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AJPH First Look, published online ahead of print Aug 29, 2007
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©
American Journal of Public Health, 10.2105/AJPH.2006.090134

Research and Practice

Cigarette Prices, Smoking, and the Poor: Implications of Recent Trends

Peter Franks 1*, Anthony F. Jerant 1, J Paul Leigh 1, Dennis Lee 1, Alan Chiem 1, Ilene Lewis 1, Sandy Lee 1

1 University of California, Davis

* To whom correspondence should be addressed. E-mail: pfranks{at}ucdavis.edu.


  Abstract

Objective. We examined the relationship between smoking participation and cigarette pack price by income group and time period to determine role of cigarette prices in income-related disparities in smoking in the United States.

Methods. We used data from the 1984–2004 Behavioral Risk Factor Surveillance System surveys linked to information on cigarette prices to examine the adjusted prevalence of smoking participation and smoking participation–cigaretted pack price elasticity (change in percentage of persons smoking relative to a 1% change in cigarette price) by income group (<25th percentile [lower] vs ≥25th percentile [higher]) and time period (before vs after the MSA).

Results. An increasing real cigarette-pack price over time was associated with a marked decline in smoking among higher-income but not among lower-income persons. Although the pre–MSA association between cigaretted pack price and smoking revealed a larger elasticity in the lower- versus higher-income persons (–0.45 vs –0.22), the post–MSA association was not statistically significant (P>.2) for either income group.

Conclusions. Despite cigarette price increases after the MSA, income-related smoking disparities have increased. Increasing cigarette prices may no longer be an effective policy tool and may impose a disproportionate burden on poor smokers.

Key Words: Health Policy, Socioeconomic Factors, Smoking Cessation, Tobacco Control, Tobacco




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