Evidence map›Paper›PMID 34373285›Full record

SynthesisTobacco control2023

Tobacco industry pricing strategies in response to excise tax policies: a systematic review.

Zaineb Danish Sheikh, J Robert Branston, Anna B Gilmore

Abstract readSystematic Review
In one paragraph

Synthesis in Tobacco control, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Tobacco Couponing: A Systematic Review of Exposures and Effects on Tobacco Initiation and Cessation.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022
    Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Tobacco taxation policy in India: public health considerations.The Lancet regional health. Southeast Asia · 2026
    Article
  7. Article
  8. Article
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  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Marlboro Man goes artisanal?Tobacco control · 2025
    Article
  16. Article
  17. Widening the Price Gap: The Effect of The Netherlands' 2020 Tax Increase on Tobacco Prices.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Zaineb Danish SheikhTobacco Control Research Group (TCRG), Department for Health, University of Bath, Bath, UK.ORCID 0000-0001-5054-5816
J Robert BranstonTobacco Control Research Group (TCRG), Department for Health, University of Bath, Bath, UK J.R.Branston@bath.ac.uk.ORCID 0000-0002-2332-2403
Anna B GilmoreTobacco Control Research Group (TCRG), Department for Health, University of Bath, Bath, UK.

Funding

Cancer Research UK A29421
6 · The paper itself

Abstract

objectiveTo explore what is known about the tobacco industry's (TI) price-based responses to tobacco excise tax policies and whether these vary by country income group using a systematic review. DATA SOURCES: Studies assessing TI pricing tactics were identified via searches of five online databases using a combination of search keywords. STUDY SELECTION: Inclusion criteria were applied by two reviewers independently who screened all search results (titles and abstracts) for possible inclusion. They identified 37 publications that reported TI pricing tactics. DATA EXTRACTION: Study details were tabulated, and information was extracted on the country income group, population characteristics, excise tax structure, and pricing strategies. DATA SYNTHESIS: Of the 37 publications identified, 22 were conducted in high-income countries, while 15 covered low-income and middle-income countries (LMICs). Major pricing strategies employed were: differentially shifting taxes between products (35 studies); launching new brands/products as pathways for downtrading (six studies), product promotions and different prices for the same products for different customers (six studies); price smoothing (two studies); and changing product attributes such as length/size of cigarettes or production processes (three studies).

conclusionsWhile there is limited evidence to fully ascertain industry responses to tax increases, this review suggests that the TI widely uses a multitude of sophisticated pricing strategies across different settings around the world with the intention of undermining tax policies, thereby increasing tobacco consumption and maximising their profits. There is a need for further research in this area especially in LMICs so that effective policy responses can be developed.

Indexed as

Tobacco IndustryTobacco ProductsCommerceCosts and Cost AnalysisHumansPolicyTaxespricetaxationtobacco industry

Identifiers

PMID34373285
PMCPMC9985732

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.