The Association Between Smoking Behaviors and Prices and Taxes per Cigarette Pack in the United Stat
Tuesday, May 24, 2022
Posted by: Natalia Gromov
Le
TTT, Jaffri MA.
The Association Between
Smoking Behaviors and Prices and Taxes per Cigarette Pack in the United States
from 2000 Through 2019.
BMC Public Health.
2022;22(1):856. Published 2022 Apr 28. doi:10.1186/s12889-022-13242-5
Objective. The
conclusions on how tax and price increases affect smoking behaviors are mixed.
This work is devoted to re-evaluating the relationship between cigarette prices
and taxes and smoking behaviors.
Methods. Using
2000-2019 Behavioral Risk Factor Surveillance System data, we employed linear
mixed-effect models to re-examine the impact of cigarette prices and taxes on
smoking prevalence and the proportion of current smokers having tried to quit
smoking in the past 12 months. All the analyses were conducted for the general
population, then by age group, gender, race/ethnicity, and income level.
Results. The
results indicate that higher cigarette prices and taxes were associated with a
decrease in smoking prevalence and an increased likelihood of quitting smoking.
Cigarette tax and price increases produced the most powerful impact on the
smoking prevalence of 18- to 24-year-olds. The estimates also show that males
tended to be more price-sensitive than females. Raising cigarette prices and
taxes was estimated to be more effective in reducing the smoking prevalence
among non-Hispanic Blacks and Hispanics when compared to non-Hispanic whites.
Cigarette price and tax changes were likely to have a smaller effect on
individuals with annual income under $25,000 relative to individuals with
higher income levels.
Conclusions. Increases
in cigarette prices and taxes are significantly associated with a reduction in
smoking prevalence and an increased likelihood of quitting smoking among adults
across different demographic and socioeconomic groups. However, as cigarette
price and tax changes disproportionately affect low-income individuals, raising
cigarette prices and taxes may deepen income disparities.
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