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Opponents of plain packaging (PP) in Australia1–4 and elsewhere5–8 have claimed that the legislation would create confusion for retailers attempting to locate packs of uniform appearance. This, it was claimed, would result in increases in pack retrieval and overall serving times,9 ,10 impatience with queuing among customers, and a consequent shift in patronage, sales and profits from small mixed businesses to large discount outlets such as supermarkets.10 ,11 Surveys of retailers funded by tobacco industry groups reported perceived negative effects among retailers shortly after implementation of the legislation.12 However, studies of retail outlets conducted across Australia over the period of implementation of legislation found no lasting effects on retail serving time13 and a study conducted in the Australian state of Victoria 1 year before (2011) and 1 year after (2013) introduction detected no changes among current smokers in usual place of purchase of tobacco products.14 We aimed to repeat and extend this analysis using a large national data set.
We used data from continuous national cross-sectional telephone surveys conducted between 9 April 2012 and 30 March 2014 with about 100 respondents per week aged 18–69 years, described fully in Wakefield et al15 (this volume).
All respondents were asked ‘Do you currently smoke factory-made (FM) cigarettes only, roll-your-own (RYO) cigarettes only, both, or neither of these?’ Cigarette smokers (FM and RYO) were asked, ‘Where did you buy or get the cigarettes or tobacco you are currently smoking?’ For analyses, we coded store types into seven categories: supermarkets, tobacconists, small mixed businesses (including convenience stores, small grocery shops, milk bars, delis and newsagents/newsstands), petrol stations, the internet, duty free or from overseas and other (including informal sellers, bars and pubs, bottle shops and liquor stores, vending machines and ‘given as a gift’).
Data were weighted to the national smoker/recent quitter population by mobile phone status, gender, age by education and state of residence as described in Wakefield et al15 (this volume). We undertook logistic regression analyses to assess changes in purchase channel between pre-PP (April–September 2012, n=2193), the transition to PP phase (October and November 2012, n=765) and the PP phase (December 2012–March 2014, n=5721). We also tested whether there were linear changes over the months during the PP phase, as unintended consequences of PP could occur gradually. We controlled for sex, age (18–29, 30–49 and 50–69 years), area-based socioeconomic status16 and education.
As shown in table 1, odds of reporting purchase from major channels such as supermarkets, tobacconists, small mixed businesses and petrol stations did not change between the pre-PP and PP phases. The adjusted proportion whose latest pack was purchased duty free or overseas declined from 1.8% pre-PP to 0.7% in the transition phase and 0.6% during PP. Purchase of packs over the internet or from ‘other sources’ was negligible throughout the survey. No gradual changes in place of purchase were detected during PP (table 1).
Excise/customs duty on tobacco products in Australia increased by 12.5% on 1 December 2013. The resulting increases in prices may have prompted some consumers to shift from convenience outlets (where tobacco products tend to be sold at or close to recommended retail prices) to outlets such as supermarkets and tobacconists (where tobacco products tend to be more heavily discounted).17 When we excluded data from cases collected after this tax increase, the percentage of respondents who reported purchasing from small mixed businesses increased significantly between pre-PP (13.6%) and PP year 1 (15.8%; adjusted OR=1.19, 95% CI 1.01 to 1.41, p=0.039) and increased linearly over the months during PP year 1 (adjusted OR=1.03, 95% CI 1.01 to 1.06, p=0.038)—results not in table.
This survey provides no evidence of a shift to overseas or duty-free purchase. This was to be expected given the reduction in the limit for import of duty-free cigarettes—from 200 to 50 cigarettes per person—that came into force in September 2012.18
The results of this large national study confirm those of our earlier study conducted in Victoria which also found no decline in percentages of smokers purchasing from convenience outlets following the introduction of PP.14 Findings of our study corroborate sales data from international market research company, Euromonitor, which suggest no major shifts in channel of purchase between 2012 and 2013.19
What is already known on this subject
The tobacco industry vigorously opposed the introduction of plain packaging and warned of many unintended consequences.
Research conducted prior to and after the introduction of plain packaging in Victoria found no evidence of a shift away from small mixed businesses.
What this paper adds
This large national study found no evidence of a decline in the proportion of smokers purchasing from small mixed businesses.
The authors thank Ms Megan Bayly for data checking and review.
Contributors MS and MW designed this study. MZ cleaned data files, undertook analysis and reported results. MS drafted the manuscript with contributions from all authors. KC undertook further analysis. All authors approved the final manuscript.
Funding The National Plain Packaging survey was funded under a contract with the Australian Government Department of Health and Ageing.
Competing interests The authors wish to advise that MS was a technical writer for and MW a member of the Tobacco Working Group of the Australian National Preventive Health Task Force and MW was a member of the Expert Advisory Committee on Plain Packaging that advised the Australian Department of Health on research pertaining to the plain packaging legislation. MW holds competitive grant funding from the Australian National Health and Medical Research Council, US National Institutes of Health, Australian National Preventive Health Agency and BUPA Health Foundation.
Ethics approval The survey was approved by the Cancer Council Victoria Human Ethics Committee (HREC 0018).
Provenance and peer review Not commissioned; externally peer reviewed.
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