Real-world, anti-tobacco environmental impact upon priceinduced smoking reduction among urban Chinese men: Evidence from China’s 2015 cigarette tax increase

Introduction Raising the price of cigarettes via taxation has been promoted by the World Health Organization as an important tobacco control strategy. Price elasticity of cigarettes is not uniform and is dependent upon individual and environmental determinants. Many studies have examined the determi...

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Main Authors: Tong Pei, Pauline Barnett, Tingzhong Yang, Ian R. H. Rockett, Weifang Zhang
Format: Article
Language:English
Published: European Publishing 2023-10-01
Series:Tobacco Induced Diseases
Subjects:
Online Access:http://www.tobaccoinduceddiseases.org/Real-world-anti-tobacco-environmental-impact-upon-priceinduced-nsmoking-reduction,170596,0,2.html
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author Tong Pei
Pauline Barnett
Tingzhong Yang
Ian R. H. Rockett
Weifang Zhang
author_facet Tong Pei
Pauline Barnett
Tingzhong Yang
Ian R. H. Rockett
Weifang Zhang
author_sort Tong Pei
collection DOAJ
description Introduction Raising the price of cigarettes via taxation has been promoted by the World Health Organization as an important tobacco control strategy. Price elasticity of cigarettes is not uniform and is dependent upon individual and environmental determinants. Many studies have examined the determinants of price-induced smoking, taking into account sociodemographic characteristics and consumption patterns. Little research has been conducted on the association between anti-smoking environments and price-induced smoking behavior. This study addresses the deficit within the Chinese context. Methods Participants were 2852 male smokers identified through a multi-stage survey sampling process encompassing 6 cities in China between July and December 2016. A standardized questionnaire tapped price-induced smoking reduction and related information. Both unadjusted and adjusted logistic regression methods were applied in the analyses. Results In all, 25.5% (95% CI: 22.5–27.9) of smokers in this study decreased their smoking expenditures following the 2015 excise tax increase. The adjusted logistic regression analysis showed that increased exposures to an anti-smoking information environment (AOR=1.39; 95% CI: 1.10–1.79), restricted smoking in their home (AOR=1.67; 95% CI: 1.32–2.08) and workplace (AOR=1.43; 95% CI: 1.09–1.85) were more likely to report diminished cigarette smoking following the tax increases. Conclusions This study adds to understanding price-induced smoking behavior among urban male Chinese smokers. Strengthening of excise tax policies needs to intensify environmental smoking restrictions and public education campaigns to increase the sensitivity of cigarette price changes among smokers.
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spelling doaj.art-86096684e77f468e804870d53d1d658a2023-12-15T12:41:23ZengEuropean PublishingTobacco Induced Diseases1617-96252023-10-0121October11110.18332/tid/170596170596Real-world, anti-tobacco environmental impact upon priceinduced smoking reduction among urban Chinese men: Evidence from China’s 2015 cigarette tax increaseTong Pei0https://orcid.org/0000-0001-5280-1369Pauline Barnett1Tingzhong Yang2Ian R. H. Rockett3Weifang Zhang4https://orcid.org/0000-0002-0769-3749School of Humanities and Management, Zhejiang Chinese Medical University, Hangzhou, ChinaSchool of Health Sciences, University of Canterbury, Christchurch, New ZealandWomen’s Hospital, Center for Tobacco Control Research, School of Medicine, Zhejiang University, Hangzhou, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, West Virginia University, Morgantown, United StatesKey Laboratory of Oral Biomedical Research, Hospital of Stomatology, School of Medicine, Zhejiang University, Hangzhou, ChinaIntroduction Raising the price of cigarettes via taxation has been promoted by the World Health Organization as an important tobacco control strategy. Price elasticity of cigarettes is not uniform and is dependent upon individual and environmental determinants. Many studies have examined the determinants of price-induced smoking, taking into account sociodemographic characteristics and consumption patterns. Little research has been conducted on the association between anti-smoking environments and price-induced smoking behavior. This study addresses the deficit within the Chinese context. Methods Participants were 2852 male smokers identified through a multi-stage survey sampling process encompassing 6 cities in China between July and December 2016. A standardized questionnaire tapped price-induced smoking reduction and related information. Both unadjusted and adjusted logistic regression methods were applied in the analyses. Results In all, 25.5% (95% CI: 22.5–27.9) of smokers in this study decreased their smoking expenditures following the 2015 excise tax increase. The adjusted logistic regression analysis showed that increased exposures to an anti-smoking information environment (AOR=1.39; 95% CI: 1.10–1.79), restricted smoking in their home (AOR=1.67; 95% CI: 1.32–2.08) and workplace (AOR=1.43; 95% CI: 1.09–1.85) were more likely to report diminished cigarette smoking following the tax increases. Conclusions This study adds to understanding price-induced smoking behavior among urban male Chinese smokers. Strengthening of excise tax policies needs to intensify environmental smoking restrictions and public education campaigns to increase the sensitivity of cigarette price changes among smokers.http://www.tobaccoinduceddiseases.org/Real-world-anti-tobacco-environmental-impact-upon-priceinduced-nsmoking-reduction,170596,0,2.htmlcigarette taxsmoking reductionanti-tobacco environmental impactchina
spellingShingle Tong Pei
Pauline Barnett
Tingzhong Yang
Ian R. H. Rockett
Weifang Zhang
Real-world, anti-tobacco environmental impact upon priceinduced smoking reduction among urban Chinese men: Evidence from China’s 2015 cigarette tax increase
Tobacco Induced Diseases
cigarette tax
smoking reduction
anti-tobacco environmental impact
china
title Real-world, anti-tobacco environmental impact upon priceinduced smoking reduction among urban Chinese men: Evidence from China’s 2015 cigarette tax increase
title_full Real-world, anti-tobacco environmental impact upon priceinduced smoking reduction among urban Chinese men: Evidence from China’s 2015 cigarette tax increase
title_fullStr Real-world, anti-tobacco environmental impact upon priceinduced smoking reduction among urban Chinese men: Evidence from China’s 2015 cigarette tax increase
title_full_unstemmed Real-world, anti-tobacco environmental impact upon priceinduced smoking reduction among urban Chinese men: Evidence from China’s 2015 cigarette tax increase
title_short Real-world, anti-tobacco environmental impact upon priceinduced smoking reduction among urban Chinese men: Evidence from China’s 2015 cigarette tax increase
title_sort real world anti tobacco environmental impact upon priceinduced smoking reduction among urban chinese men evidence from china s 2015 cigarette tax increase
topic cigarette tax
smoking reduction
anti-tobacco environmental impact
china
url http://www.tobaccoinduceddiseases.org/Real-world-anti-tobacco-environmental-impact-upon-priceinduced-nsmoking-reduction,170596,0,2.html
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