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. 2023 Dec 28;13(12):e065535.
doi: 10.1136/bmjopen-2022-065535.

Intended changes in smoking behaviour of Dutch young adults after an increase in excise tax: a cross-sectional survey

Kirsten Visscher  1 , Babette Everaars  2 , Anita Wm Suijkerbuijk  2 , Mattijs Lambooij  2   3 , G Ardine de Wit  2   4
Affiliations

Intended changes in smoking behaviour of Dutch young adults after an increase in excise tax: a cross-sectional survey

Kirsten Visscher et al. BMJ Open. .

Abstract

Objectives: Increasing the price of tobacco is one of the most effective measures to reduce the prevalence of smoking. In the Netherlands, the excise tax on tobacco increased by €1.14 in 2020, raising the price of a standard package of cigarettes to €8.00. This study investigates how young adults intend to change their smoking behaviour in the case of hypothetical price increases of a pack of cigarettes, and which background characteristics are associated with intended behaviour change.

Design: A cross-sectional online survey was carried out between September and November 2020. Smokers indicated how they would react to several hypothetical increases in price. Four behavioural options were investigated: smoking less, quitting smoking, switching to another/cheaper product and buying cheaper cigarettes cross-border.

Participants: Data were obtained from 776 Dutch smokers between 15 and 25 years.

Results: At a hypothetical price of €10 per package, most respondents reported an intention to smoke less (67%), followed by switching to another/cheaper product (61%), quitting smoking (49%) and shopping for cigarettes cross-border (47%). Prior quit attempts, agreeing with the increase in excise tax and the intention to quit smoking in the future increased the odds of changing behaviour. Higher self-efficacy decreased the odds of behavioural change.

Conclusion: Many young adults intend to change their smoking behaviour in the event of increased prices. Although intended behaviour can deviate significantly from actual behaviour, an increase in excise tax may result in a significant amount of quit attempts and reduced smoking among young adults.

Keywords: adolescent; health economics; health policy; public health.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Cumulative percentage of intended behavioural change at various hypothetical prices.
See this image and copyright information in PMC

References

    1. Ranabhat CL, Kim C-B, Park MB, et al. . Situation, impacts, and future challenges of tobacco control policies for youth: an Explorative systematic policy review. Front Pharmacol 2019;10:981. 10.3389/fphar.2019.00981 - DOI - PMC - PubMed
    1. Zhao X, Prandstetter K, Jansen E, et al. . Interparental relationship adjustment, parenting, and offspring’s cigarette smoking at the 10‐Year Follow‐Up. Fam Process 2021;60:523–37. 10.1111/famp.12598 - DOI - PMC - PubMed
    1. Prevention, N.C.f.C.D. and H.P.O.o . Smoking, Preventing tobacco use among youth and young adults: A report of the surgeon general. US Government Printing Office, 2012. - PubMed
    1. World Health Organization . Spotlight on adolescent health and well-being. findings from the 2017. 2020.
    1. VZinfo . Roken | Leeftijd en Geslacht Volwassenen. 2022. Available: https://www.vzinfo.nl/roken/leeftijd-en-geslacht-volwassenen

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