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Cigarette Prices and Smoking Behavior in Israel: Findings from a National Study of Adults (2002–2017)

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  • Kerem Shuval

    (School of Business Administration, Faculty of Social Sciences, University of Haifa, Haifa 3498838, Israel
    School of Public Health, Faculty of Social Welfare & Health Sciences, University of Haifa, Haifa 3498838, Israel
    The Cooper Institute, Dallas, TX 75230, USA)

  • Michal Stoklosa

    (Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, IL 60608, USA)

  • Nigar Nargis

    (Economic and Health Policy Research, American Cancer Society, Atlanta, GA 30303, USA)

  • Jeffrey Drope

    (Health Policy & Administration, School of Public Health, University of Illinois at Chicago, Chicago, IL 60608, USA)

  • Shay Tzafrir

    (School of Business Administration, Faculty of Social Sciences, University of Haifa, Haifa 3498838, Israel)

  • Lital Keinan-Boker

    (School of Public Health, Faculty of Social Welfare & Health Sciences, University of Haifa, Haifa 3498838, Israel
    Israel Center for Disease Control, Ministry of Health, Sheba Medical Center, Ramat Gan 5262160, Israel)

  • Laura F. DeFina

    (The Cooper Institute, Dallas, TX 75230, USA)

  • Mahmoud Qadan

    (School of Business Administration, Faculty of Social Sciences, University of Haifa, Haifa 3498838, Israel)

Abstract

Tobacco taxation and price policies are considered the most effective for lowering demand for tobacco products. While this statement is based on research from numerous countries, scant evidence exists on this topic for Israel. Accordingly, we assessed the association between cigarette prices and smoking prevalence and intensity from a national sample of adults in Israel (2002–2017). Data on smoking behavior were derived from the Israeli Knowledge Attitudes and Practices (KAP) survey, a repeated cross-sectional survey. Price information is from the Economist Intelligence Unit (EIU) since it was not collected in the KAP survey. We used the price of a pack of 20 cigarettes for Marlboro and the local brand. These two price variables were the primary independent variables, and we adjusted for inflation. The dependent variables were current smoking (yes/no) and smoking intensity, defined as the number of cigarettes smoked per week. Multivariable analysis was employed using a two-part model while adjusting for covariates. The first step of the model utilized logistic regression with current smoking as the dependent variable. The second step examining smoking intensity as the dependent variable, used OLS regression. Price elasticity was estimated as well. Analysis revealed that a one-unit increase (Israeli currency) in the price of local brand of cigarettes was related to 2.0% (OR = 0.98; 95%CI 0.98, 0.99) lower odds of being a current smoker, adjusting for covariates including household income. Moreover, a one unit increase in the price of the local brand of cigarettes was related to consuming 1.49 (95% CI −1.97, −1.00) fewer weekly cigarettes, controlling for household income and covariates. Similar results were found with the Marlboro cigarette prices. The total price elasticity of cigarette demand, given by the sum of price elasticities of smoking prevalence and intensity, showed that a 10.0% increase in the price is associated with a 4.6–9.2% lower cigarette consumption among Israeli adults. Thus, increasing cigarette prices will likely lead to a reduction in cigarette smoking thereby improving public health in Israel.

Suggested Citation

  • Kerem Shuval & Michal Stoklosa & Nigar Nargis & Jeffrey Drope & Shay Tzafrir & Lital Keinan-Boker & Laura F. DeFina & Mahmoud Qadan, 2021. "Cigarette Prices and Smoking Behavior in Israel: Findings from a National Study of Adults (2002–2017)," IJERPH, MDPI, vol. 18(16), pages 1-11, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8367-:d:610178
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    References listed on IDEAS

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    1. Matthew C Farrelly & James M Nonnemaker & Kimberly A Watson, 2012. "The Consequences of High Cigarette Excise Taxes for Low-Income Smokers," PLOS ONE, Public Library of Science, vol. 7(9), pages 1-7, September.
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    3. World Health Organization, 2017. "WHO report on the global tobacco epidemic 2017: Monitoring tobacco use and prevention policies," University of California at San Francisco, Center for Tobacco Control Research and Education qt8nw5p0zt, Center for Tobacco Control Research and Education, UC San Francisco.
    4. World Health Organization, 2018. "WHO global report on trends in prevalence of tobacco smoking 2000–2025, second edition," University of California at San Francisco, Center for Tobacco Control Research and Education qt4dc4t5d9, Center for Tobacco Control Research and Education, UC San Francisco.
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