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Size matters: An analysis of cigarette pack sizes across 23 European Union countries using Euromonitor data, 2006 to 2017

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  • May C I van Schalkwyk
  • Martin McKee
  • Jasper V Been
  • Christopher Millett
  • Filippos T Filippidis

Abstract

Introduction: The tobacco industry (TI) has used small cigarette pack sizes to encourage brand-switching and consumption, and to mitigate the impacts of tobacco tax increases. Since 2016, the European Union (EU) Tobacco Products Directive (TPD) specifies a minimum pack size of 20 cigarettes. We examined cigarette pack sizes in the EU and whether pack size composition differed between cheap and expensive price segments, as well as the impact of the revised TPD. Methods: We conducted a longitudinal analysis of pricing data from 23 EU countries between 2006–2017. We examined pack sizes over time to assess the impact of the TPD, differences in pack size composition between cheap and expensive price segments, and compared gaps in median prices between products using actual and ‘expected’ prices (price if all packs contained 20 sticks). Results: Cigarette pack sizes changed over time, across the EU. The distribution of pack sizes varied between price segments, with small pack sizes especially frequent in the cheap segment of the cigarette market, but this varied over time and across countries. Packs of

Suggested Citation

  • May C I van Schalkwyk & Martin McKee & Jasper V Been & Christopher Millett & Filippos T Filippidis, 2020. "Size matters: An analysis of cigarette pack sizes across 23 European Union countries using Euromonitor data, 2006 to 2017," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-7, August.
    • Handle: RePEc:plo:pone00:0237513
    DOI: 10.1371/journal.pone.0237513
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    References listed on IDEAS

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    1. Joachim Marti & Jody Sindelar, 2015. "Smaller Cigarette Pack as a Commitment to Smoke Less? Insights from Behavioral Economics," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-14, September.
    2. Mendez Lopez, Ana & Loopstra, Rachel & McKee, Martin & Stuckler, David, 2017. "Is trade liberalisation a vector for the spread of sugar-sweetened beverages? A cross-national longitudinal analysis of 44 low- and middle-income countries," Social Science & Medicine, Elsevier, vol. 172(C), pages 21-27.
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