Male smoking reduction behaviour in response to China's 2015 cigarette tax increase

Lingwei Yu, Joanna E Cohen, Connie Hoe, Tingzhong Yang, Dan Wu

Research output: Contribution to journalArticle

Abstract

Objective: This study aims to evaluate Chinese male smokers' responses to China's 2015 6% ad valorem and RMB0.1 specific excise tax increase per cigarettes pack. Methods: A male population-based cross-sectional survey with multistaged stratified sampling was employed to collect data in six cities in China. Descriptive methods and logistic models were used to assess responses and associated factors following the cigarette tax increase among male Chinese smokers. Results: Among a potential sample of 6500 Chinese males, 6010 individuals were contacted and 5782 participants completed the questionnaires. Of the 2852 current smokers, 60.7% (95% CI: 58.9 to 62.5) did not think cigarettes were expensive, 77.9% (95% CI: 76.4 to 79.5) reported no reduction in smoking in response to the 2015 tax increase and 21.3% (95% CI: 19.8 to 22.8) were not aware of the cigarette tax increase. Smokers who were occasional smokers, intended to quit and thought cigarettes expensive were more likely to report reducing cigarette smoking following the tax increase, while those who had higher household income per capita, smoked more cigarettes, and purchased more expensive cigarettes were less likely to report reducing cigarette consumption. Conclusions: About one in five male Chinese smokers reported reduction in smoking following China's 2015 cigarette tax increase. This is a relatively large impact given the very modest tax increase. Even with the 2015 increase, the excise tax represents only 36.3% of the cigarette price in China. Tax increases are needed to achieve the WHO's recommended level of 70%.

Original languageEnglish (US)
JournalTobacco control
DOIs
StatePublished - Jan 1 2019

Fingerprint

tax increase
Taxes
Tobacco Products
smoking
China
Smoking
tobacco consumption
household income
WHO
taxes
logistics
Cross-Sectional Studies
Logistic Models
questionnaire

Keywords

  • attitude
  • behavior
  • cigarette tax increase
  • factors
  • smoking

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

Cite this

Male smoking reduction behaviour in response to China's 2015 cigarette tax increase. / Yu, Lingwei; Cohen, Joanna E; Hoe, Connie; Yang, Tingzhong; Wu, Dan.

In: Tobacco control, 01.01.2019.

Research output: Contribution to journalArticle

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abstract = "Objective: This study aims to evaluate Chinese male smokers' responses to China's 2015 6{\%} ad valorem and RMB0.1 specific excise tax increase per cigarettes pack. Methods: A male population-based cross-sectional survey with multistaged stratified sampling was employed to collect data in six cities in China. Descriptive methods and logistic models were used to assess responses and associated factors following the cigarette tax increase among male Chinese smokers. Results: Among a potential sample of 6500 Chinese males, 6010 individuals were contacted and 5782 participants completed the questionnaires. Of the 2852 current smokers, 60.7{\%} (95{\%} CI: 58.9 to 62.5) did not think cigarettes were expensive, 77.9{\%} (95{\%} CI: 76.4 to 79.5) reported no reduction in smoking in response to the 2015 tax increase and 21.3{\%} (95{\%} CI: 19.8 to 22.8) were not aware of the cigarette tax increase. Smokers who were occasional smokers, intended to quit and thought cigarettes expensive were more likely to report reducing cigarette smoking following the tax increase, while those who had higher household income per capita, smoked more cigarettes, and purchased more expensive cigarettes were less likely to report reducing cigarette consumption. Conclusions: About one in five male Chinese smokers reported reduction in smoking following China's 2015 cigarette tax increase. This is a relatively large impact given the very modest tax increase. Even with the 2015 increase, the excise tax represents only 36.3{\%} of the cigarette price in China. Tax increases are needed to achieve the WHO's recommended level of 70{\%}.",
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