Fralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA 24016, USA.
Department of Statistics, Virginia Tech, Blacksburg, VA 24060, USA.
Int J Environ Res Public Health. 2021 Jul 23;18(15):7835. doi: 10.3390/ijerph18157835.
Taxes are a demonstrably effective method to suppress tobacco use. This study examined the effects of the tobacco parity (i.e., imposing taxes equally on all tobacco products) and the harm reduction (i.e., applying taxes in proportion to the products' levels of harm) tax proposals on demand and substitution across products. A crowdsourced sample of cigarette smokers ( = 35) completed purchasing trials with increasing tax magnitudes across different tax tiers in the Experimental Tobacco Marketplace in a repeated-measures design. Products were placed in three tax tiers (high, medium, and no tax) according to each proposal's goal. The results indicated that total nicotine (mg) purchased was not significantly different between the proposals, with higher taxes yielding lower demand. However, as taxes increased, the tobacco parity proposal decreased the purchasing of all tobacco products and increased the purchasing of medicinal nicotine (i.e., the no tax tier). Conversely, the harm reduction proposal resulted in greater purchases of electronic nicotine delivery systems and smokeless tobacco (i.e., the medium tax tier). These findings support tobacco taxation as a robust tool for suppressing purchasing and suggest that differential taxation in proportion to product risk would be an effective way to incentivize smokers to switch from smoked to unsmoked products. Further studies should investigate the unintended consequences of their implementation.
税收是抑制烟草使用的一种明显有效的方法。本研究考察了烟草均等税(即对所有烟草产品征收同等税款)和减少危害税(即按产品危害程度比例征税)提案对不同产品需求和替代的影响。在重复测量设计中,通过众筹方式招募了 35 名香烟吸烟者,他们在实验性烟草市场中完成了不同税收层级下不同税收幅度的购买试验。根据每个提案的目标,产品被放置在三个税收层级(高、中、无税)中。结果表明,两个提案的总尼古丁(mg)购买量没有显著差异,较高的税收导致需求降低。然而,随着税收的增加,烟草均等税提案减少了所有烟草产品的购买量,并增加了药用尼古丁(即无税层级)的购买量。相反,减少危害税提案导致电子尼古丁输送系统和无烟烟草(即中税层级)的购买量增加。这些发现支持将烟草税作为抑制购买的有力工具,并表明按产品风险比例征收差异化税款将是鼓励吸烟者从吸烟产品转向非吸烟产品的有效方法。应进一步研究其实施的意外后果。