SESSTIM unit Economic & Social Sciences Applied to Health and to Medical Information, UMR912 (INSERM/IRD/Aix-Marseilles University), Marseilles, France.
Health Policy. 2012 Jul;106(2):169-76. doi: 10.1016/j.healthpol.2012.03.016. Epub 2012 Apr 13.
(1) To build a typology of persistent smokers' reactions to increasing cigarette prices (persistent smokers were defined as smokers who did not quit because of such increases) and (2) to investigate which factors were correlated with their reactions (we considered three categories: no reaction, trying to quit or smoking less, reducing the cost of smoking).
We used a French national telephone survey (n=2000; 621 smokers) that included questions about smokers' reactions to increasing cigarette prices, as well as questions about their socio-demographic background, personal time perspective, smoking behavior and reasons for smoking. We used logistic regressions to identify which of these factors were linked to smokers' reactions.
In response to the increasing cigarette prices, 24% of persistent smokers did not change their smoking habits at all, 31% only reduced the cost of smoking (they neither reduced their consumption nor tried to quit) and 45% tried to give up smoking or reduced their consumption (they also frequently reduced the cost of smoking). Male and older smokers, the more educated ones and the wealthier ones more frequently reported no reaction at all, as did those who smoked to improve their concentration or keep their weight down. Younger and unemployed smokers more frequently opted for spending less on cigarettes, as did those who smoked to forget about their problems. Finally, present-oriented smokers were less prone to try to quit or to reduce their consumption.
These findings show the need to increase the price of all tobacco products in cooperation with neighboring states. People's reasons for smoking and their personal time perspectives contribute to their reactions to price increases, and different preventive measures are required for each category of persistent smokers.
(1)构建持续吸烟者对香烟价格上涨反应的类型学(将持续吸烟者定义为不因价格上涨而戒烟的吸烟者);(2)调查哪些因素与他们的反应相关(我们考虑了三个类别:无反应、试图戒烟或减少吸烟量、降低吸烟成本)。
我们使用了一项法国全国电话调查(n=2000;621 名吸烟者),其中包括关于吸烟者对香烟价格上涨反应的问题,以及关于他们社会人口统计学背景、个人时间观、吸烟行为和吸烟原因的问题。我们使用逻辑回归来确定这些因素中哪些与吸烟者的反应有关。
在应对香烟价格上涨方面,24%的持续吸烟者根本没有改变他们的吸烟习惯,31%的人只是降低了吸烟成本(他们既没有减少吸烟量也没有试图戒烟),45%的人试图戒烟或减少吸烟量(他们也经常降低吸烟成本)。男性和老年吸烟者、受教育程度较高和较富裕的吸烟者更倾向于完全没有反应,那些为了提高注意力或保持体重而吸烟的人也是如此。较年轻和失业的吸烟者更倾向于减少在香烟上的支出,那些为了忘记问题而吸烟的人也是如此。最后,以现在为导向的吸烟者不太可能试图戒烟或减少吸烟量。
这些发现表明,需要与邻国合作提高所有烟草产品的价格。人们吸烟的原因和个人时间观有助于他们对价格上涨的反应,需要针对每一类持续吸烟者采取不同的预防措施。