An analysis of cigarette sales during Poland’s menthol cigarette sales ban: small effects with large policy implications

Author:

Liber Alex C1ORCID,Stoklosa Michal23,Levy David T1ORCID,Sánchez-Romero Luz María1,Cadham Christopher J4,Pesko Michael F5ORCID

Affiliation:

1. Georgetown University-Lombardi Comprehensive Cancer Center, Cancer Prevention and Control Program , Washington, DC, USA

2. Institute for Health Research and Policy, University of Illinois at Chicago , Chicago, IL, USA

3. Department of Public Health and Social Medicine, Medical University of Gdańsk , Gdańsk, Poland

4. Department of Health Management and Policy, University of Michigan School of Public Health , Ann Arbor, MI, USA

5. Department of Economics, Georgia State University Andrew Young School of Public Policy Studies , Atlanta, GA, USA

Abstract

Abstract Background In May 2020, the European Union Tobacco Products Directive mandated that EU member states, including Poland, ban the sale of menthol cigarettes. With menthol making up 28% of cigarette sales before the ban, Poland is the country with likely the largest menthol cigarette sales share in the world to ban their sale. We analyze how this ban changed the Polish tobacco market. Methods We use monthly NielsenIQ data (May 2018–April 2021) on sales of cigarettes and roll-your-own tobacco by menthol and standard flavor in eight regions of Poland. We set up a bite-style regression model controlling for pre-ban menthol share, climate, border opening status, and Apple movement data to estimate the effect of the May 2020 menthol ban. Results We find menthol cigarette sales fell at least 97% after the menthol cigarette ban across Poland and standard cigarette sales replaced them. Regression modeling indicates that total cigarette sales fell, after the ban, an average of 2.2 sticks per capita per month, equal to a 2.9% decline, however, results were not significant (P = 0.199). The bite component of our model reveals total cigarette sales did decline significantly in the regions with the highest pre-ban menthol sales shares. Roll-your-own tobacco sales increased by a statistically insignificant 0.03 stick-equivalents after the ban (P = 0.798). Product prices also fell in the wake of the menthol ban. Conclusions In Poland, the EU state with the one of the largest pre-ban menthol shares, we find mixed evidence that the ban is working as intended.

Funder

Norwegian Cancer Society in the framework of a project partnership with the Polish Ministry of Health by leveraging funding from Norway Grants

US National Cancer Institute (NCI

US Food and Drug Administration

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health

Reference34 articles.

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4. Tobacco industry tactics to circumvent and undermine the menthol cigarette ban in the UK;Hiscock;Tob Control,2020

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