scholarly journals Impact of India's National Tobacco Control Programme on bidi and cigarette consumption: a difference-in-differences analysis

2018 ◽  
Vol 16 (1) ◽  
Author(s):  
Gaurang P. Nazar ◽  
Swati Srivastava ◽  
Kiara Chang ◽  
Neil Pearce ◽  
Anup Karan ◽  
...  
Keyword(s):  
Tobacco Control ◽  
Control Programme ◽  
Cigarette Consumption ◽  
Difference In Differences

scholarly journals Impact of India’s National Tobacco Control Programme on bidi and cigarette consumption: a difference-in-differences analysis

2018 ◽  
Vol 29 (1) ◽  
pp. 103-110 ◽  
Author(s):  
Gaurang P Nazar ◽  
Kiara C-M Chang ◽  
Swati Srivastava ◽  
Neil Pearce ◽  
Anup Karan ◽  
...  
Keyword(s):  
Tobacco Control ◽  
Tobacco Use ◽  
Low Income ◽  
Poor Performance ◽  
Control Programme ◽  
Cigarette Consumption ◽  
Mortality Reduction ◽  
Consumer Expenditure ◽  
Difference In Differences ◽  
Cross Sectional

BackgroundDespite the importance of decreasing tobacco use to achieve mortality reduction targets of the Sustainable Development Goals in low-income and middle-income countries (LMICs), evaluations of tobacco control programmes in these settings are scarce. We assessed the impacts of India’s National Tobacco Control Programme (NTCP), as implemented in 42 districts during 2007–2009, on household-reported consumption of bidis and cigarettes.MethodsSecondary analysis of cross-sectional data from nationally representative Household Consumer Expenditure Surveys (1999–2000; 2004–2005 and 2011–2012). Outcomes were: any bidi/cigarette consumption in the household and monthly consumption of bidi/cigarette sticks per person. A difference-in-differences two-part model was used to compare changes in bidi/cigarette consumption between NTCP intervention and control districts, adjusting for sociodemographic characteristics and time-based heterogeneity.FindingsThere was an overall decline in household-reported bidi and cigarette consumption between 1999–2000 and 2011–2012. However, compared with control districts, NTCP districts had no significantly different reductions in the proportions of households reporting bidi (adjusted OR (AOR): 1.03, 95% CI: 0.84 to 1.28) or cigarette (AOR: 1.01 to 95% CI: 0.82 to 1.26) consumption, or for the monthly per person consumption of bidi (adjusted coefficient: 0.07, 95% CI: −0.13 to 0.28) or cigarette (adjusted coefficient: −0.002, 95% CI: −0.26 to 0.26) sticks among bidi/cigarette consuming households.InterpretationOur findings indicate that early implementation of the NTCP may not have produced reductions in tobacco use reflecting generally poor performance against the Framework Convention for Tobacco Control objectives in India. This study highlights the importance of strengthening the implementation and enforcement of tobacco control policies in LMICs to achieve national and international child health and premature NCD mortality reduction targets.

scholarly journals Analysis of the illicit tobacco market in Georgia in response to fiscal and non-fiscal tobacco control measures

2021 ◽  
pp. tobaccocontrol-2020-056404
Author(s):  
Megan Little ◽  
Hana Ross ◽  
George Bakhturidze ◽  
Iago Kachkachishvili
Keyword(s):  
Tobacco Control ◽  
Household Survey ◽  
Tobacco Consumption ◽  
Control Measures ◽  
Cigarette Consumption ◽  
Control Law ◽  
Excise Tax ◽  
Cigarette Taxes ◽  
Illicit Trade ◽  
Cigarette Pack

