Abstract
Objectives
This study investigates the effects of price hikes on cigarette consumption, tobacco tax revenues, and reduction in smoking-caused mortality in 36 African countries.
Methods
Using panel data from the 1999–2013 Euromonitor International, the World Bank and the World Health Organization, we applied fixed-effects and random-effects regression models of panel data to estimate the elasticity of cigarette prices and simulate the effect of price fluctuations.
Results
Cigarette price elasticity was the highest for low-income countries and considerably lower for other African economies. The administered simulation shows that with an average annual cigarette price increase of 7.38%, the average annual cigarette consumption would decrease by 3.84%, and the average annual tobacco tax revenue would increase by 19.39%. By 2050, the number of averted smoking-attributable deaths (SADs) will be the highest in South Africa, followed by the Democratic Republic of Congo, Madagascar, and Ethiopia.
Conclusions
Excise tax increases have a significant effect on the reduction of smoking prevalence and the number of averted smoking-attributable deaths, Low-income countries are most affected by high taxation policies.
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References
Ahmad S, Franz GA (2008) Raising taxes to reduce smoking prevalence in the US: a simulation of the anticipated health and economic impacts. Public Health 122:3–10. doi:10.1016/j.puhe.2007.02.020
Aloui O (2003) Analysis of the economics of tobacco in Morocco. HNP Discussion Paper Series, Economics of Tobacco Control Paper No.7. Washington DC, World Bank
Angrist JD, Pischke JS (2009) Mostly harmless econometrics: an empiricist’s companion. Princeton University Press, Princeton
Arellano M, Bond S (1991) Some tests of specification for panel data: Monte Carlo evidence and an application to employment equations. Rev Econ Stud 58:277–297
Blecher E (2008) The impact of tobacco advertising bans on consumption in developing countries. J Health Econ 27:930–942
Blecher E, Ross H (2013) Tobacco use in Africa: tobacco Control through Prevention. American Cancer Society. http://www.cancer.org/acs/groups/content/@internationalaffairs/documents/document/acspc-041294.pdf. Accessed 20 Dec 2016
Boshoff WH (2008) Cigarette demand in South Africa over 1996-2006: the role of price, income and health awareness. S Afr J Econ 76(1):118–131. doi:10.1111/j.1813-6982.2008.00157.x
Chaloupka FJ, Hu TW, Warner KE, Jacobs R, Yurekli A (2000) The taxation of tobacco products. In: Jha P, Chaloupka FJ (eds) Tobacco control in developing countries. Oxford University Press, Oxford, pp 237–272
Doku D (2010) The tobacco industry tactics—a challenge for tobacco control in low and middle income countries. Afr Health Sci 10(2):201–203
Doll R, Peto R, Wheatley K, Gray R, Sutherland I (1994) Mortality in relation to smoking: 40 years’ observations on male British doctors. BMJ 309:901–911
Doll R, Peto R, Boreham J, Sutherland I (2004) Mortality in relation to smoking: 50 years’ observations on male British doctors. BMJ 328:1519. doi:10.1136/bmj.38142.554479.AE
Economic Research Council (2010) World cigarette reports, 2010. ERC Group Ltd, Suffolk
Eriksen M, Mackay J, Ross H (2012) The tobacco atlas, 4th edn. American Cancer Society, Atlanta, GA
Euromonitor International (2014) Tobacco: global. Passport database. Available for purchase. London, Euromonitor International, 2014. http://www.euromonitor.com/tobacco
Gallet CA, List JA (2003) Cigarette demand: a meta-analysis of elasticities. Health Econ 12:821–835. doi:10.1002/hec.765
Goodchild M, Perucic AM, Nargis N (2016) Modelling the impact of raising tobacco taxes on public health and finance. Bull World Health Organ 94:250–257. doi:10.2471/BLT.15.164707
Halaby CN (2004) Panel models in sociological research: theory into practice. Annu Rev Sociol 30:507–544. doi:10.1146/annurev.soc.30.012703.110629
Hsiao C (2014) Analysis of panel data, 3rd edn. Cambridge University Press, New York
Husain MJ, English LM, Ramanandraibe N (2016) An overview of tobacco control and prevention policy status in Africa. Prev Med. doi:10.1016/j.ypmed.2016.02.017
Jha P, Chaloupka FJ (2000) The economics of global tobacco control. BMJ 321:358–361. doi:10.1136/bmj.321.7257.358
Jowell R (1998) How comparative is comparative research? Am Behav Sci 42:168–177
