Evidence map›Paper›PMID 36474482›Full record

ArticleTobacco prevention & cessation2022

The price of nicotine dependence: A comparison of the cost of nicotine across products in Switzerland, Germany, USA, Sweden, France and the UK, in 2019.

Julian Jakob, Sandra Joss, Armando N Meier, Kali Tal, Anna Schoeni, Joachim Marti, Pascal Diethelm, Reto Auer

Open access · goldAbstract readCase Reports
In one paragraph

Article in Tobacco prevention & cessation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
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

11 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Electronic cigarette for smoking cessation: a fast-track Delphi consensus of French-speaking experts.Archives of public health = Archives belges de sante publique · 2025
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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

8 authors at 2 institutions in 1 country.

Julian JakobInstitute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland.
Sandra JossInstitute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland.
Armando N MeierCentre for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland.
Kali TalInstitute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland.
Anna SchoeniInstitute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland.
Joachim MartiCentre for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland.
Pascal DiethelmOxySuisse, Geneva, Switzerland.
Reto AuerInstitute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland.
University of Bern · CHCentre universitaire de médecine générale et santé publique, Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTobacco cigarette taxes aim at reducing smoking, but smokers are still dependent on nicotine and need safe and cheap alternatives. As the costs play a role in the product chosen, we compared standardized nicotine costs across products and countries.

methodsWe gathered prices of tobacco cigarettes, heated tobacco products (HTP), pharmaceutical nicotine replacement therapy (pNRT) gums, snus, and open and closed electronic nicotine delivery systems (ENDS) in 6 countries (Switzerland, Germany, USA, Sweden, France, UK) in 2019. We compared the cost of a pack of cigarettes in Switzerland to the cost of equivalent doses of nicotine delivered by other products and across countries, normalizing to purchasing power GDP per capita to compute relative adjusted costs (RACs).

resultsAdjusted tobacco cigarette cost was lowest in Switzerland, Germany, and Sweden; RAC for pNRT was 1.1 in Switzerland and 1.0 in Germany. In France and the UK, RACs for cigarettes were 1.5 and 2.1, while for pNRT they were cheaper (RAC: 0.04). In Switzerland, snus/nicotine pouches were the cheapest form of nicotine delivery (RAC: 0.2), open ENDS were a low-cost option for nicotine delivery in all countries (RAC: 0.2-0.3), and HTP cost more than regular tobacco products in most countries.

conclusionsWe found broad differences in costs of nicotine according to countries and products. This should be considered in future studies on smoking prevalence and in public health efforts.

Indexed as

health economicshealth equitynicotine replacementsmoking cessationtobacco

Identifiers

PMID36474482
PMCPMC9692233
OpenAlexW4310049686

What OpenQuestion holds

Textmetadata
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.