Access to low-taxed cigarettes deters smoking cessation attempts.
We examined whether smokers who purchased low-taxed cigarettes from American Indian reservations had lower quit attempt and cessation rates than did smokers who purchased cigarettes from full-price outlets. Smokers who bought cigarettes from American Indian reservations were half as likely to make a quit attempt and had a nonsignificant trend toward lower cessation rates (20% vs 10%) compared with those who bought full-priced cigarettes. Interventions that reduce price differentials are suggested to maximize the public health benefit of cigarette excise taxes.
Hyland
Andrew
A
Roswell Park Cancer Institute, Department of Health Behavior, Elm and Carlton Streets, Buffalo, NY 14263, USA. andrew.hyland@roswellpark.org
Higbee
Cheryl
C
Li
Qiang
Q
Bauer
Joseph E
JE
Giovino
Gary A
GA
Alford
Terry
T
Cummings
K Michael
KM
D000328:Adult; D003258:Consumer Behavior / Q000191:economics*; D006306:Health Surveys; D006801:Humans; D007198:Indians, North American; D009518:New York / Q000453:epidemiology; D011336:Probability; D012111:Residence Characteristics; D012306:Risk; D012907:Smoking / Q000191:economics* / Q000453:epidemiology / Q000523:psychology; D016540:Smoking Cessation / Q000191:economics / Q000523:psychology / Q000706:statistics & numerical data*; D013660:Taxes / Q000145:classification* / Q000331:legislation & jurisprudence; D019460:Tobacco Industry / Q000191:economics*; D014029:Tobacco Use Disorder / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology