RT Journal Article SR Electronic T1 Effectiveness of tax policy changes in Montenegro: smoking behaviour by socio-economic status JF Tobacco Control JO Tob Control FD BMJ Publishing Group Ltd SP s124 OP s132 DO 10.1136/tobaccocontrol-2021-056876 VO 31 IS Suppl 2 A1 Cizmovic, Mirjana A1 Mugosa, Ana A1 Kovacevic, Milica A1 Lakovic, Tanja YR 2022 UL http://tobaccocontrol.bmj.com/content/31/Suppl_2/s124.abstract AB Background The main goal of this study was to examine the responsiveness of smoking prevalence and cigarette consumption to price and income changes by income groups and the effectiveness of tax policy changes to reduce cigarette consumption in Montenegro.Data and methods A two-part model was applied to estimate smoking participation, smoking intensity price and income elasticity. The first part of the model applies logit regression, while the second uses Deaton’s model to improve the validity and objectivity of conditional (smoking intensity) elasticity results. A generalised linear model (GLM) was applied to verify robustness. The reason for this is that Deaton’s model is commonly used in the analysis of Household Budget Survey (HBS) data, especially when households do not report the market price. Moreover, using this model, it is possible to capture the shading of quality to price change. The analysis used HBS data (2006–2017).Results The estimates indicate that tobacco pricing policies had a much higher impact on smoking prevalence in the low-income group (price elasticity of −0.595) relative to the high-income group (price elasticity of −0.344). The same conclusion could be drawn for the smoking intensity elasticity: the high-income group was the least affected by changes in price (price elasticity of −0.258). At the same time, the most affected was the low-income group, with price elasticity of −0.424. Poorer households spent a larger share of their budget on cigarettes. The simulation results confirm that increases in the specific excise taxes of 58.3% on tobacco would reduce total cigarette consumption by 11.25% while increasing the collection of government revenue by 8.07%.Conclusion Smoking prevalence and consumption are very responsive to price and income changes, with considerable differences in elasticities between income groups. The taxation policy has a positive impact on changing patterns of consumption and public revenues across each income group. Low-income and middle-income households would benefit the most, while on the other hand, the highest revenue collection was generated from the wealthiest group. Our results align with results obtained so far for other low-income and middle-income countries. This paper contributes to the analysis of the smoking prevalence and cigarette consumption responsiveness to price and income changes, which was conducted for the first time in Montenegro.Data are available in a public, open access repository. Data may be obtained from a third party and are not publicly available. Data is obtained from a third party and is not publicly available. The research uses Household Budget Survey data obtained from the Statistical Office of Montenegro. The data is related to individual data on households, which is not publicly available and cannot be shared. For this purpose, the contract on confidentiality was signed with Montenegrin Statistical Office (No 01-3508/2) on 31 July 2018. Data for cigarette consumption are obtained from Ministry of Finance internal Reports, which are not publicly available and cannot be shared.