Is it time to increase the cost of tobacco licences after 10 years of stagnation?

Abstract

Is it time to increase the cost of tobacco licences after 10 years of stagnation? Samuel Ziesing,1 Kerry Ettridge,1,2 Joanne Dono,1,2 Ashley Luppino,1 Caroline Miller1,3, * 1 Health Policy Centre, South Australian Health and Medical Research Institute, Adelaide, 5000, SA, Australia 2 School of Psychology, University of Adelaide, Adelaide, 5000, SA, Australia 3 School of Public Health, University of Adelaide, Adelaide, 5000, SA, Australia Submitted: 5 June 2023; Revision requested: 19 July 2023; Accepted: 23 July 2023 Abstract Objective: Reducing tobacco licences is one potential lever to reduce tobacco-related harms. A 15-fold increase in annual tobacco retailer licence fees in 2007 led to a 24% decline in the number of licences in 2009. This study investigates the changes in tobacco licences over a subsequent decade in the absence of real fee increases. Methods: The South Australian (SA) government tobacco licencing system databases for 2009 and 2020 were audited, measuring changes in the number and distribution of tobacco and vending machine licences by outlet type, disadvantage, and remoteness. Results: The number of tobacco licences declined by 33.1% overall. Large reductions were observed in food service venues (65.2%) and hotel/ motels (37.2%). In 2020, most licences were in service stations (25.1%), hotel/motels (22.9%), and supermarkets (22.2%). Despite proportional reductions across all disadvantage quintiles, the most disadvantaged areas continued to have the largest number of tobacco licensees. Vending machines declined by 63.6% and remained concentrated in hotels/motels (91.4%). Conclusions: Since a 15-fold licence fee increase in 2007 effectively reduced tobacco retailers from 2007-2009, the decline since has been incremental. Implications for public health: Increasing tobacco licence fees is a straightforward and effective measure to reduce tobacco availability and should be re-prioritised. Key words: tobacco control, tobacco retailers, licence fees, vending machines, South Australia