BackgroundGeorgian illicit cigarette consumption was 1.5% in 2017. In 2018, a new tobacco control law took effect followed by a substantial cigarette excise tax increase in 2019. Research shows these policies reduce tobacco consumption, but the tobacco industry argues they increase illicit trade. There is limited evidence on this, particularly from developing countries.MethodsA panel household survey in Georgia obtained data over three waves: 2017 baseline, 2018 after the tobacco control law took effect and 2019 after taxes increased. A sample of 1578 smokers (and quitters in later waves) from five regions reported their tobacco use and were asked to present a cigarette pack in their possession. These were examined for tax stamps and health warnings to establish legality.FindingsThere was no evidence of an increase in illicit cigarette consumption in Tbilisi, Kutaisi, Akhaltsikhe or Gori in any wave. In Zugdidi, near the Russian-occupied Abkhazia, illicit cigarette consumption was increasing even prior to the tax increase, reaching 30.9% by wave 3. A country-wide shift occurred from manufactured cigarettes to roll-your-own tobacco (whose tax remained unchanged) between waves 2 and 3.ConclusionNo evidence of a country-wide increase in illicit cigarette trade was found after non-fiscal tobacco measures took effect and cigarette taxes increased. Relatively high illicit cigarette consumption in Zugdidi highlights the role of disputed territories and border administration in illicit cigarette supply. Substitution towards roll-your-own tobacco after manufactured cigarette taxes increased demonstrates the importance of equalising taxes on tobacco products to maximise public health benefits.

scholarly journals Association between tax structure and cigarette consumption: findings from the International Tobacco Control Policy Evaluation (ITC) Project

2018 ◽  
Vol 28 (Suppl 1) ◽  
pp. s31-s36 ◽  
Author(s):  
Ce Shang ◽  
Hye Myung Lee ◽  
Frank J Chaloupka ◽  
Geoffrey T Fong ◽  
Mary Thompson ◽  
...  
Keyword(s):  
Tobacco Control ◽  
Policy Evaluation ◽  
Fixed Effects ◽  
Tax Avoidance ◽  
Control Policy ◽  
Tobacco Consumption ◽  
Cigarette Consumption ◽  
Tobacco Control Policy ◽  
Tax Structure ◽  
Tax Structures

BackgroundRecent studies show that greater price variability and more opportunities for tax avoidance are associated with tax structures that depart from a specific uniform one. These findings indicate that tax structures other than a specific uniform one may lead to more cigarette consumption.ObjectiveThis paper aims to examine how cigarette tax structure is associated with cigarette consumption.MethodsWe used survey data taken from the International Tobacco Control Policy Evaluation Project in 17 countries to conduct the analysis. Self-reported cigarette consumption was aggregated to average measures for each surveyed country and wave. The effect of tax structures on cigarette consumption was estimated using generalised estimating equations after adjusting for sociodemographic characteristics, average taxes and year fixed effects.FindingsOur study provides important empirical evidence of a relationship between tax structure and cigarette consumption. We find that a change from a specific to an ad valorem structure is associated with a 6%–11% higher cigarette consumption. In addition, a change from uniform to tiered structure is associated with a 34%–65% higher cigarette consumption. The results are consistent with existing evidence and suggest that a uniform and specific tax structure is the most effective tax structure for reducing tobacco consumption.

scholarly journals Effects of global and domestic tobacco control policies on cigarette consumption per capita: an evaluation using monthly data in China

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e025092 ◽  
Author(s):  
Xiaoxin Xu ◽  
Xiulan Zhang ◽  
Teh Wei Hu ◽  
Leonard S Miller ◽  
Mengnan Xu
Keyword(s):  
Tobacco Control ◽  
National Policy ◽  
Tobacco Consumption ◽  
Cigarette Consumption ◽  
Policy Changes ◽  
Control Policies ◽  
Tobacco Control Policies ◽  
Per Capita ◽  
The Impact ◽  
Cigarette Prices

IntroductionChina consumes 44% of the world’s cigarettes. Robust tobacco control measures are needed to contain the trend of increasing cigarette consumption. This paper examines the effectiveness of policy interventions introduced in China on reducing the country’s tobacco use.MethodsThe paper uses data on China’s monthly cigarette consumption per capita from January 2000 to June 2017 to estimate the impact of specific policies on China’s tobacco consumption. Tobacco consumption is calculated from monthly sales data from the China National Tobacco Corporation and demographic data from the China National Bureau of Statistics. The policies studied include the WHO Framework Convention on Tobacco Control (FCTC), national tobacco-related policy changes and two tobacco tax increases implemented in China during the study period. Segmented regression analysis is used to estimate the immediate effects of the policies studied and changes in the time trends resulted from these policy changes.FindingsThe impact of national policy changes in China is almost 20 times greater than the impact of the WHO FCTC treaty itself, and national policy changes in tobacco control are a determining factor in reversing the trend of increasing tobacco consumption in China. The 2015 tax increase, which raised retail cigarette prices, produced both immediate and trend effects, with a total incremental effect 7.8 times that of the 2009 tax increase, which did not result in higher cigarette prices for the consumer.InterpretationsTranslating global tobacco control policies into domestic policies will generate a much greater impact on reducing average cigarette consumption, and tobacco taxes that are reflected in the retail prices of cigarettes will be more effective in reducing cigarette consumption.

