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Tax increases as an incentive to quit smoking: is thinking about quitting due to a tobacco tax increase associated with post-tax increase smoking cessation?
Geboers, Cloé; Candel, Math J J M; Nagelhout, Gera E; van den Putte, Bas; Willemsen, Marc C.
Afiliación
  • Geboers C; Department of Health Promotion (CAPHRI), Maastricht University, P. Debyeplein 1, 6221 HA, Maastricht, The Netherlands. c.geboers@maastrichtuniversity.nl.
  • Candel MJJM; The Netherlands Expertise Centre for Tobacco Control, Trimbos Institute, Utrecht, the Netherlands. c.geboers@maastrichtuniversity.nl.
  • Nagelhout GE; Department of Methodology and Statistics (CAPHRI), Maastricht University, Maastricht, the Netherlands.
  • van den Putte B; Department of Health Promotion (CAPHRI), Maastricht University, P. Debyeplein 1, 6221 HA, Maastricht, The Netherlands.
  • Willemsen MC; Centre of Expertise Perspective in Health, Avans University of Applied Sciences, Breda, the Netherlands.
BMC Public Health ; 24(1): 1993, 2024 Jul 25.
Article en En | MEDLINE | ID: mdl-39054542
ABSTRACT

BACKGROUND:

The cost of tobacco is one of the most reported reasons to quit smoking. The Netherlands increased tobacco taxes twice in the span of nine months a €1 increase per pack in April 2020, and a €0.12 increase per pack in January 2021. This study examines to what extent people report to think about quitting due to the upcoming tax increase(s), as well as how it relates to their age, income or educational level. Additionally, we examined whether thinking about quitting was associated with quit intention and quit behaviour, and whether these associations were different for the two tax increases.

METHODS:

Longitudinal data from the International Tobacco Control (ITC) Netherlands Surveys, Cohort 2 were used (N = 5919 observations; wave 1 (February - March 2020) n = 2051; wave 2 (September - November 2020) n = 1919; wave 3 (June - July 2021) n = 1949). Generalised Estimating Equation (GEE) regressions were fit to test the associations between thinking about quitting due to the tax increase and post-tax increases in quit intention, serious quit attempts, and quitting smoking (≤ 1 cigarette a month), as well as sociodemographic variables.

RESULTS:

Circa half of the people who smoke reported thinking about quitting smoking due to the upcoming tax increase (Wave 1 = 51.3% (n = 1052); Wave 2 = 47.3% (n = 849)). Individuals who reported thinking about quitting smoking due to upcoming tax increase(s) were more likely to have increased their quit intention (aOR 2.00, p ≤ .001) or have carried out a serious quit attempt (aOR1.48, p ≤ .001) post-tax increase. More people attempted to quit smoking between wave 2 and 3 (post 2021 increase) than between wave 1 and 2 (post 2020 increase). We did not find an interaction effect between wave and thinking about quitting for quit intention, quit attempts, and quitting smoking.

CONCLUSIONS:

Tax increases stimulate people to think about quitting. Thinking about quitting due to an upcoming tax increase was associated with more positive quit intention and serious quit attempts.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Impuestos / Cese del Hábito de Fumar / Motivación Límite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: BMC Public Health Asunto de la revista: SAUDE PUBLICA Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Impuestos / Cese del Hábito de Fumar / Motivación Límite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: BMC Public Health Asunto de la revista: SAUDE PUBLICA Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido