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Effect of UK plain tobacco packaging and minimum pack size legislation on tobacco and nicotine product switching behaviour.

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Title: Effect of UK plain tobacco packaging and minimum pack size legislation on tobacco and nicotine product switching behaviour.
Authors: Opazo Breton, Magdalena (AUTHOR), Britton, John (AUTHOR), Bogdanovica, Ilze (AUTHOR)
Source: Addiction. Oct2020, Vol. 115 Issue 10, p1913-1923. 11p. 2 Charts, 5 Graphs.
Subjects: Consumer behavior, Tobacco industry laws, Cigarette packaging, Packaging laws, Tobacco products
Geographic Terms: United Kingdom
Abstract: Background and aims: The introduction of plain tobacco packaging and minimum pack size legislation in the United Kingdom between May 2016 and May 2017 was accompanied by substantial changes in tobacco product diversity and pricing. This study investigates the extent to which these changes were associated with consumer switching between tobacco product types and price segments, and from tobacco to non‐tobacco nicotine products. Design Longitudinal study (changing trends in product and price choices) and survey (reasons for consumer choices). Setting: Great Britain Participants: We used 11 695 British households from Kantar Worldpanel who purchased tobacco and non‐tobacco nicotine products from March 2011 to December 2017. Measurements Product choice was defined using household's monthly purchases of tobacco (cigarettes, roll‐your‐own (RYO) tobacco, cigar/cigarillo and pipe tobacco) and non‐tobacco nicotine products (e‐cigarettes and nicotine replacement therapy), while price was defined using price paid by pack size and by price quartiles. Our switching analysis considered three switching alternatives: switching to a different tobacco product or to a combination of tobacco products, switching to any non‐nicotine tobacco product, and switching out of our dataset. We explored changes in price quartile purchasing behaviour using binary variables for whether a household purchased or not from each price quartile monthly. Finally, self‐declared consumer's choice was assessed through survey responses. Findings The introduction of plain packaging and minimum pack sizes coincided with major switching to purchasing of pack sizes of 20 cigarettes or 30 g or larger RYO tobacco (>99% of purchases in December 2017) and a migration towards lower‐price cigarettes, as for cigarettes, around 80% of purchases were in the lowest price quartiles at the end of the study period compared to about 50% at the start of the study period. During the first 6 months of implementation there was also a marked increase in the likelihood that cigarette smokers would switch to non‐tobacco nicotine (OR 1.74, 95% CI: 1.18 to 2.57), predominantly e‐cigarettes, compared with the period before May 2016. Survey results suggest that price was the main driver of changes in purchasing behaviour. Conclusions: Implementation of plain packaging and minimum pack size legislation in the UK appears to have been associated with tobacco users switching to lower price tobacco products and to e‐cigarettes. [ABSTRACT FROM AUTHOR]
Copyright of Addiction is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Effect of UK plain tobacco packaging and minimum pack size legislation on tobacco and nicotine product switching behaviour.
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  Data: <searchLink fieldCode="AR" term="%22Opazo+Breton%2C+Magdalena%22">Opazo Breton, Magdalena</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Britton%2C+John%22">Britton, John</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bogdanovica%2C+Ilze%22">Bogdanovica, Ilze</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Addiction%22">Addiction</searchLink>. Oct2020, Vol. 115 Issue 10, p1913-1923. 11p. 2 Charts, 5 Graphs.
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  Data: <searchLink fieldCode="DE" term="%22Consumer+behavior%22">Consumer behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Tobacco+industry+laws%22">Tobacco industry laws</searchLink><br /><searchLink fieldCode="DE" term="%22Cigarette+packaging%22">Cigarette packaging</searchLink><br /><searchLink fieldCode="DE" term="%22Packaging+laws%22">Packaging laws</searchLink><br /><searchLink fieldCode="DE" term="%22Tobacco+products%22">Tobacco products</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+Kingdom%22">United Kingdom</searchLink>
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  Data: Background and aims: The introduction of plain tobacco packaging and minimum pack size legislation in the United Kingdom between May 2016 and May 2017 was accompanied by substantial changes in tobacco product diversity and pricing. This study investigates the extent to which these changes were associated with consumer switching between tobacco product types and price segments, and from tobacco to non‐tobacco nicotine products. Design Longitudinal study (changing trends in product and price choices) and survey (reasons for consumer choices). Setting: Great Britain Participants: We used 11 695 British households from Kantar Worldpanel who purchased tobacco and non‐tobacco nicotine products from March 2011 to December 2017. Measurements Product choice was defined using household's monthly purchases of tobacco (cigarettes, roll‐your‐own (RYO) tobacco, cigar/cigarillo and pipe tobacco) and non‐tobacco nicotine products (e‐cigarettes and nicotine replacement therapy), while price was defined using price paid by pack size and by price quartiles. Our switching analysis considered three switching alternatives: switching to a different tobacco product or to a combination of tobacco products, switching to any non‐nicotine tobacco product, and switching out of our dataset. We explored changes in price quartile purchasing behaviour using binary variables for whether a household purchased or not from each price quartile monthly. Finally, self‐declared consumer's choice was assessed through survey responses. Findings The introduction of plain packaging and minimum pack sizes coincided with major switching to purchasing of pack sizes of 20 cigarettes or 30 g or larger RYO tobacco (>99% of purchases in December 2017) and a migration towards lower‐price cigarettes, as for cigarettes, around 80% of purchases were in the lowest price quartiles at the end of the study period compared to about 50% at the start of the study period. During the first 6 months of implementation there was also a marked increase in the likelihood that cigarette smokers would switch to non‐tobacco nicotine (OR 1.74, 95% CI: 1.18 to 2.57), predominantly e‐cigarettes, compared with the period before May 2016. Survey results suggest that price was the main driver of changes in purchasing behaviour. Conclusions: Implementation of plain packaging and minimum pack size legislation in the UK appears to have been associated with tobacco users switching to lower price tobacco products and to e‐cigarettes. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Addiction is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: Oct2020
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