Trend in the affordability of tobacco products in Bangladesh: findings from the ITC Bangladesh Surveys.

Trend in the affordability of tobacco products in Bangladesh: findings from the ITC Bangladesh Surveys.
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DOI:
10.1136/tobaccocontrol-2017-054035
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发表时间:
2019-05
期刊:
影响因子:
5.2
通讯作者:
Hussain AKMG
Hussain AKMG
中科院分区:
医学2区
文献类型:
--
作者:
Nargis N;Stoklosa M;Drope J;Fong GT;Quah ACK;Driezen P;Shang C;Chaloupka FJ;Hussain AKMG

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烟草制品价格与烟草使用者收入的关系-负担能力-被认为是烟草使用行为的一个关键决定因素。提高烟草价格能否有效地遏制烟草使用,取决于烟草价格相对于潜在使用者的收入提高了多少。本文的目的是研究孟加拉国烟草产品的分布和负担能力的趋势。本研究使用四波ITC调查数据,以自我报告的价格与自我报告的收入之比衡量个人对烟草产品的负担能力。采用多元线性回归分析,估计了按品牌类别划分的香烟、比迪烟和无烟烟草的可负担性趋势。尽管价格大幅上涨,但由于收入增长超过价格上涨,2009年至2014-15年期间卷烟的可负担性有所增加。对于更昂贵的品牌来说,增幅更大。在此期间,比迪斯的可负担性也有所提高。无烟烟草产品的可负担性在2011-12年和2014-15年之间保持不变。2009年至2015年期间实施的增税措施不足以使烟草产品价格的上涨超过收入增长的影响,也不足以减少烟草消费。这项研究的结果告诉政策制定者,在经济快速增长的国家,需要大幅增税来抵消收入增长的影响,以便增税能够有效减少烟草使用。
The price of tobacco products in relation to the income of tobacco users - affordability - is recognized as a key determinant of tobacco use behavior. The effectiveness of a price increase as a deterrent to tobacco use depends on how much price increases in relation to the income of the potential users. The aim of this paper is to examine the distribution of and trends in the affordability of tobacco products in Bangladesh. Using four waves of ITC Survey data on Bangladesh, this study measures affordability of tobacco products at the individual level as the ratio of self-reported price and self-reported income. The trends in affordability by brand categories of cigarettes and of bidi and smokeless tobacco are estimated using multivariate linear regression analysis. Despite significant increase in price, the affordability of cigarettes increased between 2009 and 2014-15 due to income growth outpacing price increase. The increase was disproportionately larger for more expensive brands. The affordability of bidis increased over this period as well. The affordability of smokeless tobacco products remained unchanged between 2011-12 and 2014-15. The tax increases that were implemented during 2009-2015 were not enough to increase tobacco product prices sufficiently to outweigh the effect of income growth, and to reduce tobacco consumption. The findings from this research inform policy makers that in countries experiencing rapid economic growth, significant tax increases are needed to counteract the effect of income growth, in order for the tax increases to be effective in reducing tobacco use.
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