Abstract
Objective
Crowding-out effects of tobacco consumption refers to the situation in which tobacco consumption reduces a household’s spending on other commodities. In this paper, we test for the crowding-out effects of recreational tobacco consumption on food expenditures among on-reserve Indigenous communities in Canada.
Methods
We use data from household expenditure surveys (N=469) to investigate tobacco consumption behaviour of on-reserve households of six First Nation communities in Canada. Using conditional Engel curves, we estimate the crowding-out effects of spending on tobacco on budget share of other expenditure categories with a focus on food expenditures.
Results
Our analysis showed that crowding-out effects of consuming tobacco on consumption of goods and services are minimal with an estimated impact of −0.00004 on the budget share of food expenditures in the remaining budget excess of expenditures on tobacco. While crowding-out effects are not statistically significant in general, the budget share of store-bought food expenditures is significantly lower (i.e. 5%) among tobacco consumer households.
Conclusion
This study sheds new light on some of the indirect impacts of recreational tobacco use and Indigenous food insecurity in Canada. This study is the first attempt to test for crowding-out effects of tobacco consumption among Indigenous populations in Canada. Our findings are important and highlight areas for substantial improvements in health and well-being outcomes given the alarming rates of food insecurity experienced by Indigenous communities in Canada.
Résumé
Objectif
L’effet d’éviction de la consommation de tabac désigne la situation dans laquelle cette consommation réduit les dépenses d’un ménage pour d’autres produits. Dans cet article, nous analysons l’effet d’éviction exercé par l’usage récréatif du tabac sur les dépenses alimentaires dans les communautés autochtones du Canada vivant dans les réserves.
Méthode
Nous utilisons les données d’enquêtes sur les dépenses des ménages (N = 469) pour étudier le comportement de consommation de tabac des ménages de six communautés des Premières nations du Canada vivant dans des réserves. À l’aide de courbes d’Engel conditionnelles, nous estimons l’effet d’éviction des dépenses pour le tabac sur la part du budget des autres catégories de dépenses, en particulier les dépenses alimentaires.
Résultats
Selon notre analyse, l’effet d’éviction de la consommation de tabac sur la consommation de produits et services est minime, avec un impact estimatif de -0,00004 sur la part du budget des dépenses alimentaires dans l’excédent budgétaire restant des dépenses pour le tabac. Bien que l’effet d’éviction ne soit pas significatif dans l’ensemble, la part du budget des dépenses consacrée aux aliments achetés au magasin est sensiblement (5 %) moins élevée dans les ménages qui consomment du tabac.
Conclusion
Cette étude apporte un nouvel éclairage sur certaines incidences indirectes de l’usage récréatif du tabac et sur l’insécurité alimentaire dans les populations autochtones du Canada. Elle représente une première tentative d’analyser l’effet d’éviction de la consommation de tabac dans les populations autochtones du Canada. Nos constatations sont importantes et font ressortir des aspects nécessitant des améliorations substantielles dans les résultats de santé et de bien-être, vu les taux alarmants d’insécurité alimentaire dans les communautés autochtones du Canada.
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Data availability
Data can be made available by the corresponding author per the approval of the Little Red River Cree Nation First Nation.
Code availability
Not applicable
Notes
The response rate in each community is as follows. OAFN: 156 (92%); BOFN: 100 (32%); JD: 47 (18%); FL: 84 (24%); GR: 26 (25%); LLB: 56 (56%).
References
Assembly of First Nations. (2019). Estimating incremental cost indicators for remote communities. https://www.afn.ca/event_download/435f0c9e-d382-4858-9b6d-0ba1b99350f3/bde8b345-3e5b-4f69-85dc-575792be38f8/a255ff05-1c69-49c3-9900-22f57f00aa22/2.%20Report%20-%20AFN%20Incremental%20Remote%20Cost%20Drivers%20-%20%20%20Revised%20Final%20AFN%20Ed.._.pdf. Accessed 8 February 2022.
Boult, D. A. (2004). Hunger in the arctic: Food (in)security in Inuit communities: A discussion paper. National Aboriginal Health Organization. https://ruor.uottawa.ca/bitstream/10393/30217/1/2004_Inuit_Food_Security.pdf. Accessed 8 February 2022.
Government of Canada. (2018). Tri-Council Policy Statement: Ethical Conduct for Research Involving Humans, TCPS2 2018. Canadian Institutes of Health Research, Natural Sciences and Engineering Research Council of Canada, and Social Sciences and Humanities Research Council. https://ethics.gc.ca/eng/documents/tcps2-2018-en-interactive-final.pdf. Accessed 8 February 2022.
