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The effect of cigarette prices on smoking cessation in South Africa using duration analysis: 1970–2017

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  • Vellios, Nicole
  • van Walbeek, Corne
  • Guindon, G. Emmanuel

Abstract

South Africa is an interesting case to explore given its high smoking rates and quit intentions, its experience with periods of tax- and industry-initiated cigarette price increases, and the mixed evidence of the effect of prices on smoking cessation (particularly in low- and middle-income countries). We used data from five waves of the National Income Dynamics Study, a nationally-representative survey conducted between 2008 and 2017, and duration analysis techniques to examine whether cigarette prices were associated with South African smokers’ decision to quit smoking. Smoking histories were constructed from self-reported age of onset and cessation and matched to monthly price data from 1970 to 2017. We found that price was associated with smoking cessation: a 10% increase in the price of cigarettes was associated with an increase in smoking cessation of 5.8–7.9%, depending on model specification. Our results indicate that increasing the excise tax on cigarettes above inflation would likely encourage smoking cessation in South Africa, provided measures to reduce illicit cigarette trade are concurrently implemented.

Suggested Citation

  • Vellios, Nicole & van Walbeek, Corne & Guindon, G. Emmanuel, 2025. "The effect of cigarette prices on smoking cessation in South Africa using duration analysis: 1970–2017," Social Science & Medicine, Elsevier, vol. 368(C).
    • Handle: RePEc:eee:socmed:v:368:y:2025:i:c:s0277953625001017
    DOI: 10.1016/j.socscimed.2025.117772
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    1. Angel López Nicolás, 2002. "How important are tobacco prices in the propensity to start and quit smoking? An analysis of smoking histories from the Spanish National Health Survey," Health Economics, John Wiley & Sons, Ltd., vol. 11(6), pages 521-535, September.
    2. Philip DeCicca & Donald Kenkel & Michael F. Lovenheim, 2022. "The Economics of Tobacco Regulation: A Comprehensive Review," Journal of Economic Literature, American Economic Association, vol. 60(3), pages 883-970, September.
    3. DeCicca, Philip & Kenkel, Don & Mathios, Alan, 2008. "Cigarette taxes and the transition from youth to adult smoking: Smoking initiation, cessation, and participation," Journal of Health Economics, Elsevier, vol. 27(4), pages 904-917, July.
    4. Hana Ross & Lisa M. Powell & John A. Tauras & Frank J. Chaloupka, 2005. "New Evidence on Youth Smoking Behavior based on Experimental Price Increases," Contemporary Economic Policy, Western Economic Association International, vol. 23(2), pages 195-210, April.
    5. Michael P. Kidd & Sandra Hopkins, 2004. "The Hazards of Starting and Quitting Smoking: Some Australian Evidence," The Economic Record, The Economic Society of Australia, vol. 80(249), pages 177-192, June.
    6. Yuvaraj Krishnamoorthy & Marie Gilbert Majella & Sharan Murali, 2020. "Impact of tobacco industry pricing and marketing strategy on brand choice, loyalty and cessation in global south countries: a systematic review," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(7), pages 1057-1066, September.
    7. Martin Gonzalez-Rozada & Giselle Montamat, 2019. "How Raising Tobacco Prices Affects the Decision to Start and Quit Smoking: Evidence from Argentina," IJERPH, MDPI, vol. 16(19), pages 1-11, September.
    8. Glied, Sherry, 2002. "Youth tobacco control: reconciling theory and empirical evidence," Journal of Health Economics, Elsevier, vol. 21(1), pages 117-135, January.
    9. Deliana Kostova & Frank Chaloupka & Ce Shang, 2015. "A duration analysis of the role of cigarette prices on smoking initiation and cessation in developing countries," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(3), pages 279-288, April.
    10. David Madden, 2007. "Tobacco taxes and starting and quitting smoking: does the effect differ by education?," Applied Economics, Taylor & Francis Journals, vol. 39(5), pages 613-627.
    11. Wolfgang Hess & Maria Persson, 2012. "The duration of trade revisited," Empirical Economics, Springer, vol. 43(3), pages 1083-1107, December.
    12. Don Kenkel & Dean R. Lillard & Feng Liu, 2009. "An analysis of life‐course smoking behavior in China," Health Economics, John Wiley & Sons, Ltd., vol. 18(S2), pages 147-156, July.
    13. G. Emmanuel Guindon & Guillermo R. Paraje & Ricardo Chávez, 2018. "Prices, Inflation, And Smoking Onset: The Case Of Argentina," Economic Inquiry, Western Economic Association International, vol. 56(1), pages 424-445, January.
    14. John A. Tauras & Frank J. Chaloupka, 1999. "Determinants of Smoking Cessation: An Analysis of Young Adult Men and Women," NBER Working Papers 7262, National Bureau of Economic Research, Inc.
    15. Ramanan Laxminarayan & Anil Deolalikar, 2004. "Tobacco initiation, cessation, and change: evidence from Vietnam," Health Economics, John Wiley & Sons, Ltd., vol. 13(12), pages 1191-1201, December.
    16. Martin Forster & Andrew M. Jones, 2001. "The role of tobacco taxes in starting and quitting smoking: Duration analysis of British data," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 164(3), pages 517-547.
    17. Martin Forster & Andrew M. Jones, 2003. "Corrigendum: The role of tobacco taxes in starting and quitting smoking: duration analysis of British data," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 166(3), pages 441-442, October.
    18. Tworek, Cindy & Yamaguchi, Ryoko & Kloska, Deborah D. & Emery, Sherry & Barker, Dianne C. & Giovino, Gary A. & O'Malley, Patrick M. & Chaloupka, Frank J., 2010. "State-level tobacco control policies and youth smoking cessation measures," Health Policy, Elsevier, vol. 97(2-3), pages 136-144, October.
    19. Craig A. Gallet & John A. List, 2003. "Cigarette demand: a meta‐analysis of elasticities," Health Economics, John Wiley & Sons, Ltd., vol. 12(10), pages 821-835, October.
    20. Douglas, Stratford, 1998. "The Duration of the Smoking Habit," Economic Inquiry, Western Economic Association International, vol. 36(1), pages 49-64, January.
    21. Tauras, John A., 2004. "Public policy and smoking cessation among young adults in the United States," Health Policy, Elsevier, vol. 68(3), pages 321-332, June.
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