How do price minimizing behaviors impact smoking cessation? Findings from the International Tobacco Control (ITC) Four Country Survey

Authors  Licht AS, Hyland AJ, O’Connor RJ, Chaloupka FJ, Borland R, Fong GT, Nargis N, Cummings KM.
Date  May 2011
Publication
Link
 http://www.ncbi.nlm.nih.gov/pubmed/21655144
Research Category  Cessation
Country  4-country
Abstract

Abstract

This paper examines how price minimizing behaviors impact efforts to stop smoking. Data on 4,988 participants from the International Tobacco Control Policy Evaluation (ITC) Four-Country Survey who were smokers at baseline (wave 5) and interviewed at a 1 year follow-up were used. We examined whether price minimizing behaviors at baseline predicted: (1) cessation, (2) quit attempts, and (3) successful quit attempts at one year follow up using multivariate logistic regression modeling. A subset analysis included 3,387 participants who were current smokers at waves 5 and 6 and were followed through wave 7 to explore effects of changing purchase patterns on cessation. Statistical tests for interaction were performed to examine the joint effect of SES and price/tax avoidance behaviors on cessation outcomes. Smokers who engaged in any price/tax avoidance behaviors were 28% less likely to report cessation. Persons using low/untaxed sources were less likely to quit at follow up, those purchasing cartons were less likely to make quit attempts and quit, and those using discount cigarettes were less likely to succeed, conditional on making attempts. Respondents who utilized multiple behaviors simultaneously were less likely to make quit attempts and to succeed. SES did not modify the effects of price minimizing behaviors on cessation outcomes. The data from this paper indicate that the availability of lower priced cigarette alternatives may attenuate public health efforts aimed at to reduce reducing smoking prevalence through price and tax increases among all SES groups.

PDF  Link
Citation  Int J Environ Res Public Health. 2011 May;8(5):1671-91. Epub 2011 May 20.

Posted on September 27, 2011, in 4 country, Borland, Ron Papers, Cessation - Research, Chaloupka, F - Paper, Cummings, K M - Papers, Fong, Geoffrey papers, Hyland, Andrew Papers, Licht, A - Paper, Nargis, N. - Papers, O'Connor, R. Papers, Recent peer reviewed papers, Research and tagged , , , , , , , . Bookmark the permalink. Comments Off on How do price minimizing behaviors impact smoking cessation? Findings from the International Tobacco Control (ITC) Four Country Survey.

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