Department of Health Promotion (CAPHRI), Maastricht University, P. Debyeplein 1, 6221 HA, Maastricht, The Netherlands.
The Netherlands Expertise Centre for Tobacco Control, Trimbos Institute, Utrecht, the Netherlands.
BMC Public Health. 2024 Jul 25;24(1):1993. doi: 10.1186/s12889-024-19530-6.
The cost of tobacco is one of the most reported reasons to quit smoking. The Netherlands increased tobacco taxes twice in the span of nine months: a €1 increase per pack in April 2020, and a €0.12 increase per pack in January 2021. This study examines to what extent people report to think about quitting due to the upcoming tax increase(s), as well as how it relates to their age, income or educational level. Additionally, we examined whether thinking about quitting was associated with quit intention and quit behaviour, and whether these associations were different for the two tax increases.
Longitudinal data from the International Tobacco Control (ITC) Netherlands Surveys, Cohort 2 were used (N = 5919 observations; wave 1 (February - March 2020): n = 2051; wave 2 (September - November 2020): n = 1919; wave 3 (June - July 2021): n = 1949). Generalised Estimating Equation (GEE) regressions were fit to test the associations between thinking about quitting due to the tax increase and post-tax increases in quit intention, serious quit attempts, and quitting smoking (≤ 1 cigarette a month), as well as sociodemographic variables.
Circa half of the people who smoke reported thinking about quitting smoking due to the upcoming tax increase (Wave 1 = 51.3% (n = 1052); Wave 2 = 47.3% (n = 849)). Individuals who reported thinking about quitting smoking due to upcoming tax increase(s) were more likely to have increased their quit intention (aOR: 2.00, p ≤ .001) or have carried out a serious quit attempt (aOR:1.48, p ≤ .001) post-tax increase. More people attempted to quit smoking between wave 2 and 3 (post 2021 increase) than between wave 1 and 2 (post 2020 increase). We did not find an interaction effect between wave and thinking about quitting for quit intention, quit attempts, and quitting smoking.
Tax increases stimulate people to think about quitting. Thinking about quitting due to an upcoming tax increase was associated with more positive quit intention and serious quit attempts.
烟草成本是人们报告的戒烟原因之一。荷兰在九个月的时间内两次提高烟草税：2020 年 4 月每包增加 1 欧元，2021 年 1 月每包增加 0.12 欧元。本研究旨在调查人们因即将到来的税收增加而考虑戒烟的程度，以及这与他们的年龄、收入或教育水平的关系。此外，我们还研究了考虑戒烟是否与戒烟意愿和戒烟行为有关，以及这些关联是否因两次税收增加而有所不同。
使用来自国际烟草控制（ITC）荷兰调查的纵向数据（共 5919 个观察值；第 1 波（2020 年 2 月至 3 月）：n=2051；第 2 波（2020 年 9 月至 11 月）：n=1919；第 3 波（2021 年 6 月至 7 月）：n=1949）。使用广义估计方程（GEE）回归来检验因税收增加而考虑戒烟与增加后戒烟意愿、认真戒烟尝试和戒烟（每月≤1 支香烟）之间的关联，以及社会人口统计学变量。
大约一半的吸烟者报告因即将到来的税收增加而考虑戒烟（第 1 波=51.3%（n=1052）；第 2 波=47.3%（n=849））。报告因即将到来的税收增加而考虑戒烟的个体更有可能增加戒烟意愿（aOR：2.00，p≤.001）或进行认真的戒烟尝试（aOR：1.48，p≤.001）。与第 1 波和第 2 波（2020 年增加后）相比，更多人在第 2 波和第 3 波（2021 年增加后）尝试戒烟。我们没有发现戒烟意愿、戒烟尝试和戒烟的波与思考之间的交互作用。
税收增加刺激人们考虑戒烟。因即将到来的税收增加而考虑戒烟与更积极的戒烟意愿和认真的戒烟尝试有关。
