmed
current operating status of vape shops not matched to a license by telephoning
establishments and searching online for a recently active website or social media
account. In this way, we were able to obtain better ground truth of open vape shops
that may be operating without current licenses.
Results
In September 2016, a month prior to taxation, there were 148 open vape shops (Figure 1). By April 2018, this
number increased to 182, of which 62 were new listings over this period (Figure 1). Controlling for
shops that opened or closed during this time period resulted in a net increase of 34
(23%); the total number of vape shops increased in a linear fashion across the data
collection period (Figure
2).
Figure 1.
Vape shops at initial data collection (September 2016) and those present at
final data collection (April 2018) based on publicly available data on
Yelp.
Figure 2.
Net change in prevalence of vape shops detected in PA from September 2016 to
April 2018 based on publicly available data on Yelp. Dashed line indicates
linear interpolation (slope m = 1.85). PA indicates
Pennsylvania.
Vape shops at initial data collection (September 2016) and those present at
final data collection (April 2018) based on publicly available data on
Yelp.Net change in prevalence of vape shops detected in PA from September 2016 to
April 2018 based on publicly available data on Yelp. Dashed line indicates
linear interpolation (slope m = 1.85). PA indicates
Pennsylvania.Of the 182 final vape shops, 115 (63%) were confirmed as having a matching retail
license and were assumed to be currently operating. An additional 12 (7%) were
matched to a possible license by either similar business name or address. For the
remaining 55 (30%) identified as having no current license of record, we were able
to confirm current open status for 36: 26 by phone, 6 by recent social media
activity, and 4 that maintain an active website (19 could not be confirmed as
currently operating). For the 12 shops that were possibly matched with a license, an
additional 10 were confirmed open by telephone call (2 could not be confirmed as
currently operating). Thus, a total of 21 retailers could not be confirmed as
currently operating and were removed from the following calculations (adjusted
n = 161 vape shops currently operating). From this, we concluded that at least 22%
(36/161) and up to 29% (46/161) of vape shops in our sample were operating without a
listed OTP retail license (Figure
3).
Figure 3.
Vape shops identified as unlicensed to retail “other tobacco products” (ie,
ENDS). ENDS indicates electronic nicotine delivery systems.
Vape shops identified as unlicensed to retail “other tobacco products” (ie,
ENDS). ENDS indicates electronic nicotine delivery systems.
Discussion
Owners of vape shops generally believe that a primary mission of their business is to
assist customers in transitioning away from traditional cigarettes.[24] Therefore, it is understandable that vape shop owners view regulation and
taxation of their shops and the vaping market to be a threat to their business,
livelihood, and mission. However, this study of vape shops in PA found that there
was a net increase in the number of vape shops in the 18 months following the new
tax law, which introduced a new 40% tax on the wholesale value of ENDS
products.[15,16] It also found that a substantial proportion of vape shops
appear to be operating without valid retail licenses. The results obtained through
this study suggest that while these regulatory measures may not present excessive
burden overall, a substantial number of vape shop operators may evade such
regulation.There was a net increase in the total prevalence of vape shops: more new shops opened
than the total number that closed down during the study. While it is possible that
some vape shops closed because of increases in taxation, it is also possible that
market saturation played a role. Indeed, the number of vape shops across the United
States has been increasing; Dai and Hao identified 9945 vape shops nationally in
2016—a 3-fold increase from 2013—demonstrating an increasingly competitive market
for existing shops.[33]In addition, as ENDS with disposable cartridges, such as the JUUL brand, have surged
in popularity, these products are becoming more widely available.[34] These devices are frequently sold at convenience stores, pharmacies,
discount/dollar stores, and mass merchandise stores, which may further divert
potential revenue from specialty vape retailers.[35] This is particularly likely during the timeframe in which our data were
collected, as the JUUL brand increased its market share more than 5-fold during 2016
to 2017.[35] Furthermore, this substantial growth indicator does not account for this
brand’s direct-to-consumer online sales, which were heavily marketed on a variety of
online social media platforms over this time period.[36]It is also possible that customer preferences led to the closure of some vape shops.
Similar to hookah lounges, prominent vape shops tend to market themselves as venues
in which users can socialize, sample e-liquids, and modify vapor and e-cigarette devices.[37] Research indicates that customers have expectations that employees have the
ability to build and fix vaping devices and maintain a “bar type” atmosphere.[38] Shops not meeting these expectations may fall prey to other, more competitive
vape shops. Therefore, even for vape shops that did close during over the duration
of this study, a variety of other market forces, other than new tax laws, may have
been influential.Given the limitation of our study primarily relying on data from the Yelp platform,
some of these market factors (eg, convenience store retailers, online sales) remain
undetected. As this platform has been used in similar statewide studies,[25,26] these findings
nonetheless represent a contribution to understanding general trends in vape shops.
