摘要：We used multivariate logistic regressions to analyze data from the 2006 to 2007 Tobacco Use Supplement of the Current Population Survey, a nationally representative sample of adults. We explored use of cigarette price minimization strategies, such as purchasing cartons of cigarettes, purchasing in states with lower after-tax cigarette prices, and purchasing on the Internet. Racial/ethnic minorities and persons with low socioeconomic status used these strategies less frequently at last purchase than did White and high–socioeconomic-status respondents. Tobacco use remains the leading preventable cause of disease and death in the United States, causing approximately 443 000 deaths each year and 5.1 million lost years of potential life. 1 Increasing cigarette prices through taxes can lead to reductions in smoking prevalence. 2,3 Unfortunately, smokers may respond to tax increases with compensatory price minimization strategies to continue their usual smoking behaviors, 2,4–13 thus reducing public health gains. Price minimization strategies are encouraged by large savings attainable from bulk purchases (e.g., purchasing cigarettes by the carton saves $1 per pack 8 ) or purchasing in a jurisdiction with lower taxation. For example, New York residents purchasing cigarettes in Pennsylvania save $2.75 in state excise taxes per pack. 14 Other price minimization strategies include purchasing discount or deep-discount brands, using coupons, and purchasing cigarettes from Indian reservations, duty-free shops, or black market sources.
