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Member Research and Reports

Member Research and Reports

UNMC: Exposure to Price Promotions for Cigarette is Associated with Financial Stress among Smokers

Tobacco is one of the most marketed products in the United Sates. The tobacco industry has increasingly concentrated its marketing efforts at the point of sale (POS). In 2013, over 85 percent of the $8.9 billion of tobacco industry expenditure on marketing was made on POS sales promotion activities to reduce the price of cigarettes. Research conducted by Dr. Mohammad Siahpush and colleagues from University of Nebraska Medical Center College of Public Health revealed that smokers who are exposed to higher levels of cigarette price promotions in their neighborhoods are more likely to experience financial stress. The results of this research was recently published in the BMJ journal Tobacco Control.


[Photo: Dr. Mohammad Siahpush]

The researchers collected survey data on financial stress from 1000 smokers who were asked : “In the last six months, because of lack of money, was there a time when you were unable to buy food or pay any important bills on time, such as electricity, telephone, credit card, rent or your mortgage? [Yes/No].” Using audit data from 504 stores that sold cigarettes, the researchers measured neighborhood exposure to POS price promotions for each survey respondent by summing the amount of POS price promotions across all of the stores in each respondent’s neighborhood.

In their statistical analysis, Dr. Siahpush and his colleagues controlled for impulse purchase of cigarettes, nicotine addiction, sex, age, race/ethnicity, income, education, frequency of visits to stores, and method of recruitment and concluded that “[A]djusted results provided strong support for an association between higher level of neighborhood POS cigarette price promotions and a higher probability of financial stress (p = 0.007).”

Citing some of their own previous studies, the researchers stated that “[T]he rationale for this relationship is that smokers who are exposed to higher levels of tobacco marketing are more likely to develop a craving to smoke, experience urges to buy cigarettes, and make an impulse purchase of cigarettes. Impulse purchases of cigarettes could in turn promote financial stress by diminishing the available household funds that would otherwise be spent on household essentials such as rent or food.”