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NCT07142668NARecruiting

Effects of Tax Proposals and Cigarette Availability on Tobacco Purchasing

Virginia Polytechnic Institute and State University

Start Date

8/14/2025

Completion Date

9/30/2026

Summary

This study will investigate the effects of normal-nicotine versus low-nicotine cigarette availability in the context of four tax proposals (Tobacco Parity, Nicotine-Content, Harm-Reduction, and Modified Risk Tobacco Product-based taxes) on tobacco product purchasing patterns in a virtual marketplace.

Detailed Description

In a within/between subjects design, the investigators will use an Experimental Tobacco Marketplace (ETM) to systematically impose four innovative tobacco/nicotine tax proposals (Tobacco Parity, Nicotine-Content, Harm-Reduction, and Modified Risk Tobacco Product-related taxes) covering a broad range of tax magnitudes. Participants will complete two control trials and one tax proposal condition, with and without the conventional cigarettes available in the marketplace. Each condition (with and without conventional cigarettes) will include five price scenarios, with tax rates increasing across scenarios by a multiplicative factor. Tobacco products are placed into three tax tiers: high-, medium-, and no-tax, according to the goals of each proposal.

Eligibility Criteria

Age Range: 21 years to No maximum

Inclusion Criteria: * provide informed consent * provide a breath carbon monoxide sample ≥ 8 ppm, * be at least 21 years of age (the legal age to purchase tobacco), * smoke at least 10 cigarettes daily, and * use other tobacco products less than weekly. Exclusion Criteria: * report uncontrolled physical or mental health conditions (e.g., uncontrolled diabetes, high blood pressure, major depressive disorder, etc.), * use of smoking cessation medications (e.g., nicotine replacement, bupropion, varenicline) in the past 30 days, * report concrete, immediate plans to alter/quit using their usual tobacco products in the next 30 days, * be pregnant or lactating, or * have plans to move out of the area during the experiment.

Interventions

BEHAVIORAL

Harm Reduction Tax - Normal Nicotine Cigarettes Available

BEHAVIORAL

Harm Reduction Tax - Normal Nicotine Cigarettes Not Available

BEHAVIORAL

Modified Risk Tobacco Product Tax - Normal Nicotine Cigarettes Available

BEHAVIORAL

Modified Risk Tobacco Product Tax - Normal Nicotine Cigarettes Not Available

BEHAVIORAL

Nicotine Content Tax - Normal Nicotine Cigarettes Available

BEHAVIORAL

Nicotine Content Tax - Normal Nicotine Cigarettes Not Available

BEHAVIORAL

Tobacco Parity Tax - Normal Nicotine Cigarettes Available

BEHAVIORAL

Tobacco Parity Tax - Normal Nicotine Cigarettes Not Available

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Conditions

Cigarette Smoking

Locations

Roswell Park Comprehensive Cancer Center

Buffalo, New York 14263

United States

Fralin Biomedical Research Institute at VTC

Roanoke, Virginia 24016

United States