Efficacy of tobacco taxes is tied to gene variation
Tobacco use has declined sharply since the 1960s, but for the past 20 years about 20 percent of the population has continued to smoke -- despite the imposition of steep tobacco taxes in many states.
Now an economist has published an unusual study in December's PLoS One that suggests a reason: About half the population has a variation in a specific gene connected to nicotine addiction that makes them more likely to respond to cigarette tax increases.
Jason Fletcher, an associate professor of health policy at Yale, used data on 6,178 adults in a large national health survey that gathered information on smoking habits and also collected biological specimens for genotyping. About half of the subjects had a variation in a gene for a nicotine receptor in the brain that is thought to control the pleasure reward of nicotine consumption. Fletcher tracked the statistical relationship between taxation, smoking and this gene.
He found that a 100 percent increase in taxes had a significant effect only on people with this particular genetic variation in DNA sequence. The other half of the population was immune to the effect of taxation.
Fletcher urged caution in interpreting his findings since this is the first study of its kind. Still, he said, "As we get more and more convinced that people with certain genotypes may respond differently to policies, that means that alternative policies may be necessary."
NEW YORK TIMES
REACTIVATION OF HPV SEEN AT MENOPAUSE
Signs of the cancer-causing human papilloma virus in women near or at menopause may be a reawakened dormant infection.
About 77 percent of the infections were detected in women who reported five or more sexual partners in their lifetime, said a study in the Journal of Infectious Diseases. The findings suggest that reactivation of the sexually transmitted virus may increase around age 50 and be responsible for more later-life infections than new ones, researchers said.