The Intergenerational Consequences of Tobacco Policy: A Review of Policy's Influence on Maternal Smoking and Child Health

Abstract

The response of pregnant women to tobacco policy is of particular interest due to these women being in a unique position to pass health capital to the next generation. By comparing estimates in the literature, we highlight that while pregnant women are responsive to taxes and taxes improve child health, their responsiveness has declined over time. We show that these trends reflect a compositional change; specifically, the least addicted smokers quit in the 1990s, leaving the pool of smoking mothers to be dominated by less price elastic smokers. Reviewing the literature on other tobacco policies, we show that a state‐level U.S. smoking ban has roughly three times the effect on pregnant women of a 10% increase in prices using elasticity estimates from more recent periods. Throughout this review, we identify areas for improvement in the literature and offer a number of ideas for future research projects.