Price minimizing behaviours by smokers in Europe (2006-20): evidence from the International Tobacco Control Project

BACKGROUND: Effectiveness of tobacco taxation can be undermined through smokers applying price-minimizing behaviours rather than quitting or reducing consumption. Common price-minimizing strategies are buying cheaper tobacco [discount brands or roll-your-own (RYO) tobacco], bulk buying and cross-border purchasing. This study analyses trends in and factors associated with such behaviours in four European countries from 2006 to 2020. METHODS: Data came from adult smokers participating in the International Tobacco Control (ITC) Surveys conducted between 2006 and 2020 in England (9 waves, n?=?768-4149), France (4 waves, n?=?1415-1735), Germany (5 waves, n?=?513-1515) and the Netherlands (10 waves, n?=?1191-2177). Country-specific generalized estimating equation regression models were fit to assess trends in smoking RYO tobacco, discount brands, bulk buying and cross-border purchasing within the European Union. RESULTS: Buying discount brands or RYO tobacco was the most common strategy in all countries, except France. Except for buying discount brands, estimates of price-minimizing behaviours were highest in France (2019: RYO?=?27.2%, discount brands?=?17.3%, bulk buying?=?34.1%, cross-border purchasing?=?34.2%), and lowest in Germany (2018: RYO?=?18.6%, discount brands?=?43.7%, bulk buying?=?8.0%, cross-border purchasing?=?9.8%). Direction and magnitude of trends differed by country, and behaviour. Young smokers were less likely to buy in bulk. Low-income and low-education smokers were more likely to purchase RYO tobacco or discount brands. The association with discount brands was not found for French low-income smokers. CONCLUSIONS: Smoking cheaper tobacco is the most prevalent price-minimizing strategy in three countries (England, Germany and Netherlands), and more prevalent among low-income individuals. Harmonizing prices across products and countries would reduce switching to cheaper tobacco.

Auteur(s) : Geboers Cloé, Nagelhout Gera E, de Vries Hein, Candel Math J J M, Driezen Pete, Mons Ute, Andler Raphaël, Fong Geoffrey T, Willemsen Marc C

Année de publication : 2022

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