Paying the price: A cross-sectional survey of Australian socioeconomically disadvantaged smokers' responses to hypothetical cigarette price rises

Ashleigh Guillaumier, Billie Bonevski, Christine Paul, Catherine D'Este, Christopher Doran, Mohammad Siahpush

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Introduction and Aims: Increases in tobacco taxation can lead to reductions in tobacco consumption and prevalence of use across social groups. However, use of price-minimisation strategies to manage current and future tobacco use and the role of financial stress is less understood. This study aimed to measure the effect of cigarette price increases on price-minimisation strategy endorsement and financial stress among socioeconomically disadvantaged smokers. Design and Methods: Community service organisation welfare recipients in NSW, Australia completed a touchscreen survey. Smoking history, financial stress, highest price to quit and responses to hypothetical cigarette price increases were assessed. Results: Participants were 354 smokers (response rate=79%). Most participants received income from a government pension (95%), earned <A$300/week (55%), had not completed secondary schooling (64%), were moderately or heavily nicotine-dependent (60%), reported high financial stress (66%) and spent A$56/week on tobacco. In response to 10% and 20% hypothetical price rises, significantly more participants endorsed trying to quit in response to the larger increase scenario (P<0.001), and fewer selected no change to their smoking (P<0.001). Numerous price-minimisation strategies (e.g. switching to cheaper brands/products) were endorsed, but remained constant across hypothetical scenarios; level of financial stress appeared to have little influence. Smokers indicating they would not change their smoking in response to price rises had higher levels of nicotine dependence. Discussion and Conclusions: Socially disadvantaged smokers endorsed numerous price-minimising strategies to maintain smoking at hypothetically increased costs. Larger cigarette price rises motivated more smokers to consider quitting, while price-resistant smokers appeared to have a more entrenched smoker status.

Original languageEnglish (US)
Pages (from-to)177-185
Number of pages9
JournalDrug and Alcohol Review
Volume33
Issue number2
DOIs
StatePublished - Mar 1 2014

Fingerprint

Vulnerable Populations
Tobacco Products
Cross-Sectional Studies
nicotine
smoking
Smoking
Tobacco Use
Tobacco
scenario
tobacco consumption
Pensions
welfare recipient
Tobacco Use Disorder
Social Welfare
Taxes
community service
pension
Nicotine
taxation
History

Keywords

  • Smoking
  • Social disadvantage
  • Tobacco price

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health(social science)

Cite this

Paying the price : A cross-sectional survey of Australian socioeconomically disadvantaged smokers' responses to hypothetical cigarette price rises. / Guillaumier, Ashleigh; Bonevski, Billie; Paul, Christine; D'Este, Catherine; Doran, Christopher; Siahpush, Mohammad.

In: Drug and Alcohol Review, Vol. 33, No. 2, 01.03.2014, p. 177-185.

Research output: Contribution to journalArticle

Guillaumier, Ashleigh ; Bonevski, Billie ; Paul, Christine ; D'Este, Catherine ; Doran, Christopher ; Siahpush, Mohammad. / Paying the price : A cross-sectional survey of Australian socioeconomically disadvantaged smokers' responses to hypothetical cigarette price rises. In: Drug and Alcohol Review. 2014 ; Vol. 33, No. 2. pp. 177-185.
@article{03307d96f9b8476caf78aab62ed1d369,
title = "Paying the price: A cross-sectional survey of Australian socioeconomically disadvantaged smokers' responses to hypothetical cigarette price rises",
abstract = "Introduction and Aims: Increases in tobacco taxation can lead to reductions in tobacco consumption and prevalence of use across social groups. However, use of price-minimisation strategies to manage current and future tobacco use and the role of financial stress is less understood. This study aimed to measure the effect of cigarette price increases on price-minimisation strategy endorsement and financial stress among socioeconomically disadvantaged smokers. Design and Methods: Community service organisation welfare recipients in NSW, Australia completed a touchscreen survey. Smoking history, financial stress, highest price to quit and responses to hypothetical cigarette price increases were assessed. Results: Participants were 354 smokers (response rate=79{\%}). Most participants received income from a government pension (95{\%}), earned <A$300/week (55{\%}), had not completed secondary schooling (64{\%}), were moderately or heavily nicotine-dependent (60{\%}), reported high financial stress (66{\%}) and spent A$56/week on tobacco. In response to 10{\%} and 20{\%} hypothetical price rises, significantly more participants endorsed trying to quit in response to the larger increase scenario (P<0.001), and fewer selected no change to their smoking (P<0.001). Numerous price-minimisation strategies (e.g. switching to cheaper brands/products) were endorsed, but remained constant across hypothetical scenarios; level of financial stress appeared to have little influence. Smokers indicating they would not change their smoking in response to price rises had higher levels of nicotine dependence. Discussion and Conclusions: Socially disadvantaged smokers endorsed numerous price-minimising strategies to maintain smoking at hypothetically increased costs. Larger cigarette price rises motivated more smokers to consider quitting, while price-resistant smokers appeared to have a more entrenched smoker status.",
keywords = "Smoking, Social disadvantage, Tobacco price",
author = "Ashleigh Guillaumier and Billie Bonevski and Christine Paul and Catherine D'Este and Christopher Doran and Mohammad Siahpush",
year = "2014",
month = "3",
day = "1",
doi = "10.1111/dar.12103",
language = "English (US)",
volume = "33",
pages = "177--185",
journal = "Drug and Alcohol Review",
issn = "0959-5236",
publisher = "Wiley-Blackwell",
number = "2",

