Relationship between smoking and health and education spending in Chile

Paraje, Guillermo; Araya, Daniel

doi:10.1136/tobaccocontrol-2017-053857

Cited by 21 publications

(20 citation statements)

References 13 publications

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“…Finally, policy-makers need to consider the possible regressive nature of tobacco taxes. A recent study [13] that analyzed expenditure patterns in Chilean household budgets found that those who spend more on tobacco, spend less on education and health, especially if they belong to lower socioeconomic groups.…”

Section: Plos Onementioning

confidence: 99%

“…However, the final price of a cigarette packet (around $4 US dollars) remains affordable for most Chileans and, therefore, there is still room for higher price increases with a double potential impact of curtailing demand and increasing tax collection. There is recent national evidence that household tobacco expenditure displaces disposable income for health care as well as for education [13]. Therefore, efforts to reduce tobacco consumption should also encompass treatment for highly dependent individuals.…”

Section: Introductionmentioning

confidence: 99%

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Health burden and economic costs of smoking in Chile: The potential impact of increasing cigarettes prices

et al. 2020

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Background Globally, tobacco consumption continues to cause a huge burden of preventable diseases. Chile has been leading the tobacco burden ranking in the Latin American region for the last ten years; it has currently a 33. 3% prevalence of current smokers. Methods A microsimulation economic model was developed within the framework of a multi-country project in order to estimate the burden attributable to smoking in terms of morbidity, mortality, disability-adjusted life-years (DALYs), and direct costs of care. We also modelled the impact of increasing cigarettes' taxes on this burden. Results In Chile, 16,472 deaths were attributable to smoking in 2017, which represent around 16% of all deaths. This burden corresponds to 416,445 DALYs per year. The country's health system spends 1.15 trillion pesos annually (in Dec 2017 CLP, approx. U$D 1.8 billion) in health care treatment of illnesses caused by smoking. If the price of tobacco cigarettes was to be raised by 50%, around 13,665 deaths and 360,476 DALYs from smoking-attributable diseases would be averted in 10 years, with subsequent savings on health care costs, and increased tax revenue collection. In Chile, the tobacco tax collection does not fully cover the direct healthcare costs attributed to smoking. Conclusion Despite a reduction observed on smoking prevalence between 2010 (40.6%) and 2017 (33.3%), this study shows that the burden of disease, and the economic toll due to smoking,

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Section: Plos Onementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Health burden and economic costs of smoking in Chile: The potential impact of increasing cigarettes prices

et al. 2020

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“…Ocurrió lo mismo en las mujeres: el consumo disminuyó, pasando de 8,6% a 4,5% en 2010 (7). Es posible que las medidas de regulatorias adoptadas en el país para el control de tabaco, como incrementar los impuestos a las cajetillas de cigarrillos y educar a la población sobre los efectos perjudiciales del tabaco para la salud, hayan sido exitosas al desmotivar el consumo de tabaco (1, 5).…”

Section: Discussionunclassified

Consumo de tabaco en adultos y cumplimiento de la legislación antitabaco en Costa Rica en 2015

Aguirre

Montero

Córdoba

et al. 2019

Revista Panamericana De Salud Pública

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Objetivo. Estimar para 2015 el consumo tabaco en adultos y el cumplimiento de las disposiciones incluidas en la Ley General de Control del Tabaco y sus Efectos Nocivos en la Salud y su reglamento. Métodos. Se realizó un estudio transversal utilizando la Encuesta Global de Tabaquismo en Adultos (GATS) en hogares, con representación nacional basada en un muestreo probabilístico en tres etapas, por sexo y zona de residencia. Resultados. Se visitaron 9 632 hogares donde se realizaron 8 607 entrevistas individuales. La tasa de respuesta fue 89%. Los fumadores actuales fueron 8,9% (IC95%: 8,1-9,8). La prevalencia en hombres fue 13,4% (12,0-15,0), en mujeres, 4,4% (3,7-5,2), en las zonas urbanas, 9,6% (8,5-10,7), en las rurales, 7,1% (6,2-8,2), y la media de la edad de inicio y la de cigarrillos fumados cada día, 16,1 años (15,6-16,6) y 13,4 cigarrillos al día (12,2-14,7), respectivamente. El grupo de 45 a 64 años presentó la mayor prevalencia: 10,4% (9,0-12,0). El 47,5% de los entrevistados nunca había oído hablar de cigarrillos electrónicos, el 6,3% había estado expuesto al humo del tabaco en el lugar de trabajo y 7,9%, en restaurantes. Conclusiones. Esta encuesta brindó información política y sanitaria relevante para la vigilancia, la asistencia sanitaria y el control de la legislación antitabaco del país. Debe hacerse un mayor esfuerzo para que se cumplan todas las obligaciones establecidas en la Ley 9028, y los resultados se mantendrán vigentes hasta la segunda encuesta GATS en 2020.

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“…This is conducted by estimating a model of Seemingly Unrelated Regression Equations (SURE) of all the expenditure groups (except the SSB group) mentioned above. (26) The SURE estimation allows to estimate a system of equations where the errors of each equation may be correlated to the errors of the other equations, an assumption that is reasonable in a context where budget allocations are made (almost simultaneously), given a certain budget restriction. ( 27) Specifically, we estimate a system of 15 equations in which each individual equation, takes the form:…”

Section: Methodsmentioning

confidence: 99%

“…(19) Although a number of studies have analyzed the effect that consumption of unhealthy products (e.g. tobacco) has on the allocation of households expenditures, (20,21) such analysis has not been conducted for SSB. The objective of this article is to estimate the statistical association between the decision of spending in SSB and budget allocation, in the case of Jamaica.…”

Section: Introductionmentioning

confidence: 99%

The Consumption of Sugar-Sweetened Beverages in Jamaica and Its Association With Household Expenditure Allocation

Paraje¹,

Gomes²

2021

Preprint

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Background. Overweight and obesity are important drivers for the increasing healthcare and other social costs. Apart from present social costs, consumption of SSB may have an effect on future outcomes, from family future wellbeing to national economic growth. If expenditures on SSB decrease expenditures on other goods and services, such as education and healthcare, this “crowding-out” may have a lasting effect. The objective of this article is to estimate the statistical association between the decision of spending in SSB and budget allocation in JamaicaMethods. Using the Jamaican Household Expenditure Survey 2004-2005 a generalized ordered probit model was estimated to examine the association between socioeconomic variables and the decision to purchase SSB. Seemingly Unrelated Regression Equations (SURE) of all the expenditure groups (except the SSB group) were used to estimate the association between the decision of buying SSB and budget allocation on other goods and services.Results. Purchases of SSB are negatively affected by the size of the household and the area of residence (rural households purchase more SSB than urban ones), while having a larger proportion of children (15 or younger) and having a larger total budget is associated to more expenditures on SSB. Households with positive expenditure on SSB allocate significantly less budget to “Health” and “Education”, when compared to those who did not buy SSB. Conclusions. SSB purchases may crowd-out expenditures in essential goods and services, which implies that decreasing the amount spent on SSB may have important present and future consequences on poorer households’ welfare.

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Relationship between smoking and health and education spending in Chile

Cited by 21 publications

References 13 publications

Health burden and economic costs of smoking in Chile: The potential impact of increasing cigarettes prices

Health burden and economic costs of smoking in Chile: The potential impact of increasing cigarettes prices

Consumo de tabaco en adultos y cumplimiento de la legislación antitabaco en Costa Rica en 2015

The Consumption of Sugar-Sweetened Beverages in Jamaica and Its Association With Household Expenditure Allocation

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