Carroll, S. R., Garba, I., Figueroa-Rodríguez, O. L., Holbrook, J., Lovett, R., Materechera, S., Parsons, M., Raseroka, K., Rodriguez-Lonebear, D., Rowe, R., Sara, R., Walker, J. D., Anderson, J., & Hudson, M. (2020). The CARE Principles for Indigenous Data Governance. Data Science Journal. https://doi.org/10.5334/dsj-2020-043
Clough, A. R., MacLaren, D. J., Robertson, J. A., Ivers, R. G., & Conigrave, K. M. (2011). Can we measure daily tobacco consumption in remote Indigenous communities? Comparing self-reported tobacco consumption with community-level estimates in an Arnhem Land study. Drug and Alcohol Review. https://doi.org/10.1111/j.1465-3362.2010.00205.x
Crown-Indigenous Relations and Northern Affairs Canada. (2021). First Nations profiles. https://fnp-ppn.aadncaandc.gc.ca/fnp/Main/Search/FNIncome.aspx?BAND_NUMBER=447&lang=eng
Efroymson, D., Ahmed, S., Townsend, J., Alam, S. M., Dey, A. R., Saha, R., Dhar, B., Sujon, A. I., Ahmed, K. U., & Rahman, O. (2001). Hungry for tobacco: An analysis of the economic impact of tobacco consumption on the poor in Bangladesh. Tobacco Control. https://doi.org/10.1136/tc.10.3.212
Garner, R., Carrière, G., Sanmartin, C., & the Longitudinal Health and Administrative Data Research Team. (2010). The health of First Nations living off-reserve, Inuit, and Métis adults in Canada: The impact of socio-economic status on inequalities in health. Statistics Canada. https://www150.statcan.gc.ca/n1/en/pub/82-622-x/82-622-x2010004-eng.pdf?st=_Afz5B8v. Accessed 8 February 2022.
Gionet, L., & Roshanafshar, S. (2013). Health at a glance: Select health indicators of First Nations people living off reserve, Métis and Inuit. https://www150.statcan.gc.ca/n1/en/pub/82-624-x/2013001/article/11763-eng.pdf?st=TnYfrdhf. Accessed 8 February 2022.
Health Canada. (2014). Strong foundation, renewed focus: An overview of Canada’s Federal Tobacco Control Strategy 2012-17. https://www.canada.ca/content/dam/canada/health-canada/migration/healthy-canadians/publications/healthy-living-vie-saine/tobacco-strategy-2012-2017-strategie-tabagisme/alt/tobacco-strategy-2012-2017-strategie-tabagisme-eng.pdf. Accessed 8 February 2022.
Henderson, P. N., Lee, J. P., Soto, C., Leary, R. O., Rutan, E., Silva, J. D., Waa, A., Henderson, Z. P., Nez, S. S., & Maddox, R. (2022). Decolonization of tobacco in Indigenous communities of Turtle Island (North America). Nicotine & Tobacco Research. https://doi.org/10.1093/ntr/ntab180
Hu, S. C., Huang, S. Y., Li, D., Wen, C. P., & Tsai, S. P. (2005). Workplace smoking policies in Taiwan and their association with employees’ smoking behaviours. European Journal of Public Health. https://doi.org/10.1093/eurpub/cki057
Indigenous and Northern Affairs Canada. (2007). The revised northern food basket. Ottawa, ON: Indigenous and Northern Affairs Canada. https://publications.gc.ca/collections/collection_2008/inac-ainc/R3-56-2007E.pdf. Accessed 8 Feb 2022.
Indigenous Services Canada. (2020). Transition 2019 Indigenous Services Canada overview - Book 1. https://www.sac-isc.gc.ca/eng/1574694263937/1574694327667
Jetty, R. (2017). Tobacco use and misuse among Indigenous children and youth in Canada. Paediatrics & Child Health. https://doi.org/10.1093/pch/pxx124
Jumrani, J., & Birthal, P. (2017). Does consumption of tobacco and alcohol affect household food security? Evidence from rural India. Food Security. https://doi.org/10.1007/s12571-017-0660-8
Kang, H. Y., Kim, H. K., Park, T. K., Jee, S. H., Nam, C. M., & Park, H. W. (2003). Economic burden of smoking in Korea. Tobacco Control. https://doi.org/10.1136/tc.12.1.37
Lawn, J. (2001). Food costs in Treaty 8 communities in northern Alberta: Northern River Basin food consumption study. Prepared for the Alberta Treaty 8 health authority.
