Tobacco Control Program, Ministry of Health (Saudi Arabia), Riyadh, Saudi Arabia.
Department Biostatistics and Epidemiology, College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
Front Public Health. 2022 Feb 21;10:794237. doi: 10.3389/fpubh.2022.794237. eCollection 2022.
To determine whether the increased tobacco price due to tax implementation on tobacco products (including cigarettes) has a significant effect on smoking cessation among Saudi Arabian adult smokers.
An interviewer-administered questionnaire was used to obtain data from adult Saudi smokers and recent quitters attending smoking cessation clinics between January 2018 and September 2019. The responses of the participants were summarized and analyzed.
In total, 660 participants were interviewed, of which 98% were men who resided in the western region (33%). Taxation had no effect on smoking in 387 participants [58.6%; 95% confidence interval (CI): 54.9, 62.4], some effect in 220 participants (33.3%; 95% CI: 29.7, 36.9), and a substantial effect in 50 participants (7.6%; 95% CI: 5.6, 9.6). Strategies adopted to cope with the tax implementation included cutting down on the number of cigarettes smoked (302; 45.8%), changing to a cheaper brand of cigarette (151; 22.9%), purchasing in bulk (105; 15.9%), attempting to quit (453; 68.6%), and doing nothing (108; 16.4%). The rate of quitting smoking after attending the clinic was 20.7% (95% CI: 17.7, 23.9). Occupation ( = 0.003), education ( = 0.03), and current smoking habit ( = 0.07) were significantly associated with the impact of tobacco taxation. The strategies adopted in response to tax implementation on cigarettes were significantly associated with occupation (χ = 30, degrees of freedom = 12, < 0.001).
Tobacco taxation influenced 40% of the participants. Their attempts to opt for alternatives should be recognized in evaluating policies to reduce adverse health impacts caused by tobacco abuse.
确定烟草产品（包括香烟）税收实施后，烟草价格的上涨是否对沙特阿拉伯成年吸烟者的戒烟产生显著影响。
采用访谈式问卷，从 2018 年 1 月至 2019 年 9 月在戒烟诊所就诊的沙特成年吸烟者和近期戒烟者中获取数据。对参与者的回答进行总结和分析。
共访谈了 660 名参与者，其中 98%为男性，居住在西部地区（33%）。税收对 387 名参与者的吸烟行为没有影响[58.6%；95%置信区间（CI）：54.9，62.4]，对 220 名参与者有一定影响（33.3%；95% CI：29.7，36.9），对 50 名参与者有显著影响（7.6%；95% CI：5.6，9.6）。为应对税收实施而采取的策略包括减少吸烟量（302 人，45.8%）、改吸更便宜的香烟品牌（151 人，22.9%）、大量购买（105 人，15.9%）、尝试戒烟（453 人，68.6%）和无所作为（108 人，16.4%）。在诊所就诊后戒烟的比例为 20.7%（95% CI：17.7，23.9）。职业（ = 0.003）、教育程度（ = 0.03）和当前吸烟习惯（ = 0.07）与烟草税收的影响显著相关。应对香烟税收的策略与职业显著相关（χ = 30，自由度 = 12， < 0.001）。
烟草税收影响了 40%的参与者。在评估减少烟草滥用对健康不良影响的政策时，应认识到他们选择替代品的尝试。
