Limited research exists on tobacco taxes and cigarette smoking initiation and progression, particularly across different sociodemographic groups in young adulthood. This project examines how cigarette pack price in late adolescence prospectively relates to smoking initiation and progression by 21 years of age, focusing on differences across demographics.
Data are from the longitudinal Monitoring the Future project (2001–2017). Monitoring the Future examines drug use behaviors with nationally representative samples of 12th graders annually. Subsamples of 12th graders are followed up longitudinally. We examined past 30-day cigarette smoking among baseline never smokers (N = 9,232) and daily smoking among youths who were not daily cigarette smokers at baseline (N = 15,141). Using logistic regression, we examined state-level cigarette pack price at a modal age of 18 years and smoking at follow-up ages 19–20 years; we used interaction terms to assess differences across sociodemographic groups (by gender, race/ethnicity, and parental education).
For each dollar increase in price at baseline, the odds of initiation by age 19–20 years were reduced by 12% (adjusted odds ratio = .88; 95% confidence interval = .78, .99) and the odds of progression to daily smoking were reduced by 16% (adjusted odds ratio = .84; 95% confidence interval = .76, .92). After adjusting for multiple testing, for both outcomes there were no statistically significant interactions between price and demographics.
Cigarette prices in late adolescence were associated with a prospective reduction in cigarette smoking initiation and progression among young adults, with limited differences across sociodemographic characteristics. Higher cigarette prices can prevent smoking initiation and progression; however, complementary interventions are needed to reduce initiation and progression among subgroups disproportionately affected by tobacco.
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- Tobacco use among middle and high school students — United States, 2011–2016.MMWR Morb Mortal Wkly Rep. 2017; 66: 597-603
- Monitoring the future national survey results on drug Use, 1975–2018: Volume I, Secondary school students. vol. 1. Institute for Social Research, University of Michigan, Ann Arbor (MI)2019 (Ann Arbor, MI)
- Patterns in first and daily cigarette initiation among youth and young adults from 2002 to 2015.PLoS One. 2018; 13: e0200827
- Progression to established patterns of cigarette smoking among young adults.Drug Alcohol Depend. 2017; 177: 77-83
- Youth or young adults: Which group is at highest risk for tobacco Use onset?.J Adolesc Health. 2018; 63: 413-420
- Discontinuous patterns of cigarette smoking from ages 18 to 50 in the United States: A repeated-measures latent Class Analysis.Nicotine Tob Res. 2017; 20: 108-116
- Preventing smoking progression in young adults: The Concept of Prevescalation.Prev Sci. 2019; 20: 377-384
- Preventing tobacco use among youth and young adults: A report of the surgeon general.S Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health, Atlanta (GA)2012
- Monograph 22: A Socioecological Approach to addressing tobacco-related health disparities | BRP | DCCPS/NCI/NIH.(Natl Cancer Inst Tob Control Monogr 22 NIH Publ No 17- CA -8035A Bethesda, MD. 2017. Available at:)https://cancercontrol.cancer.gov/brp/tcrb/monographs/22/index.htmlDate accessed: August 12, 2020
- Tobacco-product use by adults and youths in the United States in 2013 and 2014.N Engl J Med. 2017; 376: 342-353
- Understanding tobacco use onset among african americans.Nicotine Tob Res. 2016; 18: S49-S56
- Racial/ethnic differences in the relationship between parental education and substance use among U.S. 8th-, 10th-, and 12th-grade students: Findings from the monitoring the future project.J Stud Alcohol Drugs. 2011; 72: 279-285
- Tax, price and cigarette smoking: Evidence from the tobacco documents and implications for tobacco company marketing strategies.Tob Control. 2002; 11: I62-I72
- Tobacco taxes as a tobacco control strategy.Tob Control. 2012; 21: 172-180
