Public Health Policy Evaluation Unit, School of Public Health, Imperial College London, London, UK
Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.
Tob Control. 2019 Dec;28(e2):e102-e109. doi: 10.1136/tobaccocontrol-2018-054826. Epub 2019 Apr 26.
The tobacco industry (TI) can act to undermine the impact of tobacco tax increases by adopting various pricing strategies. Little is known about strategies used across the European Union (EU), except for the UK.
To examine pricing strategies adopted by the TI in the EU, and whether they differ by cigarette price segment, or between manufactured and roll-your-own (RYO) cigarettes.
This is a longitudinal analysis of commercial pricing data for manufactured and RYO cigarettes from 23 EU countries in 2006-2017. Price and revenue trends were explored. Linear regression estimated the average annual change in revenue, and linear fixed-effects panel regression models were used to explore the association between changes in median revenue (net of tax and adjusted for inflation) and tax increases in different price segments of manufactured cigarettes.
Over the 11-year period price gaps were observed in all countries. The average annual adjusted median net revenue per pack increased in 19 of 23 countries for manufactured and RYO cigarettes. A tax increase was associated with a significant decrease of -€0.09 in adjusted median net revenue per pack (95% CI -0.16 to -0.03) in the cheap cigarette price segment, while no change was detected in the expensive cigarette price segment (-€0.05, 95% CI -0.11 to 0.01).
Across the EU, pricing strategies adopted by the TI maintained or increased price gaps and retained cheaper tobacco products in the market, diminishing the impact of tobacco tax increases. Further strengthening of tobacco taxation policy is needed to maximise public health impact.
烟草业(TI)可以通过采用各种定价策略来破坏烟草税增加的影响。除英国外,人们对欧盟(EU)范围内使用的策略知之甚少。
研究 TI 在欧盟采用的定价策略,以及这些策略是否因香烟价格段的不同,或制造烟和自卷烟(RYO)之间的不同而有所不同。
这是对 2006-2017 年欧盟 23 个国家制造和 RYO 香烟的商业定价数据进行的纵向分析。研究了价格和收入趋势。线性回归估计了收入的年平均变化,线性固定效应面板回归模型用于探索不同价格段制造香烟的中位数收入(税后和通胀调整)变化与税收增加之间的关系。
在 11 年期间,所有国家都观察到了价格差距。在 23 个国家中的 19 个国家,制造和 RYO 香烟的每包调整后平均中位数净收入都有所增加。在廉价香烟价格段,税收增加与调整后每包中位数净收入显著下降(-€0.09,95%CI -0.16 至 -0.03),而在昂贵香烟价格段未检测到变化(-€0.05,95%CI -0.11 至 0.01)。
在整个欧盟,TI 采用的定价策略维持或扩大了价格差距,并保留了市场上更便宜的烟草产品,从而削弱了烟草税增加的影响。需要进一步加强烟草税收政策,以最大限度地发挥对公共卫生的影响。