The relation between cigarette price and hand-rolling tobacco consumption in the UK: an ecological study
OBJECTIVES: Cigarette price increases reduce smoking prevalence but as a tobacco control policy are undermined by the availability of lower cost alternatives such as hand-rolling tobacco. The aim of this descriptive study is to explore time trends in the price of manufactured cigarettes and hand-rol...
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| Format: | Article |
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BMJ Publishing Group
2015
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| Online Access: | https://eprints.nottingham.ac.uk/32043/ |
| _version_ | 1848794324773371904 |
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| author | Rothwell, Lucas Britton, John Bogdanovica, Ilze |
| author_facet | Rothwell, Lucas Britton, John Bogdanovica, Ilze |
| author_sort | Rothwell, Lucas |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | OBJECTIVES: Cigarette price increases reduce smoking prevalence but as a tobacco control policy are undermined by the availability of lower cost alternatives such as hand-rolling tobacco. The aim of this descriptive study is to explore time trends in the price of manufactured cigarettes and hand-rolling tobacco, and in the numbers of people who smoke these products, over recent years in the UK.
SETTINGS AND PARTICIPANTS: UK.
OUTCOME MEASURES: Trends in the most popular price category (MPPC) data for cigarettes and hand-rolling tobacco from 1983 to 2012 adjusted for inflation using the Retail Price Index, and trends in smoking prevalence and the proportion of smokers using hand-rolling tobacco from 1974 to 2010.
RESULTS: After adjustment for inflation, there was an increase in prices of manufactured cigarettes and hand-rolling tobacco between 1983 and 2012. Between 1974 and 2010, the prevalence of smoking fell from 45% to 20%, and the estimated total number of smokers from 25.3 to 12.4 million. However the number of people smoking hand-rolling tobacco increased from 1.4 to 3.2 million, and MPPC cigarette price was strongly correlated with number of people smoking hand-rolling tobacco.
CONCLUSIONS: Although the ecological study design precludes conclusions on causality, the association between increases in manufactured cigarette price and the number of people smoking hand-rolling tobacco suggests that the lower cost of smoking hand-rolling tobacco encourages downtrading when cigarette prices rise. The magnitude of this association indicates that the lower cost of hand-rolling tobacco seriously undermines the use of price as a tobacco control measure. |
| first_indexed | 2025-11-14T19:14:23Z |
| format | Article |
| id | nottingham-32043 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:14:23Z |
| publishDate | 2015 |
| publisher | BMJ Publishing Group |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-320432020-05-04T17:10:42Z https://eprints.nottingham.ac.uk/32043/ The relation between cigarette price and hand-rolling tobacco consumption in the UK: an ecological study Rothwell, Lucas Britton, John Bogdanovica, Ilze OBJECTIVES: Cigarette price increases reduce smoking prevalence but as a tobacco control policy are undermined by the availability of lower cost alternatives such as hand-rolling tobacco. The aim of this descriptive study is to explore time trends in the price of manufactured cigarettes and hand-rolling tobacco, and in the numbers of people who smoke these products, over recent years in the UK. SETTINGS AND PARTICIPANTS: UK. OUTCOME MEASURES: Trends in the most popular price category (MPPC) data for cigarettes and hand-rolling tobacco from 1983 to 2012 adjusted for inflation using the Retail Price Index, and trends in smoking prevalence and the proportion of smokers using hand-rolling tobacco from 1974 to 2010. RESULTS: After adjustment for inflation, there was an increase in prices of manufactured cigarettes and hand-rolling tobacco between 1983 and 2012. Between 1974 and 2010, the prevalence of smoking fell from 45% to 20%, and the estimated total number of smokers from 25.3 to 12.4 million. However the number of people smoking hand-rolling tobacco increased from 1.4 to 3.2 million, and MPPC cigarette price was strongly correlated with number of people smoking hand-rolling tobacco. CONCLUSIONS: Although the ecological study design precludes conclusions on causality, the association between increases in manufactured cigarette price and the number of people smoking hand-rolling tobacco suggests that the lower cost of smoking hand-rolling tobacco encourages downtrading when cigarette prices rise. The magnitude of this association indicates that the lower cost of hand-rolling tobacco seriously undermines the use of price as a tobacco control measure. BMJ Publishing Group 2015-06-15 Article PeerReviewed Rothwell, Lucas, Britton, John and Bogdanovica, Ilze (2015) The relation between cigarette price and hand-rolling tobacco consumption in the UK: an ecological study. BMJ Open, 5 (6). e007697. ISSN 2044-6055 cigarette prices hand rolling tobacco prices smoking prevalence http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4480014/ doi:10.1136/bmjopen-2015-007697 doi:10.1136/bmjopen-2015-007697 |
| spellingShingle | cigarette prices hand rolling tobacco prices smoking prevalence Rothwell, Lucas Britton, John Bogdanovica, Ilze The relation between cigarette price and hand-rolling tobacco consumption in the UK: an ecological study |
| title | The relation between cigarette price and hand-rolling tobacco consumption in the UK: an ecological study |
| title_full | The relation between cigarette price and hand-rolling tobacco consumption in the UK: an ecological study |
| title_fullStr | The relation between cigarette price and hand-rolling tobacco consumption in the UK: an ecological study |
| title_full_unstemmed | The relation between cigarette price and hand-rolling tobacco consumption in the UK: an ecological study |
| title_short | The relation between cigarette price and hand-rolling tobacco consumption in the UK: an ecological study |
| title_sort | relation between cigarette price and hand-rolling tobacco consumption in the uk: an ecological study |
| topic | cigarette prices hand rolling tobacco prices smoking prevalence |
| url | https://eprints.nottingham.ac.uk/32043/ https://eprints.nottingham.ac.uk/32043/ https://eprints.nottingham.ac.uk/32043/ |