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Effect of price on the decision to experiment with cigarette smoking among Gambian children: a survival analysis using the Gambia 2017 Global Youth Tobacco Survey data

OBJECTIVES: To investigate the relationship between cigarette prices and smoking experimentation among children in the Gambia, and thereby expanding the evidence base of the likely impact of excise taxes on cigarette demand in low-income and middle-income countries. DESIGN: A survival analysis using...

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Autores principales: Dare, Chengetai, Cham, Bai, Boachie, Micheal Kofi, Gitonga, Zachary, D'Alessandro, Umberto, Walbeek, Corne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9644320/
https://www.ncbi.nlm.nih.gov/pubmed/36351724
http://dx.doi.org/10.1136/bmjopen-2022-061045
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author Dare, Chengetai
Cham, Bai
Boachie, Micheal Kofi
Gitonga, Zachary
D'Alessandro, Umberto
Walbeek, Corne
author_facet Dare, Chengetai
Cham, Bai
Boachie, Micheal Kofi
Gitonga, Zachary
D'Alessandro, Umberto
Walbeek, Corne
author_sort Dare, Chengetai
collection PubMed
description OBJECTIVES: To investigate the relationship between cigarette prices and smoking experimentation among children in the Gambia, and thereby expanding the evidence base of the likely impact of excise taxes on cigarette demand in low-income and middle-income countries. DESIGN: A survival analysis using the Gambia 2017 Global Youth Tobacco Survey data. SETTING: The Gambia. PARTICIPANTS: The survey sample was 12 585 youths, aged 12–17 years, but our analysis was restricted to 11 030 respondents with information on smoking status. PRIMARY AND SECONDARY OUTCOME MEASURES: Our outcome variable was smoking experimentation defined as the first time the respondent smoked (at least part of) a cigarette. RESULTS: A 1% increase in the price of cigarettes reduces the probability to experiment with smoking by 0.7%. We also found that children are more likely to experiment with smoking if they have at least one smoking parent, friends who smoke and see teachers who smoke. The probability to experiment with cigarette smoking increases with age and is higher among boys than girls. CONCLUSION: There is strong evidence that increasing excise taxes can play an effective role in discouraging children from experimenting with cigarette smoking. Considering the relatively low excise tax burden in the Gambia, the government should consider substantially increasing the excise tax burden.
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spelling pubmed-96443202022-11-15 Effect of price on the decision to experiment with cigarette smoking among Gambian children: a survival analysis using the Gambia 2017 Global Youth Tobacco Survey data Dare, Chengetai Cham, Bai Boachie, Micheal Kofi Gitonga, Zachary D'Alessandro, Umberto Walbeek, Corne BMJ Open Smoking and Tobacco OBJECTIVES: To investigate the relationship between cigarette prices and smoking experimentation among children in the Gambia, and thereby expanding the evidence base of the likely impact of excise taxes on cigarette demand in low-income and middle-income countries. DESIGN: A survival analysis using the Gambia 2017 Global Youth Tobacco Survey data. SETTING: The Gambia. PARTICIPANTS: The survey sample was 12 585 youths, aged 12–17 years, but our analysis was restricted to 11 030 respondents with information on smoking status. PRIMARY AND SECONDARY OUTCOME MEASURES: Our outcome variable was smoking experimentation defined as the first time the respondent smoked (at least part of) a cigarette. RESULTS: A 1% increase in the price of cigarettes reduces the probability to experiment with smoking by 0.7%. We also found that children are more likely to experiment with smoking if they have at least one smoking parent, friends who smoke and see teachers who smoke. The probability to experiment with cigarette smoking increases with age and is higher among boys than girls. CONCLUSION: There is strong evidence that increasing excise taxes can play an effective role in discouraging children from experimenting with cigarette smoking. Considering the relatively low excise tax burden in the Gambia, the government should consider substantially increasing the excise tax burden. BMJ Publishing Group 2022-11-08 /pmc/articles/PMC9644320/ /pubmed/36351724 http://dx.doi.org/10.1136/bmjopen-2022-061045 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Smoking and Tobacco
Dare, Chengetai
Cham, Bai
Boachie, Micheal Kofi
Gitonga, Zachary
D'Alessandro, Umberto
Walbeek, Corne
Effect of price on the decision to experiment with cigarette smoking among Gambian children: a survival analysis using the Gambia 2017 Global Youth Tobacco Survey data
title Effect of price on the decision to experiment with cigarette smoking among Gambian children: a survival analysis using the Gambia 2017 Global Youth Tobacco Survey data
title_full Effect of price on the decision to experiment with cigarette smoking among Gambian children: a survival analysis using the Gambia 2017 Global Youth Tobacco Survey data
title_fullStr Effect of price on the decision to experiment with cigarette smoking among Gambian children: a survival analysis using the Gambia 2017 Global Youth Tobacco Survey data
title_full_unstemmed Effect of price on the decision to experiment with cigarette smoking among Gambian children: a survival analysis using the Gambia 2017 Global Youth Tobacco Survey data
title_short Effect of price on the decision to experiment with cigarette smoking among Gambian children: a survival analysis using the Gambia 2017 Global Youth Tobacco Survey data
title_sort effect of price on the decision to experiment with cigarette smoking among gambian children: a survival analysis using the gambia 2017 global youth tobacco survey data
topic Smoking and Tobacco
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9644320/
https://www.ncbi.nlm.nih.gov/pubmed/36351724
http://dx.doi.org/10.1136/bmjopen-2022-061045
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