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Open AccessArticle

Effects of Prices on Youth Cigarette Smoking and Tobacco Use Initiation in Ghana and Nigeria

1
Department of Economics, Andrew Young School of Policy Studies, Georgia State University, Atlanta, GA 30303, USA
2
Economic and Health Policy Research, American Cancer Society, Atlanta, GA 30303, USA
3
Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(17), 3114; https://doi.org/10.3390/ijerph16173114
Received: 29 July 2019 / Revised: 20 August 2019 / Accepted: 23 August 2019 / Published: 27 August 2019
(This article belongs to the Special Issue Tobacco Control: Policy Perspectives)
Background: Population growth in the African region is set to outpace the rate of decline in smoking prevalence, leading to a projected increase in the total number of smokers. As most tobacco users initiate during their adolescent years, tobacco prevention strategies targeting youth will be particularly important. Methods: This study estimated the impact of cigarette prices on youth cigarette smoking and tobacco use initiation in Ghana and Nigeria using the Global Youth Tobacco Survey data. First, we used cross-section data and logit models to estimate the effects of prices on youth cigarette smoking. Second, we created pseudo longitudinal data and used continuous-time hazard models to evaluate the impact of cigarette prices on tobacco use initiation. Results: We found that higher cigarette prices decreased both 30-day cigarette smoking and tobacco use onset significantly in both Ghana and Nigeria. Additionally, the price elasticity of cigarette smoking and tobacco use initiation ranged from −0.44 to −1.13, and −1.04 to −3.66, respectively. Conclusions: As one of the first studies on youth tobacco consumption in Sub-Saharan Africa, this study strongly suggests that policies that increase real cigarette prices can lower both cigarette smoking and tobacco use initiation among youth in Ghana and Nigeria. View Full-Text
Keywords: cigarette smoking; tobacco use initiation; cigarette prices; price elasticity; cigarette taxes cigarette smoking; tobacco use initiation; cigarette prices; price elasticity; cigarette taxes
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Asare, S.; Stoklosa, M.; Drope, J.; Larsen, A. Effects of Prices on Youth Cigarette Smoking and Tobacco Use Initiation in Ghana and Nigeria. Int. J. Environ. Res. Public Health 2019, 16, 3114.

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