Experimental Tobacco Marketplace: Forecasting the Health Equity of Novel Tax Proposals

实验性烟草市场：预测新税收提案的健康公平性

基本信息

批准号：
10522270
负责人：
Warren K Bickel
金额：
$ 69.49万
依托单位：
VIRGINIA POLYTECHNIC INST AND ST UNIV
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-07-15 至 2027-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10522270
关键词：
Address Affect Age Behavior Characteristics Cigarette Cigarette Smoker Complex Consumption Disease Electronic Nicotine Delivery Systems Entropy Experimental Models Goals Harm Reduction Health Health Policy Information Dissemination Laboratories Measures Methodology Methods Modeling Modified Risk Tobacco Product Nicotine Outcome Participant Pattern Policies Price Public Health Readiness Regulation Research Risk Sampling Science Smoker Smoking Socioeconomic Status Taxes Testing Tobacco Tobacco Dependence Tobacco use Translations United States Food and Drug Administration base behavioral economics cigarette smoking cigarillos combustible cigarette design experience health disparity health equity health inequalities health practice improved innovation low nicotine content cigarette low socioeconomic status novel outcome forecast parity polytobacco prospective recruit sex smoking cessation socioeconomic disparity socioeconomics tobacco abstinence tobacco control tobacco products tobacco regulation tobacco user

项目摘要

PROJECT SUMMARY/ABSTRACT The objective of this project is to forecast the impact of novel tobacco tax proposals in an evolving and complex tobacco marketplace, including how these proposals may interact with tobacco-related socioeconomic disparities and the introduction of low nicotine cigarettes (LNCs). Toward this end, we have developed the Experimental Tobacco Marketplace (ETM) to estimate, before implementation, the effects of potential policies on patterns of tobacco purchasing, including between-product substitution and poly-tobacco purchasing. The ETM places the mix of products, prices, and specific regulations under experimental control to provide estimates of policy impact under conditions that simulate “real-world” circumstances. Here we extend this method to examine the impact of four novel tax proposals that levy taxes across products based on either: (1) parity, (2) nicotine content, (3) potential for harm, or (4) the Food and Drug Administration designation as a modified-risk tobacco product. To accomplish these objectives, we will leverage our extensive experience in the behavioral economics of tobacco purchasing, in general, and with our unique and innovative ETM, in particular, to forecast the impact and health equity of these tax proposals. Specifically, Aim 1 will examine the effects of these four tax proposals on tobacco product purchasing in the ETM, including between-product substitution and poly-tobacco purchasing, in a laboratory-based sample of cigarette smokers. Aim 2 will examine the equity of these tax proposals by testing their effects in a nationally representative prospective sample of lower, medium and higher socioeconomic status smokers. Finally, Aim 3 will examine the impact of these tax proposals when LNCs are introduced to the market and when modeling a regulation that bans conventional cigarettes with higher nicotine content in a laboratory-based sample of cigarette smokers. Overall, this project is highly innovative and impactful because it prioritizes a clear translational path into public health policy and practice.

项目摘要/摘要该项目的目的是预测新颖的烟草税提案对不断发展且复杂的影响烟草市场，包括这些提案如何与烟草相关的社会经济相互作用差异和引入低尼古丁香烟（LNC）。为此，我们已经开发了实验性烟草市场（ETM）以估算潜在政策的影响之前关于购买烟草的模式，包括产品替代和购买多烟。这 ETM将产品，价格和特定法规的组合在实验控制之下，以提供估计在模拟“现实世界”情况的条件下的政策影响。在这里，我们将此方法扩展到检查基于任何一种产品征收税率的四个新型税收建议的影响：（1）平等，（2）尼古丁含量，（3）危害的潜力，或（4）食品和药物管理设计作为改良风险烟草产品。为了实现这些目标，我们将利用我们在行为方面的丰富经验通常，烟草采购的经济学，尤其是我们独特而创新的ETM，以预测这些税收提案的影响和健康平等。具体来说，AIM 1将检查这四种税的影响在ETM中采购烟草产品的建议，包括产品替代品和多烟。在基于实验室吸烟者的实验室样本中购买。 AIM 2将检查这些税收的公平性提案通过在全国代表性的较低，中，更高的前瞻性样本中测试其影响社会经济地位吸烟者。最后，AIM 3将检查LNC时这些税收建议的影响引入市场以及建模一项法规，该法规禁止使用较高的尼古丁的传统香烟在基于实验室吸烟者样本中的内容。总体而言，该项目具有很高的创新性和影响力因为它优先考虑清晰的转化途径进入公共卫生政策和实践。