Department of Health, Behavior and Society, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States.
Institute for Global Tobacco Control, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States.
Int J Public Health. 2021 May 12;66:1604005. doi: 10.3389/ijph.2021.1604005. eCollection 2021.
Compare the brand availability, pricing and presence of illicit products in semi-urban and rural areas in India across product types and states. In late 2017, 382 unique tobacco products were purchased from localities with populations under 50,000 in the states of Assam, Karnataka, Maharashtra, Rajasthan, and Uttar Pradesh. Brand, printed maximum retail price, price paid, tax, and health warning labels (HWLs) were used to compare the market for bidis, smokeless tobacco (SLT), and cigarettes. Brand availability and pricing of SLT products was similar to cigarettes. Brand availability and pricing of bidis was consistent with having many small producers. Bidis and single serving SLT with spice mixtures were more affordable than cigarettes and SLT sold alone. 2% of SLT and 10% of cigarettes did not feature an India HWL. The elimination of single serving SLT packets and the removal of tax exemptions for small producers, often exploited by bidi producers, could reduce their respective affordability. State differences in illegal and illicit products could indicate a greater need for enforcement in some states.
比较印度半城市和农村地区不同类型和州的产品中品牌的可获得性、价格以及非法产品的存在情况。 2017 年末,从人口少于 50,000 的地区的阿萨姆邦、卡纳塔克邦、马哈拉施特拉邦、拉贾斯坦邦和北方邦购买了 382 种不同的烟草产品。使用品牌、最大零售价格、支付价格、税收和健康警示标签(HWL)来比较比迪烟、无烟气烟草(SLT)和香烟的市场。 SLT 产品的品牌可用性和价格与香烟相似。比迪烟的品牌可用性和价格与许多小生产商保持一致。比迪烟和含有香料混合物的单份 SLT 比香烟和单独销售的 SLT 更便宜。2%的 SLT 和 10%的香烟没有印度 HWL。消除单份 SLT 小包装并取消小生产商的税收豁免,这些豁免经常被比迪烟生产商利用,可能会降低它们各自的可负担性。非法和非法产品在各州之间的差异表明,某些州需要加强执法力度。