scholarly journals Hardening or softening? An observational study of changes to the prevalence of hardening indicators in Victoria, Australia, 2001–2016

2019 ◽  
pp. tobaccocontrol-2019-054937 ◽  
Author(s):  
Emily Brennan ◽  
Elizabeth M Greenhalgh ◽  
Sarah J Durkin ◽  
Michelle M Scollo ◽  
Linda Hayes ◽  
...  
Keyword(s):  
Tobacco Control ◽  
Smoking Prevalence ◽  
Population Level ◽  
Control Programme ◽  
Cross Sectional ◽  
Quit Attempt ◽  
Logistic Regressions ◽  
Demographic Subgroups ◽  
Changes Over Time ◽  
Random Digit Dialling

BackgroundThe hardening hypothesis predicts that as smoking prevalence declines, remaining smokers will be more heavily addicted to nicotine and/or less interested in quitting. We tested this hypothesis in a population exposed to a comprehensive tobacco control programme over a 16-year period.MethodsAnnual cross-sectional surveys randomly sampled adults (aged 26+) in the state of Victoria, Australia, between 2001 and 2016. Until 2010, participants were recruited through random digit dialling to landline telephones; from 2011, sampling frames also included mobile phones. Logistic regressions assessed changes over time in the prevalence of smoking and each hardening indicator; additional models examined interactions by sex, age, education and socioeconomic status.ResultsSmoking prevalence declined significantly between 2001 and 2016 (20.1%–13.0%), as did the prevalence of seven hardening indicators: daily smoking, heavy consumption, no quit attempt in the past 5 years or past 12 months, no intention to quit in the next 6 months or next 30 days, and happiness to keep smoking. In addition, the proportion of smokers defined as ‘hardcore’ decreased from 17.2% to 9.1%. On the whole, hardening indicators decreased to a similar extent among demographic subgroups.ConclusionsThese results are inconsistent with the hardening hypothesis. Rather, they suggest that a comprehensive tobacco control programme that combines provision of cessation support to individual smokers with implementation of population-level interventions to drive all smokers towards quitting, can successfully reduce both smoking prevalence and levels of dependence and desire to keep smoking among the remaining population of smokers.

scholarly journals Analysis of Gender Differences in the Impact of Taxation and Taxation Structure on Cigarette Consumption in 17 ITC Countries

2019 ◽  
Vol 16 (7) ◽  
pp. 1275
Author(s):  
Anh Ngo ◽  
Geoffrey T. Fong ◽  
Lorraine V. Craig ◽  
Ce Shang
Keyword(s):  
Gender Differences ◽  
Tobacco Control ◽  
Control Policy ◽  
Cigarette Consumption ◽  
Tobacco Control Policy ◽  
Female Population ◽  
Males And Females ◽  
The Impact ◽  
Tax Structures ◽  
Ad Valorem

Although increasing taxes has been established as the most effective tobacco control policy, it is not clear whether these policies reduce cigarette consumption equally among women and men. In this study, we examine whether the association between taxation/taxation structure and cigarette consumption differs by gender. The data is from the International Tobacco Control Policy Evaluation (ITC) Projects in 17 countries. Cigarette consumption was measured by gender for each ITC country. Generalized estimating equations (GEE) were employed to investigate gender differences in the association between cigarette consumption and tax structures, while controlling for time-variant demographic characteristics such as unemployment rates, proportions of adults, and percent of female population. Tiered tax structures are associated with higher cigarette consumption among both males and females. Female smokers are more responsive to an average tax increase than male smokers. Among males, higher ad valorem share in excise taxes is associated with lower cigarette consumption, but it is not the case for females. Females may not be as responsive to the prices raised by ad valorem taxes, despite being responsive to average taxes, suggesting that smokers by gender may face different prices.

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