}

TY - JOUR

T1 - Paying the price

T2 - A cross-sectional survey of Australian socioeconomically disadvantaged smokers' responses to hypothetical cigarette price rises

AU - Guillaumier, Ashleigh

AU - Bonevski, Billie

AU - Paul, Christine

AU - D'Este, Catherine

AU - Doran, Christopher

AU - Siahpush, Mohammad

PY - 2014/3/1

Y1 - 2014/3/1

N2 - Introduction and Aims: Increases in tobacco taxation can lead to reductions in tobacco consumption and prevalence of use across social groups. However, use of price-minimisation strategies to manage current and future tobacco use and the role of financial stress is less understood. This study aimed to measure the effect of cigarette price increases on price-minimisation strategy endorsement and financial stress among socioeconomically disadvantaged smokers. Design and Methods: Community service organisation welfare recipients in NSW, Australia completed a touchscreen survey. Smoking history, financial stress, highest price to quit and responses to hypothetical cigarette price increases were assessed. Results: Participants were 354 smokers (response rate=79%). Most participants received income from a government pension (95%), earned <A$300/week (55%), had not completed secondary schooling (64%), were moderately or heavily nicotine-dependent (60%), reported high financial stress (66%) and spent A$56/week on tobacco. In response to 10% and 20% hypothetical price rises, significantly more participants endorsed trying to quit in response to the larger increase scenario (P<0.001), and fewer selected no change to their smoking (P<0.001). Numerous price-minimisation strategies (e.g. switching to cheaper brands/products) were endorsed, but remained constant across hypothetical scenarios; level of financial stress appeared to have little influence. Smokers indicating they would not change their smoking in response to price rises had higher levels of nicotine dependence. Discussion and Conclusions: Socially disadvantaged smokers endorsed numerous price-minimising strategies to maintain smoking at hypothetically increased costs. Larger cigarette price rises motivated more smokers to consider quitting, while price-resistant smokers appeared to have a more entrenched smoker status.

AB - Introduction and Aims: Increases in tobacco taxation can lead to reductions in tobacco consumption and prevalence of use across social groups. However, use of price-minimisation strategies to manage current and future tobacco use and the role of financial stress is less understood. This study aimed to measure the effect of cigarette price increases on price-minimisation strategy endorsement and financial stress among socioeconomically disadvantaged smokers. Design and Methods: Community service organisation welfare recipients in NSW, Australia completed a touchscreen survey. Smoking history, financial stress, highest price to quit and responses to hypothetical cigarette price increases were assessed. Results: Participants were 354 smokers (response rate=79%). Most participants received income from a government pension (95%), earned <A$300/week (55%), had not completed secondary schooling (64%), were moderately or heavily nicotine-dependent (60%), reported high financial stress (66%) and spent A$56/week on tobacco. In response to 10% and 20% hypothetical price rises, significantly more participants endorsed trying to quit in response to the larger increase scenario (P<0.001), and fewer selected no change to their smoking (P<0.001). Numerous price-minimisation strategies (e.g. switching to cheaper brands/products) were endorsed, but remained constant across hypothetical scenarios; level of financial stress appeared to have little influence. Smokers indicating they would not change their smoking in response to price rises had higher levels of nicotine dependence. Discussion and Conclusions: Socially disadvantaged smokers endorsed numerous price-minimising strategies to maintain smoking at hypothetically increased costs. Larger cigarette price rises motivated more smokers to consider quitting, while price-resistant smokers appeared to have a more entrenched smoker status.

KW - Smoking

KW - Social disadvantage

KW - Tobacco price

UR - http://www.scopus.com/inward/record.url?scp=84897626197&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84897626197&partnerID=8YFLogxK

U2 - 10.1111/dar.12103

DO - 10.1111/dar.12103

M3 - Article

C2 - 24350887

AN - SCOPUS:84897626197

VL - 33

SP - 177

EP - 185

JO - Drug and Alcohol Review

JF - Drug and Alcohol Review

SN - 0959-5236

IS - 2

ER -