Associations between smoking-induced deprivation, cigarette purchase price, and coupon use among California adults ages 18-64, 2022-2023.

Authors

David A Stupplebeen, Tam D Vuong

Published in

Preventive medicine reports. Volume 68. Pages 103557. Epub Jul 03, 2026.

Abstract

California has reduced overall smoking prevalence but people with low income still experience disparities in tobacco use. We examined the associations between recent smoking-induced deprivation (SID; spending on cigarettes instead of other needs), daily smoking, cigarette prices, and coupon use.
Weighted data from two waves of the Online California Adult Tobacco Survey Supplement collected between November 2022 and November 2023 were combined then limited to current smoking and other variables (n = 2288; weighted n = 1,718,238) for bivariate analysis and multivariable stepwise logistic regression with an interaction term to produce estimates of recent SID.
Nearly one-third of California adults (33.04%; CI: 29.36, 36.94%) reported recent SID. We found a significant interaction (p < 0.01) for coupon use at last purchase and non-daily smoking (aOR: 6.85; CI: 4.00, 11.73). Cigarette pack price was not significantly associated with recent SID. Other factors associated with SID were inability to meet basic expenses, higher educational attainment, female gender, and younger age.
Policymakers should consider increasing cessation outreach to populations more likely to report recent SID paired with coupon and minimum pack price policies. Interventionists should also consider new programs to address those who do not smoke daily or have high educational attainment.

PMID:
42437279
Bibliographic data and abstract were imported from PubMed on 12 Jul 2026.

Read full publication at:
Please sign in to see all details.

Stats

1-terrible, 9-excellent. How would you rate this publication? Sign in in to submit your rating.

Post a comment

You need to be signed in to post comments. You can sign in here.

Comments

There are no comments yet.