Because there are likely to be other vape shops not listed on the Yelp platform,
this study is likely to have underestimated the true prevalence in PA.Another important finding of this work was that a relatively high number of vape
shops did not match a valid “OTPs” retail license. Enforcement of ENDS tax
administration in PA has been difficult due to the inability to track out-of-state
suppliers and lack of compliance by in-state retailers.[39] Other states have had similar difficulties, leading to a recommendation for
adopting statutory enforcement and noncompliance penalties.[39] For example, Louisiana allocates a portion of their tax revenue toward a
“Tobacco Regulation Enforcement Fund” for the Office of Alcohol and Tobacco Control
to take on the additional burden of monitoring ENDS retailers.[39] At least 26 states have retail licensing requirements for ENDS.[14] Instituting such licenses and maintaining a database of associated retailers
is an initial step toward monitoring which establishments may be delinquent on other
regulations, including ENDS tax imposition. However, our data indicate that a
substantial proportion of vape shop operators may fail to maintain such a license in
the absence of proactive enforcement. Additional monitoring approaches, such as we
used to compare publicly available Yelp data to licensing data, offer an opportunity
to detect and monitor cases of retailer noncompliance. This is one possible tool
that public health agencies might consider for enhancing enforcement efforts in this
realm.Despite the challenges in implementing and enforcing such regulations, PA has
successfully generated annual revenue from the OTP tax since its inception in
October 2016. In fiscal year ending June 30, 2017, which included the initial floor
tax and partial-year wholesale tax revenue, the state collected US$83.9 million. In
the first full year of wholesale tax collection (2017-2018), revenues were upward of
US$119 million, which increased to nearly US$130 million in the subsequent year (2018-2019).[40] Although this is a small proportion of the state’s overall tax revenues of
approximately US$34 billion, it nonetheless reflects a sizable 40% increase to the
consumer price of ENDS products. Although there are not current data to tie this tax
to a direct reduction in ENDS use in the state, previous studies of ENDS pricing
effects indicate that an expected reduction in ENDS use is plausible.[12,13] However, ENDS
users may seek out ways to avoid the tax markup on ENDS by purchasing devices online
or seeking out retailers that buy and sell the device components separately (to
avoid paying wholesale tax on fully assembled ENDS devices). This particular
approach of selling tax-free ENDS components has been deemed legal in a case brought
before PA Commonwealth Court, leading to additional loopholes in the comprehensive
taxation of ENDS.[41]Future research might examine these emerging trends in light of device choices among
adolescent versus young adult ENDS users. For example, if nicotine naïve adolescents
are unlikely to go through to additional effort of assembling device components to
avoid tax-related costs, then closing this legal loophole might be a relatively low
public health priority. Whereas with younger ENDS users gravitating toward popular,
prebuilt “vape stick” devices such as JUUL, more attention may be needed to strongly
enforce the tax for online or out-of-state purchasing of devices. As such, it will
be important for future research to investigate how particular types of ENDS devices
and users are affected by tax policies so that public health priorities and
enforcement can be tailored to have maximum impact on reducing ENDS use among
nicotine naïve youth.
Implications
Although increased taxes on ENDS may be an effective method of reducing adolescent
ENDS use, public health regulations have faced opposition due to their potentially
negative impact on current adult smokers. However, the findings of this study
indicating increased prevalence of vape shops in PA despite a strong new taxation
should alleviate some of those concerns. As these products continue to grow in
popularity, advocacy groups in support and opposition of ENDS taxation are likely to
become increasingly vocal. Policymakers in Pennsylvania have indicated that they
generally do not know enough about ENDS,[42] and education around health effects and potential impacts of taxation
approaches may help inform decision-making. Without rigorous studies of policy
impact, these important policy decisions may be approached with inadequate
information based on anecdotal reports.[42] Therefore, studies such as this may help provide new insight into the ongoing
policy debate and public health response around taxation of ENDS products. This
study is particularly timely because only 21 of 50 U.S. states currently levy taxes
on ENDS products, though others are considering such a tax.[14] An additional public health benefit is that tax revenues can fund cessation
programs, tobacco policy enforcement efforts, and public health education programs
that further serve to decrease habitual use of tobacco and associated nicotine products.[11]
Authors: Muhannad Malas; Jan van der Tempel; Robert Schwartz; Alexa Minichiello; Clayton Lightfoot; Aliya Noormohamed; Jaklyn Andrews; Laurie Zawertailo; Roberta Ferrence Journal: Nicotine Tob Res Date: 2016-04-25 Impact factor: 4.244
Authors: Jason B Colditz; Kar-Hai Chu; Galen E Switzer; Konstantinos Pelechrinis; Brian A Primack Journal: Health Informatics J Date: 2018-02-05 Impact factor: 2.681
Authors: Samir Soneji; Jessica L Barrington-Trimis; Thomas A Wills; Adam M Leventhal; Jennifer B Unger; Laura A Gibson; JaeWon Yang; Brian A Primack; Judy A Andrews; Richard A Miech; Tory R Spindle; Danielle M Dick; Thomas Eissenberg; Robert C Hornik; Rui Dang; James D Sargent Journal: JAMA Pediatr Date: 2017-08-01 Impact factor: 16.193
Authors: Regina El Dib; Erica A Suzumura; Elie A Akl; Huda Gomaa; Arnav Agarwal; Yaping Chang; Manya Prasad; Vahid Ashoorion; Diane Heels-Ansdell; Wasim Maziak; Gordon Guyatt Journal: BMJ Open Date: 2017-02-23 Impact factor: 2.692
Authors: Douglas A Luke; Amy A Sorg; Todd Combs; Christopher B Robichaux; Sarah Moreland-Russell; Kurt M Ribisl; Lisa Henriksen Journal: Tob Control Date: 2016-10 Impact factor: 7.552