The synergistic effect of cigarette taxes on the consumption of cigarettes, alcohol and betel nuts

Lee, Jie‐Min

doi:10.1186/1471-2458-7-121

Cited by 24 publications

(27 citation statements)

References 29 publications

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“…However, in contrast to studies that examine the effects of overall tobacco price, few studies have extended cross-price elasticity analyses to examine the specific association of cigarette taxes and alcohol consumption. Extant studies using an adult sample from Taiwan and an adolescent sample from the U.S. provide initial evidence that the public health benefits of cigarette taxation may extend beyond smoking-related outcomes to impact alcohol consumption (Dee, 1999; Lee, 2007; Lee et al, 2010). The current study is the first to utilize data from a large, prospective, population-based sample of U.S. adults to study the association of increases in cigarette taxes with drinking outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…However, surprisingly little attention has been allocated to the impact of cigarette taxation on drinking behaviors, and extant evidence indicates that increases in cigarette taxes are associated with reductions in drinking. In an adult sample, Lee and colleagues found that alcohol use consistently decreased as a function of increasing cigarette taxation in Taiwan (Lee, 2007; Lee et al, 2010). In an adolescent sample, Dee (1999) demonstrated a negative (but non-significant) relationship between higher cigarette taxes and reductions in alcohol consumption.…”

Section: Introductionmentioning

confidence: 99%

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Increased Cigarette Tax is Associated with Reductions in Alcohol Consumption in a Longitudinal U.S. Sample

Young-Wolff

Kasza

Hyland

et al. 2013

Alcohol Clin Exp Res

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Background Cigarette taxation has been recognized as one of the most significant policy instruments to reduce smoking. Smoking and drinking are highly comorbid behaviors, and the public health benefits of cigarette taxation may extend beyond smoking-related outcomes to impact alcohol consumption. The current study is the first to test whether increases in cigarette taxes are associated with reductions in alcohol consumption among smokers using a large, prospective U.S. sample. Method Our sample included 21,473 alcohol consumers from the National Epidemiological Survey on Alcohol and Related Conditions (NESARC). Multiple linear regression analyses were conducted to evaluate whether increases in cigarette taxes between Waves I (2001–2002) and II (2004–2005) were associated with reductions in quantity and frequency of alcohol consumption, adjusting for demographics, baseline alcohol consumption, and alcohol price. Stratified analyses were conducted by sex, hazardous drinking status, and age and income group. Results Increases in cigarette taxes were associated with modest reductions in typical quantity of alcohol consumption and frequency of binge drinking among smokers. Cigarette taxation was not associated with changes in alcohol consumption among non-smokers. In analyses stratified by sex, the inverse associations of cigarette taxes with typical quantity and binge drinking frequency were found only for male smokers. Further, the inverse association of cigarette taxation and alcohol consumption was stronger among hazardous drinkers (translating into approximately 1/2 a drink less alcohol consumption per episode), young adult smokers, and smokers in the lowest income category. Conclusions Findings from this longitudinal, epidemiological study suggest increases in cigarette taxes are associated with modest to moderate reductions in alcohol consumption among vulnerable groups. Additional research is needed to further quantify the public health benefits of cigarette taxation on alcohol consumption and to evaluate the potential broader crossover effects of cigarette taxation on other health behaviors.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Increased Cigarette Tax is Associated with Reductions in Alcohol Consumption in a Longitudinal U.S. Sample

Young-Wolff

Kasza

Hyland

et al. 2013

Alcohol Clin Exp Res

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“…However, very little attention has been allocated to the effect of tobacco taxation on other associated health behaviors, such as alcohol use. A number of economic investigations have found that the cross-price elasticity between alcohol and tobacco is negative suggesting that the two behaviors function as complements (Lee 2007; Aristei & Pieroni 2010). In other words, increasing the tax on cigarettes will result in reductions in consumption of both alcohol and cigarettes.…”

Section: Part Ii: How Can Knowledge Of Alcohol-tobacco Interactions Bmentioning

confidence: 99%

How Can We Use Our Knowledge of Alcohol-Tobacco Interactions to Reduce Alcohol Use?

McKee

Weinberger

2013

Annu. Rev. Clin. Psychol.

148

131

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Currently, 8.5% of the US population meets criteria for alcohol use disorders, with a total cost to the US economy estimated at $234 billion per year. Alcohol and tobacco use share a high degree of co-morbidity and interact across many levels of analysis. This review begins by highlighting alcohol and tobacco co-morbidity and presenting evidence that tobacco increases the risk for alcohol misuse and likely has a causal role in this relationship. We then discuss how knowledge of alcohol and tobacco interactions can be used to reduce alcohol use focusing on whether; 1) smoking status can be used as a clinical indicator for alcohol misuse; 2) tobacco policies reduce alcohol use; and 3) nAChR medications can be used to treat alcohol use disorders.

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“…Previous research has shown that consumption of coffee decreases as the unit price of cigarettes increases (i.e., caffeine is a complement to cigarettes (Bickel et al, 1992)). Likewise, increasing cigarette taxes decreases alcohol and marijuana consumption (Lee, 2007, Dee, 1999, Chaloupka et al, 1999, Pacula, 1998, Farrelly et al, 2001), suggesting that consumption of alcohol and marijuana may decrease following nicotine reduction.…”

Section: How Is a Nicotine Reduction Policy Related To The Consumpmentioning

confidence: 99%

Nicotine reduction as an increase in the unit price of cigarettes: A behavioral economics approach

Smith

Sved

Hatsukami

et al. 2014

Preventive Medicine

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Urgent action is needed to reduce the harm caused by smoking. Product standards that reduce the addictiveness of cigarettes are now possible both in the U.S. and in countries party to the Framework Convention on Tobacco Control. Specifically, standards that required substantially reduced nicotine content in cigarettes could enable cessation in smokers and prevent future smoking among current non-smokers. Behavioral economics uses principles from the field of microeconomics to characterize how consumption of a reinforcer changes as a function of the unit price of that reinforcer (unit price = cost / reinforcer magnitude). A nicotine reduction policy might be considered an increase in the unit price of nicotine because smokers are paying more per unit of nicotine. This perspective allows principles from behavioral economics to be applied to nicotine reduction research questions, including how nicotine consumption, smoking behavior, use of other tobacco products, and use of other drugs of abuse are likely to be affected. This paper reviews the utility of this approach and evaluates the notion that a reduction in nicotine content is equivalent to a reduction in the reinforcement value of smoking—an assumption made by the unit price approach.

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The synergistic effect of cigarette taxes on the consumption of cigarettes, alcohol and betel nuts

Cited by 24 publications

References 29 publications

Increased Cigarette Tax is Associated with Reductions in Alcohol Consumption in a Longitudinal U.S. Sample

Increased Cigarette Tax is Associated with Reductions in Alcohol Consumption in a Longitudinal U.S. Sample

How Can We Use Our Knowledge of Alcohol-Tobacco Interactions to Reduce Alcohol Use?

Nicotine reduction as an increase in the unit price of cigarettes: A behavioral economics approach

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