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Table 1 Policy Inputs for Cigarette and Smokeless Tobacco in SimSmoke Simulation Model

From: The US SimSmoke tobacco control policy model of smokeless tobacco and cigarette use

Policy

Description

Cigarette Effect Sizea

Smokeless Tobacco Effect Sizeb

Tax Policies [56, 67, 98, 99]

 Cigarette price/tax

 

Elasticitiesc

 
 

The effect of taxed is directly incorporated through average US price (including generics), with separate prices for cigarette and SLT. The price elasticity is used to convert the % price changes into effect sizes. The dual price is computed as 4/5 of the cigarette price + 1/5 SLT price

−0.4 ages 10–17

Same

− 0.3 ages 18–24

Same

− 0.2 ages 25–34

Same

− 0.1 ages 35–64

Double

− 0.2 ages 65

Same

Smoke-Free Air Policies [62]

 Worksite smoking ban

Ban in all indoor worksites, with strong public acceptance and enforcement of laws (reduced by 1/3 if allowed in ventilated areas and by 2/3 if allowed in common areas)

−6%

One-fourth

 Restaurant smoking ban

Ban in all indoor restaurants (reduced by half if partial)

−2%

One-fourth

 Bars smoking ban

Ban in all indoor (reduced by half if partial)

−1%

One-fourth

 Other place bans

Ban in 3 out of 4 government buildings, retail stores, public transportation, and elevators

−1%

One-fourth

 Enforcement

Government agency enforces the laws

Effects reduced 50% absent enforcement

Same

Mass Media Campaigns [65]

 High publicity media campaign

Campaign publicized heavily on TV and at least some other media, with a social marketing approach

−6.5%

Half

 Moderate publicity media campaign

Campaign publicized sporadically on TV and at least some other media

−3.25%

Half

 Low publicity media campaign

Campaign publicized only sporadically in newspaper, billboard, or some other media

−1.625%

Half

Marketing Restrictions [67, 68]

 Comprehensive marketing ban

Ban is applied to television, radio, print, billboard, in-store displays, sponsorships and free samples (all indirect marketing)

−5% prevalence,-8% initiation,+ 4% cessation

Same

 Moderate advertising ban

Ban is applied to all media (television, radio, print, billboard) plus one indirect marketing medium

−3% prevalence,-4% initiation,+ 2% cessation

Same

 Weak advertising ban

Ban is applied to some television, radio, print, and billboard

−1% prevalence and initiation only

Same

 Enforcement

Government agency enforces the laws

Effects reduced 50% absent enforcement

Same

Health Warnings [69]

 Strong

Labels are large, bold and graphic, and cover at least 30% of pack

−4% prevalence, −2% initiation, + 10% cessation

Same

 Moderate

Laws cover 1/3 of package, not bold or graphic

−2% prevalence & initiation, + 2% cessation

Same

 Weak

Laws cover less than 1/3 of package, not bold or graphic

− 1% prevalence & initiation, + 2% cessation

Same

Cessation Treatment Policies [70]

 Availability of pharmacotherapies

Legality of nicotine replacement therapy, Wellbutrin and varenecline

−1% prevalence, + 6% cessationd

Half

 Proactive quitline

A proactive quitline with publicity throughout the media campaign with no cost nicotine replacement therapy

−1% prevalence, + 8% cessationd

Half

 Subsidization pharmacotherapy

Payments to cover pharmacotherapy and behavioral cessation treatment

−2.25% prevalence, + 12% cessationd

Half

 Brief health care provider interventions

Advice by health care provider to quit and methods provided

−1% prevalence, + 8% cessationd

Half

 All of the above

Complete availability and reimbursement of pharmaco- and behavioral treatments, quitlines, and brief interventions

−5.2% prevalence, + 43% cessationd

Half

Youth Access Restrictions [75]

 Strongly enforced

Compliance checks are conducted 4 times per year per outlet, penalties are potent and enforced with heavy publicity

−16% initiation and prevalence for ages 16–17 and − 24% ages < 16d

Half

 Well enforced

Compliance checks are conducted regularly, penalties are potent, and publicity and merchant training are included

− 8% initiation and prevalence for ages 16–17 and − 12% ages < 16d

Half

 Low enforcement

Compliance checks are conducted sporadically, penalties are weak

−2% initiation and prevalence for ages 16–17 and − 3% ages < 16d

Half

 Vending machine restrictions

Total ban

Enforcement effects increase by 8%d

Half

 Self-service restrictions

Total ban

Enforcement effects increase by 4%d

Half

 Publicity

Media campaigns directed at youth use

Enforcement effects increase by 10%d

Half

  1. a Unless otherwise indicated, the effects are in terms of the reduction in prevalence during the first year, the reduction in initiation, and increase in first year quit rates during the years that the policy is in effect
  2. b Effect sizes are relative to cigarette effect sizes and applied to exclusive cigarette use only unless otherwise indicated
  3. c Elasticities translate into effect sizes through percentage change in price
  4. d Effect size differs for exclusive SLT and for dual use