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预期对香烟和自卷烟草假设最低价格的反应:一项针对英国吸烟者和戒烟者的在线横断面调查。

Anticipated responses to a hypothetical minimum price for cigarettes and roll-your-own tobacco: an online cross-sectional survey with cigarette smokers and ex-smokers in the UK.

机构信息

Institute for Social Marketing and Health, University of Stirling, Stirling, UK

Institute for Social Marketing and Health, University of Stirling, Stirling, UK.

出版信息

BMJ Open. 2021 Mar 22;11(3):e042724. doi: 10.1136/bmjopen-2020-042724.

DOI:10.1136/bmjopen-2020-042724
PMID:33753438
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7986940/
Abstract

OBJECTIVES

As tobacco companies can circumvent tax increases, a minimum retail price per-cigarette/per-gram of roll-your-own tobacco presents an additional mechanism for governments to reduce smoking. We examined (1) anticipated responses to a hypothetical minimum price-per-cigarette/per-gram among smokers in the UK; (2) what demographic and smoker characteristics are associated with anticipated responses; and (3) whether minimum pricing may help ex-smokers stay quit.

DESIGN

Cross-sectional survey (May-July 2019).

SETTING

UK.

PARTICIPANTS

Adult cigarette smokers (n=2412) and ex-smokers (n=700).

MAIN OUTCOME MEASUREMENTS

Anticipated responses to a hypothetical minimum price of £10.00 for 20 cigarettes (£0.50 per-cigarette) and £13.50 for 30 grams of roll-your-own tobacco (£0.45 per-gram); approximately £0.10 per-cigarette/per-gram increases on the cheapest prices in leading UK supermarkets (January 2019). Smokers were presented with ten options (eg, '') and asked which they would do () and then which they would most likely do. Ex-smokers were asked to what extent the minimum prices would help them stay quit ().

RESULTS

Among smokers, 55.6% said they would most likely smoke the same amount, 10.7% they would smoke less, 9.5% they would try to quit and 5.8% they would use e-cigarettes more often. Anticipated reactions were associated with demography and smoker characteristics, for example, C2DE (lower social grade) smokers were less likely than ABC1 (higher social grade) smokers to say they would smoke the same as they do now (OR=0.74, 95% CI 0.62 to 0.88). Among ex-smokers, 38.5% said the minimum prices would help them stay quit 'A lot', more so among C2DE than ABC1 participants (OR=1.80, 95% CI 1.30 to 2.49).

CONCLUSIONS

In response to a hypothetical minimum price for cigarettes and roll-your-own tobacco, approximately a fifth of smokers in the UK indicated they would smoke less or quit and almost two-fifths of ex-smokers indicated the prices would help them stay quit.

摘要

目的

由于烟草公司可以规避增税,每支香烟/每克自卷烟草的最低零售价格为政府提供了另一种减少吸烟的机制。我们研究了(1)英国吸烟者对假设的每支香烟/每克最低价格的预期反应;(2)哪些人口统计学和吸烟者特征与预期反应相关;以及(3)最低定价是否有助于帮助戒烟者保持戒烟状态。

设计

横断面调查(2019 年 5 月至 7 月)。

地点

英国。

参与者

成年香烟吸烟者(n=2412)和戒烟者(n=700)。

主要观察指标

对每 20 支香烟 10 英镑(每支 0.50 英镑)和每 30 克自卷烟草 13.50 英镑(每克 0.45 英镑)的假设最低价格的预期反应;大约每支香烟/每克增加 0.10 英镑,这是英国主要超市最便宜价格的(2019 年 1 月)。吸烟者被提供了十种选择(例如,“”),并被问到他们会做哪一项(),然后他们最有可能做哪一项。戒烟者被问到最低价格在多大程度上有助于他们保持戒烟状态()。

结果

在吸烟者中,55.6%的人表示他们最有可能保持相同的吸烟量,10.7%的人表示他们会减少吸烟量,9.5%的人表示他们会尝试戒烟,5.8%的人表示他们会更频繁地使用电子烟。预期的反应与人口统计学和吸烟者特征有关,例如,C2DE(社会等级较低)吸烟者比 ABC1(社会等级较高)吸烟者更不可能表示他们会像现在一样吸烟(OR=0.74,95%CI 0.62 至 0.88)。在戒烟者中,38.5%的人表示最低价格将“很大程度上”帮助他们保持戒烟状态,C2DE 参与者比 ABC1 参与者更为如此(OR=1.80,95%CI 1.30 至 2.49)。

结论

在对香烟和自卷烟草的假设最低价格做出反应时,英国约有五分之一的吸烟者表示他们会减少吸烟量或戒烟,近五分之二的戒烟者表示价格会帮助他们保持戒烟状态。