The use of legal, illegal and roll-your-own cigarettes to increasing tobacco excise taxes and comprehensive tobacco control policies: findings from the ITC Uruguay Survey
- PMID: 25740084
- PMCID: PMC4605142
- DOI: 10.1136/tobaccocontrol-2014-051890
The use of legal, illegal and roll-your-own cigarettes to increasing tobacco excise taxes and comprehensive tobacco control policies: findings from the ITC Uruguay Survey
Abstract
Background: Little research has been done to examine whether smokers switch to illegal or roll-your-own (RYO) cigarettes in response to a change in their relative price.
Objective: This paper explores how relative prices between three cigarette forms (manufactured legal, manufactured illegal and RYO cigarettes) are associated with the choice of one form over another after controlling for covariates, including sociodemographic characteristics, smokers' exposure to antismoking messaging, health warning labels and tobacco marketing.
Methods: Generalised estimating equations were employed to analyse the association between the price ratio of two different cigarette forms and the usage of one form over the other.
Findings: A 10% increase in the relative price ratio of legal to RYO cigarettes is associated with a 4.6% increase in the probability of consuming RYO cigarettes over manufactured legal cigarettes (p≤0.05). In addition, more exposure to antismoking messaging is associated with a lower odds of choosing RYO cigarettes over manufactured legal cigarettes (p≤0.05). Non-significant associations exist between the manufactured illegal to legal cigarette price ratios and choosing manufactured illegal cigarettes, suggesting that smokers do not switch to manufactured illegal cigarettes as prices of legal ones increase. However, these non-significant findings may be due to lack of variation in the price ratio measures. To improve the effectiveness of increased taxes and prices in reducing smoking, policymakers need to narrow price variability in the tobacco market. Moreover, increasing antismoking messaging reduces tax avoidance in the form of switching to cheaper RYO cigarettes in Uruguay.
Keywords: Hand-rolled/RYO tobacco; Illegal tobacco products; Low/Middle income country; Public policy; Taxation.
Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
Figures


Similar articles
-
Tobacco taxation, illegal cigarette supply and geography: findings from the ITC Uruguay Surveys.Tob Control. 2019 May;28(Suppl 1):s53-s60. doi: 10.1136/tobaccocontrol-2017-054218. Epub 2018 Oct 5. Tob Control. 2019. PMID: 30291202 Free PMC article.
-
Keeping smoking affordable in higher tax environments via smoking thinner roll-your-own cigarettes: Findings from the International Tobacco Control Four Country Survey 2006-15.Drug Alcohol Depend. 2018 Dec 1;193:110-116. doi: 10.1016/j.drugalcdep.2018.07.047. Epub 2018 Oct 6. Drug Alcohol Depend. 2018. PMID: 30352334 Free PMC article.
-
Is roll-your-own tobacco substitute for manufactured cigarettes: evidence from Ireland?J Public Health (Oxf). 2014 Mar;36(1):65-71. doi: 10.1093/pubmed/fdt030. Epub 2013 Apr 3. J Public Health (Oxf). 2014. PMID: 23554511
-
Impact of tobacco tax increases and industry pricing on smoking behaviours and inequalities: a mixed-methods study.Southampton (UK): NIHR Journals Library; 2020 Apr. Southampton (UK): NIHR Journals Library; 2020 Apr. PMID: 32271515 Free Books & Documents. Review.
-
Understanding tobacco industry pricing strategy and whether it undermines tobacco tax policy: the example of the UK cigarette market.Addiction. 2013 Jul;108(7):1317-26. doi: 10.1111/add.12159. Epub 2013 Apr 16. Addiction. 2013. PMID: 23445255 Free PMC article. Review.
Cited by
-
Availability and Use of Cheap Tobacco in the United Kingdom 2002-2014: Findings From the International Tobacco Control Project.Nicotine Tob Res. 2018 May 3;20(6):714-724. doi: 10.1093/ntr/ntx108. Nicotine Tob Res. 2018. PMID: 28525594 Free PMC article.
-
Transitions from and to roll-your-own tobacco, perceptions and health beliefs among smokers: findings from the EUREST-PLUS ITC Europe Surveys.Eur J Public Health. 2020 Jul 1;30(Suppl_3):iii18-iii25. doi: 10.1093/eurpub/ckz214. Eur J Public Health. 2020. PMID: 32267933 Free PMC article.
-
How effective has tobacco tax increase been in the Gambia? A case study of tobacco control.BMJ Open. 2016 Aug 26;6(8):e010413. doi: 10.1136/bmjopen-2015-010413. BMJ Open. 2016. PMID: 27566626 Free PMC article.
-
The Association Between State Value-Added Taxes and Tobacco Use in India-Evidence From GATS and TCP India Survey.Nicotine Tob Res. 2018 Sep 25;20(11):1344-1352. doi: 10.1093/ntr/ntx184. Nicotine Tob Res. 2018. PMID: 29059339 Free PMC article.
-
Development and initial testing of the brief adolescent smoking curiosity scale (ASCOS).Addict Behav. 2018 Mar;78:67-73. doi: 10.1016/j.addbeh.2017.11.008. Epub 2017 Nov 7. Addict Behav. 2018. PMID: 29127786 Free PMC article. Clinical Trial.
References
-
- Abascal W, Esteves E, Goja B, et al. Tobacco control campaign in Uruguay: a population-based trend analysis. Lancet. 2012;380:1575–82. doi:10.1016/S0140-6736(12)60826-5 [published Online First: 14 Sept 2012] - PubMed
-
- Thrasher JF, Boado M, Sebrié EM, et al. Smoke-free policies and the social acceptability of smoking in Uruguay and Mexico: Findings from the International Tobacco Control Policy Evaluation Project. Nicotine Tob Res. 2009 Jun;11(6):591–599. doi:10.1093/ntr/ntp039 [published Online First: 20 Apr 2009] - PMC - PubMed
-
- Canadian Cancer Society . Cigarette package health: warnings-international status report. 3rd. ed. Canadian Cancer Society; Toronto, Ontario: Oct, 2012.
-
- Chaloupka FJ, Kostova D, Shang C. Cigarette excise tax structure and cigarette prices: evidence from the global adult tobacco survey and the U.S. National Adult Tobacco Survey. Nicotine Tob Res. 2014 Jan;16(Suppl 1:S):3–9. doi:10.1093/ntr/ntt121. [published Online First: 9 Aug 2013] - PubMed
-
- Eriksen M, MacKay J, Ross H. The Tobacco Atlas. American Cancer Society; Atlanta, GA: 2012.
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical