Price and Affordability of Cigarettes among 14 European Countries
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Zvart Avedisian Onanian Center for Health Services Research and Development, American University of Armenia, Yerevan, Armenia
European Network for Smoking and Tobacco Prevention, Brussels, Belgium
European Network for Smoking and Tobacco Prevention (Constantine Vardavas, Cornel Radu-Loghin, Dominick Nguyen, Sophia Papadakis, Theodosia Peleki); AER PUR Romania- Romania (Mihălţan Florin Dumitru, Antigona Trofor); Comité Nacional de Prevención del Tabaquismo (Francisco Rodriguez Lozano); Department of Healthcare, University of Vlora (Enkeleint Aggelos Mechili); Foundation ‘Smart Health – Health in 3D (Krzysztof Przewozniak); Hellenic Cancer Society (Panagiotis Behrakis); Institute of Public Health of Serbia (Biljana Kilibarda); Kosovo Advocacy and Development Center (Shkumbin Spahija, Arben Lila); Kyiv Health Center (Otto Stoyka); Russian Public Health Association (Andrey Demin); Slovenian Coalition for Tobacco Control (Mihaela Lovše); Società Italiana di Tabaccologia (Maria Sofia Cattaruzza); Tobacco Control Alliance of Georgia (George Bakhturidze); University of Cantabria (Javier Ayesta); Wallionie Tabac Prevention (Pierre Bizel)
Publication date: 2018-06-13
Tob. Prev. Cessation 2018;4(Supplement):A96
The aim of this study was to explore price and affordability of cigarettes and make comparisons across 15 European partner countries (Albania, Armenia, Belgium, Bulgaria, Georgia, Greece, Italy, Kosovo, Poland, Romania, Russia, Serbia, Slovenia, Spain, Ukraine) of EPACTT-2 (EuroPean Accreditation Curriculum on Tobacco Treatment) project that aims to develop and expand an accredited curriculum for tobacco treatment delivery .

The structured 8-item self-administered questionnaire in English was distributed among partner country representatives. The questionnaire covered Marlboro and local cigarettes prices, as well as country profiles. To make comparisons across countries we converted local currencies into international dollars using the country specific purchasing power parity (PPP) conversion factor. Affordability was assessed by the relative income price (RIP) of cigarettes, which is the proportion of per capita GDP required to purchase 100 cigarette packs. Lower RIP corresponds to higher affordability.

Overall, fourteen countries (4 lower-middle income, 5 upper-middle income, and 5 high-income) participated in the online survey in 2017. The mean price of Marlboro was higher in high income countries compared to upper-middle and lower-middle income countries (6.65$, 6.02$, and 5.15$, respectively). Similar tendency was observed regarding to the mean price of local cigarette (5.83$, 3.96$ and 3.75$ in high, upper-middle and lower-middle income countries, respectively). However, in high income countries average RIP was lower than in upper-middle and lower-middle income countries: for Marlboro 1.88%, 3.45% and 5.52%, and for local cigarettes 1.66%, 2.49% and 4.07%, respectively.

Although, cigarettes were more expensive in high income countries they were about two times more affordable than in upper-middle and about three times more affordable than in lower-middle income countries. Thus, financial burden of smoking on households is more pronounced in the countries with more limited resources.

This study was supported by Global Bridges Healthcare Alliance for Tobacco Dependence Treatment hosted by Mayo Clinic and Pfizer Independent Grants for Learning and Change.

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