Liu, Y., Rao, K., Hu, T. W., Sun, Q., & Mao, Z. (2006). Cigarette smoking and poverty in China. Social Science and Medicine. https://doi.org/10.1016/j.socscimed.2006.06.019
MacLaren, D., Redman-MacLaren, M., & Clough, A. (2010). Estimating tobacco consumption in remote Aboriginal communities using retail sales data: Some challenges and opportunities. Australian and New Zealand Journal of Public Health. https://doi.org/10.1111/j.1753-6405.2010.00556.x
Maddox, R., Waa, A., Lee, K., Nez Henderson, P., Blais, G., Reading, J., & Lovett, R. (2019). Commercial tobacco and indigenous peoples: A stock take on Framework Convention on Tobacco Control progress. Tobacco Control. https://doi.org/10.1136/tobaccocontrol-2018-054508
Max, W., Rice, D. P., Sung, H. Y., Zhang, X., & Miller, L. (2004). The economic burden of smoking in California. Tobacco Control. https://doi.org/10.1136/tc.2003.006023
Minichiello, A., Lefkowitz, A. R. F., Firestone, M., Smylie, J. K., & Schwartz, R. (2016). Effective strategies to reduce commercial tobacco use in Indigenous communities globally: A systematic review. BMC Public Health. https://doi.org/10.1186/12889-015-2645-x
Mirzaei, O., & Natcher, D. (2021). An empirical analysis of food expenditures by First Nation households in Canada: Factors affecting household food security. Food Studies. https://doi.org/10.18848/2160-1933/CGP/v11i01/15-31
Mirzaei, O., Natcher, D. C., & Micheels, E. T. (2020). Estimating the regional economic impacts of First Nation spending in Saskatchewan, Canada. The Review of Regional Studies. https://doi.org/10.52324/001c.12056
Natcher, D. C. (2015). Social capital and the vulnerability of Aboriginal food systems in Canada. Human Organization. https://doi.org/10.17730/0018-7259-74.3.230
Natcher, D., Shirley, S., Rodon, T., & Southcott, C. (2016). Constraints to wildlife harvesting among aboriginal communities in Alaska and Canada. Food Security. https://doi.org/10.1007/s12571-016-0619-1
Orisatoki, R. (2012). The public health implications of the use and misuse of tobacco among the Aboriginals in Canada. Global Journal of Health Science. https://doi.org/10.5539/gjhs.v5n1p28
Pu, C., Lan, V., Chou, Y., & Lan, C. (2008). The crowding-out effects of tobacco and alcohol where expenditure shares are low: Analyzing expenditure data for Taiwan. Social Science & Medicine. https://doi.org/10.1016/j.socscimed.2008.01.007
Statistics Canada. (2009). Spending patterns in Canada. https://www150.statcan.gc.ca/n1/en/pub/62-202-x/62-202-x2008000-eng.pdf?st=GXH94RLo. Accessed 8 February 2022.
Thomas, D. P., Johnston, V., Fitz, J. W., & McDonnell, J. (2009). Monitoring local trends in Indigenous tobacco consumption. Australian and New Zealand Journal of Public Health. https://doi.org/10.1111/j.1753-6405.2009.00340.x
Truth and Reconciliation Commission of Canada. (2012). Truth and Reconciliation Commission of Canada: Calls to action. https://www2.gov.bc.ca/assets/gov/british-columbians-our-governments/indigenous-people/aboriginal-peoples-documents/calls_to_action_english2.pdf. Accessed 15 February 2022.
United Nations. (2008). United Nations declaration on the rights of Indigenous peoples. https://www.un.org/esa/socdev/unpfii/documents/DRIPS_en.pdf. Accessed 15 February 2022.
Vermeulen, F. (2003). Do smokers behave differently? A tale of zero expenditures and separability concepts. Economics Bulletin, 4(6), 1–7.
Wang, H., Sindelar, J. L., & Busch, S. H. (2006). The impact of tobacco expenditure on household consumption patterns in rural China. Social Science & Medicine (1982). https://doi.org/10.1016/j.socscimed.2005.07.032
Acknowledgements
We sincerely appreciate the contributions of our First Nations partners in this study. In particular, we thank Alfred Gamble from the Beardy’s Okemasis First Nation, Brett Baldhead from the One Arrow First Nation, Chief Conroy Sewepagaham and Theresa Shelton from the Little Red River Cree Nation, and Chief Billy Joe Laboucan of the Lubicon Lake Band. We hope the results of this research will advance the goals of reducing food insecurity and improving socio-economic and health conditions of First Nation peoples in Canada. We are also grateful for the funding support provided by Toronto Dominion Bank for the conduct of this research.
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This research was funded by Toronto Dominion Bank.
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All authors contributed to the study conception and design. Material preparation and data collection were performed and administered by Omid Mirzaei and David Natcher. Data analysis was performed by Omid Mirzaei. The first draft of the manuscript was written by Omid Mirzaei and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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This research was reviewed by the University of Saskatchewan Behavioural Research Ethics Board (Beh-REB) and was found to be in full compliance with the current version of the Tri-Council Policy Statement (TCPS): Ethical Conduct for Research Involving Humans (TCPS 2 2018). Ethical requirements for informed consent in research involving Indigenous Peoples are consistent with Article 9.1 of the TCPS for protecting the welfare of Indigenous communities. This research was further guided by individual Research and Information Sharing Agreements signed between the research team and respective First Nations Governments.
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Mirzaei, O., Natcher, D.C. Recreational tobacco consumption and food insecurity among First Nations in Canada. Can J Public Health 113, 703–712 (2022). https://doi.org/10.17269/s41997-022-00650-8
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DOI: https://doi.org/10.17269/s41997-022-00650-8