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Associations between cigarette prices and consumption in Europe 2004 - 2014

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Title: Associations between cigarette prices and consumption in Europe 2004 - 2014
Authors: Laverty, A
Millett, C
Filippidis, FT
Item Type: Journal Article
Abstract: Introduction While tobacco price increases are known to reduce smoking prevalence, these relationships may be blunted by the availability of budget cigarettes, promoted by the tobacco industry to maintain profits. There has been limited previous research on the impact of budget cigarettes on cigarette consumption and used data from Europe 2004-2014 to investigate this. Methods Annual population-weighted cigarette consumption per adult data come from the International Cigarette Consumption Database. Annual tobacco price data come from Euromonitor International for 23 European countries. We examined median prices as well as price differentials, operationalised as percentages obtained by dividing the difference between median and minimum prices by median price. We used a linear random-effects model to assess associations between these and cigarette consumption within-year and with a one-year time lag. Results Cigarette consumption per capita has declined over the study period (-29.5 cigarettes per capita per year, 95% Confidence Intervals -46.8 to -12.1). Our analysis suggests that increases in cigarette price differentials, a marker of opportunities for smokers to switch to less expensive cigarettes, are associated with greater consumption in the same year (+6.4 for a 10% increase in differential, -40.0 to 52.6) and are associated with greater consumption the following year (+67.6, 25.8 to 109.5). Conclusion These analyses suggest that even in Europe where tobacco taxes are relatively high compared with other regions, differential cigarette pricing strategies may undermine tobacco control. Further research is needed on links between tobacco price structures and consumption and policy design to maximise the effectiveness of tobacco tax.
Issue Date: 15-Dec-2020
Date of Acceptance: 13-Jan-2020
URI: http://hdl.handle.net/10044/1/76927
DOI: 10.1136/tobaccocontrol-2019-055299
ISSN: 0964-4563
Publisher: BMJ Publishing Group
Start Page: 111
End Page: 113
Journal / Book Title: Tobacco Control
Volume: 30
Copyright Statement: © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
Keywords: global health
tobacco industry
Public Health
Publication Status: Published
Online Publication Date: 2020-06-16
Appears in Collections:Faculty of Medicine
School of Public Health

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