Kenfield SA, Stampfer MJ, Rosner BA, Colditz GA (2008) Smoking and smoking cessation in relation to mortality in women. JAMA 299:2037–2047. doi:10.1001/jama.299.17.2037
Levy DL, Ellis JA, Mays D, Huang AT (2013) Smoking-related deaths averted due to three years of policy progress. Bull World Health Organ 91:509–518. doi:10.2471/BLT.12.113878
Mackay J, Crofton J (1996) Tobacco and the developing world. Br Med Bull 52:206–221
Nelson JP (2003) Cigarette demand, structural change, and advertising bans: international evidence, 1970–1995. Contrib Econ Anal Policy 2:1–27
Oluwafemi A (2003) Regional summary for the African region. In: Shafey O, Dolwick S, Guindon GE (eds) Tobacco control country profiles 2003. American Cancer Society, Atlanta, pp 27–31
Reekie WD (1994) Consumers’ surplus and the demand for cigarettes. MDE Manage Decis Econ 15:223–234. doi:10.1002/mde.4090150304
Sala-i-Martin X, Pinkovskiy M (2010) African poverty is falling…much faster than you think! National Bureau of Economic Research. Working Paper Series 15775. http://www.nber.org/papers/w15775. Accessed 19 Sept 2016
Samet JM (2014) The surgeon generals’ reports and respiratory diseases. From 1964 to 2014. Ann Am Thorac Soc 11:141–148. doi:10.1513/AnnalsATS.201311-417PS
Taylor DH, Hasselblad V, Henley SJ, Thun MJ, Sloan FA (2002) Benefits of smoking cessation for longevity. Am J Public Health 92:990–996
Thun M, Peto R, Boreham J, Lopez AD (2012) Stages of the cigarette epidemic on entering its second century. Tob Control 21:96–101. doi:10.1136/tobaccocontrol-2011-050294
United Nations, Department of Economic and Social Affairs, Population Division (2015) World population prospects: The 2015 Revision, DVD Edition
van Der Merwe R, Annett N (1998) Chapter 4: The Effects of Taxation on Consumption in South Africa, in ETCSA, The economics of tobacco control in South Africa, report submitted to International Tobacco Initiative, School of Economics, University of Cape Town. http://tobaccoecon.org/wp-content/uploads/2014/09/chapter-4-demand-analysis.pdf. Accessed 20 Sep 2016
van Walbeek CP (1996) Excise taxes on tobacco: How much scope does the government have? S Afr J Econ 64:21–42. doi:10.1111/j.1813-6982.1996.tb01112.x
van Walbeek CP (2000) Impact of the recent tobacco excise tax increases on the future government revenue potential in South Africa. Economics of Tobacco Control Project, University of Cape Town, Research Release no.1
Warner KE (2000) The economics of tobacco control: myths and realities. Tob Control 9:78–89. doi:10.1136/tc.9.1.78
Wilkins N, Yurekli A, Hu T (2007) Economic Analysis of Tobacco Demand. Tool 3: Demand Analysis. In: Yurekli A, Beyer J (eds) Economics of Tobacco Toolkit. World Bank, Washington, pp 1–96
Winkler V, Lan Y, Becher H (2015) Tobacco prevention policies in west-African countries and their effects on smoking prevalence. BMC Public Health 15:1216. doi:10.1186/s12889-015-2562-z
Wooldridge JM (2009) Introductory econometrics: a modern approach, 4th edn. South-Western Cengage Learning, Canada
World Health Organization (2011) Report on the global tobacco epidemic, 2011: warning about the dangers of tobacco. World Health Organization, Geneva. http://www.who.int/tobacco/global_report/2011/en/index.html. Accessed 15 June 2013
World Health Organization (2013a) WHO report on the global tobacco epidemic, 2013: Enforcing bans on tobacco advertising, promotion and sponsorship. World Health Organization, Geneva. http://apps.who.int/iris/bitstream/10665/85380/1/9789241505871_eng.pdf. Accessed 31 July 2013
World Health Organization (2013b) WHO technical manual on tobacco tax administration. Geneva: World Health Organization. http://apps.who.int/iris/bitstream/10665/44316/1/9789241563994_eng.pdf. Accessed 20 Sep 2016
Yach D, Bettcher D (2000) Globalization of tobacco industry influence and new global responses. Tob Control 9:206–216. doi:10.1136/tc.9.2.206
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This research was supported by the Ministry of Science and Technology (NSC 103-2410-H-022-011-).
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Ho, LM., Schafferer, C., Lee, JM. et al. The effect of cigarette price increases on cigarette consumption, tax revenue, and smoking-related death in Africa from 1999 to 2013. Int J Public Health 62, 899–909 (2017). https://doi.org/10.1007/s00038-017-0980-7
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DOI: https://doi.org/10.1007/s00038-017-0980-7