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CDC COMMUNITY GUIDE: Reducing Tobacco Use Initiation: Increasing the Unit Price of Tobacco Products

CDC

An Evidence-Based Practice

Description

These interventions increase the unit price for tobacco products through municipal, state, or federal legislation that raises the excise tax on these products. Such increases make the use of tobacco products less attractive to young people who have limited incomes and a variety of ways to spend their money.

The Community Preventive Services Task Force recommends interventions that increase the price of tobacco products based on strong evidence of their effectiveness in:
• Reducing tobacco use among adolescents and adults
• Reducing population consumption of tobacco products
• Increasing tobacco use cessation

Goal / Mission

The goals is to make the use of tobacco products less attractive to young people
who have limited incomes and a variety of ways to spend their money.

Impact

These interventions that increase the price of tobacco products
showed strong evidence of their effectiveness in:
• Reducing tobacco use among adolescents and adults
• Reducing population consumption of tobacco products
• Increasing tobacco use cessation

Results / Accomplishments

Results from the Systematic Reviews:
Eight studies qualified for the review of this intervention.

• Tobacco use prevalence among adolescents (13-18 years old): a median decrease of 3.7% in tobacco use for every 10% increase in product price (8 studies)
• Tobacco consumption among adolescents: a median decrease of 2.3% in tobacco consumption for every 10% increase in product price (6 studies)
• All of the included studies were conducted in the United States.
• Five studies evaluated the effect of price on tobacco use for study periods that included the 1990s, and three studies reported the effect of price on tobacco use for periods before 1990.

About this Promising Practice

Primary Contact
communityguide@cdc.gov
Topics
Health / Alcohol & Drug Use
Community / Governance
Source
Community Guide Branch Epidemiology and Analysis Program Office, Centers for Disease Control and Prevention
Location
USA
For more details
http://www.thecommunityguide.org/index.html#topics
http://www.thecommunityguide.org/tobacco/initiatio...
Target Audience
Teens, Adults

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An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.
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