Article Text

Use of less expensive cigarettes in six cities in China: findings from the International Tobacco Control (ITC) China Survey
  1. Qiang Li1,2,
  2. Andrew Hyland3,
  3. Geoffrey T Fong1,
  4. Yuan Jiang2,
  5. Tara Elton-Marshall1
  1. 1University of Waterloo, Waterloo, Ontario, Canada
  2. 2Office of Tobacco Control, Chinese Centre for Disease Control and Prevention, Beijing, China
  3. 3Department of Health Behavior, Roswell Park Cancer Institute, Buffalo, New York, USA
  1. Correspondence to Qiang Li, Office of Tobacco Control, Chinese Center for Disease Control and Prevention, 27 Nanwei Road, Beijing 100050, P R China; qangli33{at}yahoo.com

Abstract

Objective The existence of less expensive cigarettes in China may undermine public health. The aim of the current study is to examine the use of less expensive cigarettes in six cities in China.

Methods Data was from the baseline wave of the International Tobacco Control (ITC) China Survey of 4815 adult urban smokers in 6 cities, conducted between April and August 2006. The percentage of smokers who reported buying less expensive cigarettes (the lowest pricing tertile within each city) at last purchase was computed. Complex sample multivariate logistic regression models were used to identify factors associated with use of less expensive cigarettes. The association between the use of less expensive cigarettes and intention to quit smoking was also examined.

Results Smokers who reported buying less expensive cigarettes at last purchase tended to be older, heavier smokers, to have lower education and income, and to think more about the money spent on smoking in the last month. Smokers who bought less expensive cigarettes at the last purchase and who were less knowledgeable about the health harm of smoking were less likely to intend to quit smoking.

Conclusions Measures need to be taken to minimise the price differential among cigarette brands and to increase smokers' health knowledge, which may in turn increase their intentions to quit.

  • Health policy
  • smoking
  • economics
  • China

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Footnotes

  • Funding The ITC China Project was supported by grants from the US National Cancer Institute (R01 CA125116 and the Roswell Park Transdisciplinary Tobacco Use Research Center (P50 CA111236)), Canadian Institutes of Health Research (79551), Chinese Center for Disease Control and Prevention and the Ontario Institute for Cancer Research.

  • Competing interests None.

  • Patient consent Obtained.

  • Ethics approval This study was conducted with the approval of the All materials and procedures used in the ITC China Survey were reviewed and cleared for ethics by the Office of Research at the University of Waterloo (Waterloo, Canada) and the Institutional Review Boards at: Roswell Park Cancer Institute (Buffalo, USA), the Cancer Council Victoria (Victoria, Australia) and the China National Centers for Disease Control and Prevention (Beijing, China).

  • Provenance and peer review Not commissioned; externally peer reviewed.

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