- Effects of tobacco taxation and pricing on smoking behavior in high risk populations: A knowledge synthesis.Int J Environ Res Public Health. 2011; 8: 4118-4139
- Investing in youth tobacco control: a review of smoking prevention and control strategies.Tob Control. 2000; 9: 47-63
- Behavioral change in response to a statewide tobacco tax increase and differences across socioeconomic status.Addict Behav. 2017; 73: 209-215
- The ecology of developmental processes.in: Handbook of Child Psychology. vol. 01. Theoretical Models of Human Development, 2006: 793-828
- Our future: A Lancet commission on adolescent health and wellbeing.Lancet. 2016; 387: 2423-2478
- Smoking behaviour among young adults: Beyond youth prevention.Tob Control. 2005; 14: 181-185
- Equity impact of population-level interventions and policies to reduce smoking in adults: A systematic review.Drug Alcohol Depend. 2014; 138: 7-16
- Taxation reduces social disparities in adult smoking prevalence.Am J Prev Med. 2009; 36: 285-291
- The Monitoring the Future project after Four Decades: Design and Procedures (Monitoring the Future Occasional Paper No. 82).Institute for Social Research, The University of Michigan, Ann Arbor (MI)2015
- Monitoring the Future national survey results on drug Use, 1975–2018: Volume II, college students and adults ages 19–60.Institute for Social Research, University of Michigan, Ann Arbor (MI)2019 (Ann Arbor, MI)
- Original investigation Discontinuous patterns of cigarette smoking from ages 18 to 50 in the United States : A repeated-measures latent Class Analysis.Nicotine Tob Res. 2017; 20: 1-9
- Simultaneous alcohol and marijuana use among underage young adults in the United States.Addict Behav. 2019; 88: 77-81
- The tax burden on tobacco Volume 51, 1970-2016.Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2018
- Smoking initiation among youth: The role of cigarette excise taxes and prices by race/ethnicity and gender.J Health Econ. 2011; 30: 560-567
- U.S. Population data 1969-2016 downloaded from Nationa Bureau of Economic Research (NBER).2017 (Available at:)https://seer.cancer.gov/popdata/download.htmlDate accessed: August 12, 2020
- American Nonsmokers’ Rights Foundation, 2018
- Multiplicative and marginal effects in nonlinear models.Stata J. 2019; 19: 1015-1020
- Controlling the false discovery rate: A practical and powerful approach to multiple testing.J R Stat Soc Ser B. 1995; 57: 289-300
- Taxation reduces smoking but may not reduce smoking disparities in youth.Tob Control. 2020 Apr 8; (Online ahead of print)https://doi.org/10.1136/tobaccocontrol-2019-055478
- The health consequences of smoking — 50 years of progress: a report of the surgeon general.US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, Atlanta (GA)2014 (doi:NBK179276)
- Emerging adulthood: A theory of development from the late teens through the twenties.Am Psychol. 2000; 55: 469-480
- The effect of cigarette taxes on smoking among men and women.Health Econ. 2007; 16: 1333-1343
- Sex and race differences in young people’s responsiveness to price and tobacco control policies.Tob Control. 1999; 8: 373-377
- Differential impact of tobacco control policies on youth sub-populations.Int J Environ Res Public Health. 2013; 10: 4306-4322
- Responsiveness to cigarette prices by different racial/ethnic groups of US adults.Tob Control. 2018; 27: 301-309
- Modelling the impact of menthol sales restrictions and retailer density reduction policies: Insights from tobacco town Minnesota.Tob Control. 2020; 29: 502-509
- Tobacco control policies and smoking in a population of low education women, 1992-2002.J Epidemiol Community Health. 2006; 60: 20-26
- Long-term effects of the communities that care trial on substance use, antisocial behavior, and violence through age 21 years.Am J Public Health. 2018; 108: 659-665
- An assessment of the effect of data collection setting on the prevalence of health risk behaviors among adolescents.J Adolesc Heal. 2002; 31: 327-335
Published online: October 08, 2020
Accepted: August 28, 2020
Received: June 21, 2020
Conflicts of interest: The authors report no conflicts of interest.
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