Tobacco cessation and household spending on non-tobacco goods: results from the US Consumer Expenditure Surveys

Rogers, Erin; Dave, Dhaval; Pozen, Alexis; Fahs, Marianne C.; Gallo, William T.

doi:10.1136/tobaccocontrol-2016-053424

Cited by 7 publications

(8 citation statements)

References 58 publications

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“…Our findings support the idea that expenditure on tobacco and alcohol generates opportunity costs, in that scarce resources are spent on these products that might be better spent elsewhere [37]. Most of existing studies on expenditure on tobacco have been conducted in low‐income countries; however they have found that households spending money on tobacco allocate less money to food, clothing, housing, education, energy, and transportation, communication and medical care [22,38–42].…”

Section: Discussionsupporting

confidence: 80%

“…Our findings suggest that the cessation or reduction of tobacco and alcohol use may alleviate household financial insecurity by increasing disposable income; however, our study was not able to show how households would reallocate these resources if so released. Longitudinal studies examining changes in expenditure patterns following cessation of either product are extremely limited; one US study has found that households that quit tobacco reduce expenditure on items that may facilitate or complement smoking cessation, such as alcohol, food, entertainment and transport [37]. This may mean that when households quit in the midst of (or due to) financial strain, they are unable to, or choose not to, reallocate spending to other areas.…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, the financial effect of reduced expenditures may still be important: longitudinal data from Australia suggest that quitting smoking reduces financial stress and improves material well‐being [47]. The reduction in expenditure on alcohol following smoking cessation identified by Rogers et al [37] suggests that the expenditure on these products can to some extent be addressed jointly. These studies highlight the need to understand how resources are reallocated when households stop or cut down tobacco and alcohol consumption, but also whether cessation may alleviate financial strain.…”

Section: Discussionmentioning

confidence: 99%

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The effect of tobacco and alcohol consumption on poverty in the United Kingdom

2020

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Background and Aims Tobacco and alcohol use are major risk factors for premature mortality and morbidity. Tobacco and alcohol expenditure may also exacerbate poverty. This study aimed to estimate the financial impact of tobacco and alcohol consumption in low income households in the United Kingdom. Design We undertook a cross‐sectional study using a secondary dataset. A sample of 5031 households participated in the 2016–17 Living Costs and Food Survey. Measurements We measured the weekly household income and expenditure on tobacco and alcohol, and the proportion of households with expenditure on tobacco and alcohol overall, by income decile and in households in relative poverty (below 60% of the median household income). Estimates were extrapolated using population data to estimate the number of UK households, adults and children that would be classified as living in relative poverty on the basis of net income after subtracting tobacco or alcohol expenditure (‘tobacco and alcohol expenditure‐adjusted poverty’). Findings Spending on alcohol was more common in high income groups; 83% of households in the highest and 47% in the lowest income decile purchased alcohol. The reverse was true for tobacco, which was purchased by 8% and 24% of households in the highest and lowest income deciles respectively. Twenty‐three percent of households in relative poverty purchased tobacco and 49% alcohol, with a median expenditure of £12.50 and £9.55 per week, respectively. A total of 320 000 households comprising 590 000 adults and 175 000 children were in alcohol expenditure‐adjusted poverty, and 230 000 households, comprising 400 000 adults and 180 000 children in tobacco‐expenditure adjusted poverty. Conclusions Tobacco and alcohol expenditure appear to exacerbate poverty in low income households in the United Kingdom. Hundreds of thousands of additional households would be defined as living in relative poverty based on their income after subtracting their tobacco and alcohol expenditure.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The effect of tobacco and alcohol consumption on poverty in the United Kingdom

2020

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“…Moreover, studies of mixed-age U.S. adults have found that tobacco costs can “crowd out” other necessities like food, clothing, healthcare, and rent payments (Busch et al, 2004; Baggett et al, 2016). Tobacco cessation, on the other hand, has been associated with lower spending on things that enable or complement smoking, including alcohol (Rogers et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Gender differences in the association between modifiable risk factors and financial hardship among middle-aged and older adults

Marshall

Bryson

Ronstant

et al. 2019

Preventive Medicine Reports

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Objective To identify associations between modifiable risk factors (cigarette smoking, alcohol consumption, and obesity) and financial hardship (difficulty paying bills, food insecurity and medication need) among middle-aged and older Americans in a nationally representative sample. Methods This was a cross-sectional study of 8212 persons age 50 years and older who completed the core 2010 Health and Retirement Study survey and the psychosocial questionnaire. We ran separate multinomial logistic regressions to assess the association of three modifiable risk factors and three different financial hardship indicators. Results Adjusting for all covariates, compared to men of normal weight, men who were obese had a 1.4 greater odds of difficulty paying their bills (95% CI: 1.08–1.76); former smokers had a 1.8 greater odds of being food insecure (95% CI: 1.05–2.95); current smokers were twice as likely to be food insecure (95% CI: 1.21–3.73); Compared to women who never smoked, current smokers had a 1.5 greater odds of having difficulty paying their bills (95% CI: 1.11–2.02); current smokers had a 1.8 greater odds of being food insecure (95% CI: 1.13–2.91); and women who were obese had a 1.5 greater odds of reducing medication due to cost (95% CI: 1.11, 2.02). Conclusion Our findings contribute to the literature on health behaviors and financial hardship by highlighting the cyclical nature between different indicators of socioeconomic status, modifiable risk factors, and poor health outcomes among middle-aged and older adults. Furthermore, findings highlight how modifiable risk factors may culminate in financial hardship in later life.

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“…4 Spending household funds on cigarettes is associated with lower spending on health care, education, healthy food, and housing. [5][6][7] Previous studies have demonstrated that a significant proportion of adult cigarette smokers are interested in quitting smoking. 8 However, many of them have not been able to quit smoking successfully and experience relapse.…”

Section: Purposementioning

confidence: 99%

Social and Structural Determinants of Smoking Status and Quit Attempts Among Adults Living in 12 US States, 2015

et al. 2018

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Tobacco cessation and household spending on non-tobacco goods: results from the US Consumer Expenditure Surveys

Abstract: Households that quit tobacco spend less in areas that enable or complement their tobacco cessation, most of which may be motivated by financial strain. The most robust association between tobacco cessation and spending was the significantly lower spending on alcohol.

Cited by 7 publications

References 58 publications

The effect of tobacco and alcohol consumption on poverty in the United Kingdom

The effect of tobacco and alcohol consumption on poverty in the United Kingdom

Gender differences in the association between modifiable risk factors and financial hardship among middle-aged and older adults

Social and Structural Determinants of Smoking Status and Quit Attempts Among Adults Living in 12 US States, 2015

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