Impact of cigarette price and tobacco control policies on youth smoking experimentation in Albania

Abstract

BackgroundAlbania has one of the highest smoking prevalences in Europe and it is particularly high among the youth population. There is a dearth of evidence in Albania, most of Eastern Europe and most middle-income countries on the effect of price on smoking experimentation.ObjectiveThe study aimed to assess the effect of price and tobacco control policies on youth smoking experimentation in Albania.MethodsWe used microdata from the Global Youth Tobacco Survey in Albania for 2004, 2009, 2015 and 2020. We constructed a pseudo-longitudinal dataset and estimated a split-population model to assess the hazard of smoking initiation.ResultsPrice is a significant predictor of smoking experimentation among teenagers in Albania for both males and females (p<0.001). Being male increases the odds for smoking experimentation by more than 50% as compared with females (p<0.001), whereas females appear to be more price sensitive. Peer and parent smoking are also important determinants for smoking experimentation. Introducing penalties for smokers and legal entities violating smoke-free policies implemented in 2014 is also associated with a lower hazard of smoking experimentation.ConclusionPrice is a significant predictor of smoking experimentation among teenagers in Albania for both males and females. A combination of increasing taxes and strengthening the rule of law to control tobacco use in public spaces, in addition to public awareness campaigns targeting both youth and smoking parents, could help to significantly reduce the probability of smoking experimentation.

From capacity building to collaboration in tobacco economics research

“…The Research contained in this Supplement reflects the growing research competency of the think tank researchers in this area. In addition to assessing consumer responses to price increases broadly, the studies examined differences among population groups (Huque et al , 12 Merkaj et al , 13 Shimul et al 14 ) and regional trends in the affordability of cigarettes (Zubović et al 15 ). Several papers estimated the impact of tobacco on household spending and poverty (Macías Sánchez et al , 16 Mugosa et al , 17 Swarnata et al , 18 Vladisavljevic et al 19 ) as well as the overall burden on health care systems and economies (Gligorić et al , 20 Memon et al 21 ).…”