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Exploring Impacts of Taxes and Hospitality Bans on Cigarette Prices and Smoking Prevalence Using a Large Dataset of Cigarette Prices at Stores 2001-2011, USA
Journal article   Open access   Peer reviewed

Exploring Impacts of Taxes and Hospitality Bans on Cigarette Prices and Smoking Prevalence Using a Large Dataset of Cigarette Prices at Stores 2001-2011, USA

Lance S Ballester, Amy H Auchincloss, Lucy F Robinson and Stephanie L Mayne
International journal of environmental research and public health, v 14(3), p318
20 Mar 2017
PMID: 28335533
url
https://doi.org/10.3390/ijerph14030318View
Published, Version of Record (VoR)CC BY V4.0 Open

Abstract

Adolescent Adult Aged Aged, 80 and over Child Female Humans Male Middle Aged Models, Statistical Prevalence Smoke-Free Policy - economics Smoking - economics Smoking - epidemiology Taxes Tobacco Products - economics United States - epidemiology Young Adult Commerce
In the USA, little is known about local variation in retail cigarette prices; price variation explained by taxes, bans, and area-level socio-demographics, and whether taxes and hospitality bans have synergistic effects on smoking prevalence. Cigarette prices 2001-2011 from chain supermarkets and drug stores ( = 2973) were linked to state taxes ( = 41), state and county bar/restaurant smoking bans, and census block group socio-demographics. Hierarchical models explored effects of taxes and bans on retail cigarette prices as well as county smoking prevalence (daily, non-daily). There was wide variation in store-level cigarette prices in part due to differences in state excise taxes. Excise taxes were only partially passed onto consumers (after adjustment, $1 tax associated with $0.90 increase in price, < 0.0001) and the pass-through was slightly higher in areas that had bans but did not differ by area-level socio-demographics. Bans were associated with a slight increase in cigarette price (after adjustment, $0.09 per-pack, < 0.0001). Taxes and bans were associated with reduction in smoking prevalence and taxes had a stronger association when combined with bans, suggesting a synergistic effect. Given wide variation in store-level prices, and uneven state/county implementation of taxes and bans, more federal policies should be considered.

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