How smokers may react to cigarette taxes and price increases in Brazil: data from a national survey

How smokers may react to cigarette taxes and price increases in Brazil: data from a national survey

Author Gigliotti, Analice de Paula Autor UNIFESP Google Scholar
Figueiredo, Valeska C. Google Scholar
Madruga, Clarice Sandi Autor UNIFESP Google Scholar
Marques, Ana Cecília Petta Roselli Autor UNIFESP Google Scholar
Pinsky, Ilana Autor UNIFESP Google Scholar
Caetano, Raul Autor UNIFESP Google Scholar
Costa e Silva, Vera Luiza da Google Scholar
Raw, Martin Google Scholar
Laranjeira, Ronaldo Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Oswaldo Cruz Fdn Fiocruz
UT Southwestern Sch Hlth Profess
UT Sch Publ Hlth
Univ Nottingham
Abstract Background: Despite being the third largest tobacco producer in the world, Brazil has developed a comprehensive tobacco control policy that includes a broad restriction on both advertising and smoking in indoor public places, compulsory pictorial warning labels, and a menthol cigarette ban. However, tax and pricing policies have been developed slowly and only very recently were stronger measures implemented. This study investigated the expected responses of smokers to hypothetical price increases in Brazil.Methods: We analyzed smokers' responses to hypothetical future price increases according to sociodemographic characteristics and smoking conditions in a multistage sample of Brazilian current cigarette smokers aged >= 14 years (n = 500). Logistic regression analysis was used to examine the relationship between possible responses and different predictors.Results: in most subgroups investigated, smokers most frequently said they would react to a hypothetical price increase by taking up alternatives that might have a positive impact on health, i.e., they would try to stop smoking (52.3%) or smoke fewer cigarettes (46.8%). However, a considerable percentage responded that they would use alternatives that would reduce the effect of price increases, such as the same brand with lower cost (48.1%). After controlling for sex age group (14-19, 20-39, 40-59, and >= 60 years), schooling level (>= 9 versus <= 9 years), number of cigarettes per day (>20 versus <= 20), and stage of change for smoking cessation (precontemplation, contemplation, and preparation), lower levels of dependence were positively associated with the response I would try to stop smoking (odds ratio [OR], 2.19). Young age was associated with I would decrease the number of cigarettes (OR, 3.44). A low schooling level was strongly associated with all responses.Conclusions: Taxes and prices increases have great potential to stimulate cessation or reduction of cigarette consumption further among two important vulnerable populations of smokers in Brazil: young smokers and those of low educational level. the results from the present study also suggest that seeking illegal products may reduce the impact of increased taxes, but does not eliminate it.
Keywords Smoking
Tobacco use
Tobacco control
Prices and taxes
Language English
Sponsor National Anti-Drug Secretariat (SENAD)
Grant number National Anti-Drug Secretariat (SENAD): 017/2003
Date 2014-04-08
Published in Bmc Public Health. London: Biomed Central Ltd, v. 14, 9 p., 2014.
ISSN 1471-2458 (Sherpa/Romeo, impact factor)
Publisher Biomed Central Ltd
Extent 9
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000335468200001

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