Letter: Effects of tobacco excise taxes on the use of smokeless tobacco products in the USA

Ohsfeldt, Robert L.; Boyle, Raymond G.; Capilouto, Eli

doi:10.1002/(sici)1099-1050(199709)6:5<525::aid-hec300>3.0.co;2-y

Cited by 70 publications

(62 citation statements)

References 7 publications

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“…Although there is no direct evidence on this parameter for the Spanish case, results in the international literature suggest that smokers switch between varieties of tobacco after price rises. For instance, as reported in Chaloupka and Warner [21], Ohsfeld and Boyle [22] find a significant and positive effect of cigarette taxes on the use of smokeless tobacco in the US. Similarly, Thompson and McLead [23] and Pekurinen [24] find that Canadian and Finnish cigarette smokers would switch from manufactured to hand roll cigarettes in response to increases in the prices of manufactured cigarettes.…”

Section: Discussionmentioning

confidence: 82%

How important are tobacco prices in the propensity to start and quit smoking? An analysis of smoking histories from the Spanish National Health Survey

Nicolás

2002

Health Economics

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IntroductionWith a view to retrieving parameters that measure the sensitivity of participation in the consumption of tobacco to a policy instrument such as prices, this paper investigates whether movements in tobacco prices over the period 1957-1997 have had a significant effect on the propensity to i) start smoking and ii) quit smoking in the Spanish population. The method used consists in analysing the retrospective information supplied by individuals in a pool of the 1993, 1995 and 1997 editions of the Spanish National Health Survey and estimating models for the duration up to smoking (for both smokers and non-smokers), and the duration of smoking (for smokers) where prices, among other covariates such as demographics and proxies for public health policies, enter the specification for the hazard function.The evidence for the Spanish case has an interest that goes beyond that of local policy makers and academics, for the features of the Spanish tobacco market are somewhat different with respect to the average European Union country. Firstly, while the average price of a packet cigarettes has experimented a marked increase in the last two decades, a 20-unit packet of a representative brand still costs 85% as much as the average European Union price after adjusting for purchasing power disparities [1].Secondly, the Spanish tobacco market is characterised by the coexistence of two types of product (which account for more than 95% of tobacco sales): black cigarettes and blond cigarettes. Although these varieties are very similar in terms of nicotine and tar content, availability, advertising and presentation, there exists a big average price gap

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Section: Discussionmentioning

confidence: 82%

How important are tobacco prices in the propensity to start and quit smoking? An analysis of smoking histories from the Spanish National Health Survey

Nicolás

2002

Health Economics

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“…The limited research suggests that increases in cigarette excise taxes may have reduced cigarette smoking but also may have contributed to an increased use of smokeless tobacco products (Ohsfeldt and Boyle 1994;Ohsfeldt et al 1997Ohsfeldt et al , 1999. Some public health advocates and others have therefore called for the equalization of taxes on tobacco (CSH 1994; U.S. House of Representatives 1994).…”

Section: Discussionmentioning

confidence: 99%

“…Ohsfeldt and colleagues begin to address these gaps in the literature in two studies of smokeless to bacco use (Ohsfeldt and Boyle 1994;Ohsfeldt et al 1997Ohsfeldt et al , 1999. Using state-level data for males aged 16 years and older who had participated in the Septem ber 1985 Current Population Survey, Ohsfeldt and Boyle examined the impact of various tobacco taxes on the prevalence of smokeless tobacco use.…”

Section: Studies Of Smokeless Tobacco Use and Pricementioning

confidence: 99%

“…First, as the limited research on the demand for smokeless to bacco products suggests (Ohsfeldt and Boyle 1994;Ohsfeldt et al 1997Ohsfeldt et al , 1999, increases in cigarette taxes not matched by similar increases in smokeless tobacco taxes may induce people to substitute other tobacco products with similar health consequences. For ex ample, the large increases in Canada's cigarette excise taxes and the consequent increases in the differential between cigarette taxes and taxes on roll-your-own tobacco led to a sharp rise in the use of the latter (De partment of Finance, Canada 1993).…”

Section: Cigarette Taxes and Healthmentioning

confidence: 99%

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Randomized Trial of Reduced-Nicotine Standards for Cigarettes

Goldstein

2016

N Engl J Med

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“…40,41 In the case of cigarette smoking it has been noted that a brief intervention by a physician can lead to 1-3% of an unselected group of smokers to stop long term, use of medication (nicotine replacement therapy or bupropion) to aid quit attempts increases their chances of long term success by about 8% and that behavioural support also increases the long term abstinence rates for those attempting to stop by about 8%. 3 Far less research has been carried out on interventions to promote and aid smokeless tobacco cessation.…”

Section: Interventions To Promote Cessation Of Smokeless Tobacco Usementioning

confidence: 99%

Smokeless tobacco cessation guidelines for health professionals in England

2004

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Smokeless tobacco is used in the UK predominantly by members of the Indian, Pakistani and especially Bangladeshi communities. The most commonly used form is tobacco mixed with lime and additional psychoactive compounds, most notably areca nut. The resulting 'quid' is chewed or held in the mouth. Studies from Asia indicate that use of this kind of product is linked with an increased risk of oral cancers and possibly low birth-weight infants. There is little high quality research evaluating interventions to promote cessation of smokeless tobacco use, especially of the forms used in the UK. However, what evidence there is suggests that advice to stop coupled with behavioural support and counselling may increase long-term abstinence rates by some 5-10%. It seems appropriate therefore to recommend that dentists, GPs and other relevant health professionals should routinely assess and record smokeless tobacco use in patients belonging to relatively high prevalence groups, that they ensure that smokeless tobacco users know the potential health risks (as well as the health risks of smoking) and that they advise them to stop and keep a record of the outcome. Dental professionals should also examine the oral cavity of smokeless tobacco users for lesions when the opportunity arises. Patients expressing an interest in stopping should be referred to specialist smoking cessation services for behavioural support and specialists in areas of high smokeless tobacco use will need to ensure that they are sufficiently knowledgeable and their services sufficiently accessible to these users. There is insufficient evidence to recommend the use of nicotine replacement therapy or bupropion to aid smokeless tobacco cessation. Research is needed in the UK to quantify the personal and population health risks from smokeless tobacco, the benefits of stopping, the effectiveness of interventions aimed at promoting cessation and patterns of use, knowledge and attitudes of users. Cigarette dependence is recognised as a life-threatening disorder which responds to treatment in the form of behavioural support and medication. In the UK this has led to treatment services being made available as part of the National Health Service. 1 The blueprint for the operation of these services was a set of guidelines funded by the Health Development Agency. 2,3 While cigarette smoking is the most hazardous and prevalent form of tobacco use, consideration also needs to be given to other forms. This paper focuses on smokeless tobacco. It considers the prevalence of smokeless tobacco use in England and elsewhere, and its health effects. It examines evidence on how far smokeless tobacco use meets standard criteria for dependence and the effectiveness of interventions to promote cessation. Finally it makes recommendations for interventions by health professionals to encourage and aid cessation of smokeless tobacco use.The guidelines that comprise this paper were commissioned by the Health Development Agency for England. The development process was similar to that used ...

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Letter: Effects of tobacco excise taxes on the use of smokeless tobacco products in the USA

Cited by 70 publications

References 7 publications

How important are tobacco prices in the propensity to start and quit smoking? An analysis of smoking histories from the Spanish National Health Survey

How important are tobacco prices in the propensity to start and quit smoking? An analysis of smoking histories from the Spanish National Health Survey

Randomized Trial of Reduced-Nicotine Standards for Cigarettes

Smokeless tobacco cessation guidelines for health professionals in England

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