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

Analice Gigliotti, Valeska C. Figueiredo, Clarice S. Madruga, Ana C P R Marques, Ilana Pinsky, Raul Caetano, Vera Luiza Da Costa E Silva, Martin Raw, Ronaldo Laranjeira

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

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.

Original languageEnglish (US)
Article number327
JournalBMC public health
Volume14
Issue number1
DOIs
StatePublished - Apr 8 2014

Keywords

  • Prices and taxes
  • Smoking
  • Tobacco control
  • Tobacco use

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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