Hungry for tobacco: an analysis of the economic impact of tobacco consumption on the poor in Bangladesh
Hungry for tobacco: an analysis of the economic impact of tobacco consumption on the poor in Bangladesh
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DOI：
10.1136/tc.10.3.212
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发表时间：
2001-09-01
期刊：
影响因子：
5.2
通讯作者：
Rahman, O
中科院分区：
文献类型：
--
作者：
Efroymson, D;Ahmed, S;Rahman, O
目的--调查孟加拉国烟草支出的范围，并将这些成本与食品和其他基本项目的潜在投资进行比较。设计--审查现有的统计数据和基于此进行的计算。结果--烟草支出，特别是香烟支出，是孟加拉国贫困人口的主要负担。最贫穷的人(家庭月收入不到24美元)吸烟的可能性是最富有的人(家庭月收入超过118美元)的两倍。普通男性吸烟者在香烟上的花费是人均衣着、住房、健康和教育支出总和的两倍多。一个典型的贫穷吸烟者可以很容易地在一个或两个孩子的饮食中增加500卡路里的热量，他或她每天的烟草消费。据估计，如果把钱花在烟草上，而不是花在食物上，目前营养不良的1050万人可以有足够的饮食。每天可以挽救350名儿童的生命。结论-烟草支出加剧了贫困的影响，并导致穷人的生活水平显著下降。从事贫困和烟草控制工作的人在很大程度上忽视了烟草使用的这一方面。强有力的烟草控制措施可以减少烟草支出，从而显著增加穷人的资源，从而对穷人的健康产生立竿见影的影响。同时处理烟草和贫困问题可以使烟草控制成为贫穷国家的更高优先事项。
Objective-To investigate the extent of tobacco expenditures in Bangladesh and to compare those costs with potential investment in food and other essential items.Design-Review of available statistics and calculations based thereon.Results-Expenditure on tobacco, particularly cigarettes, represents a major burden for impoverished Bangladeshis. The poorest (household income of less than $24/month) are twice as likely to smoke as the wealthiest (household income of more than $118/month). Average male cigarette smokers spend more than twice as much on cigarettes as per capita expenditure on clothing, housing, health and education combined. The typical poor smoker could easily add over 500 calories to the diet of one or two children with his or her daily tobacco expenditure. An estimated 10.5 million people currently malnourished could have an adequate diet if money on tobacco were spent on food instead. The lives of 350 children could be saved each day.Conclusion-Tobacco expenditures exacerbate the effects of poverty and cause significant deterioration in living standards among the poor. This aspect of tobacco use has been largely neglected by those working in poverty and tobacco control. Strong tobacco control measures could have immediate impact on the health of the poor by decreasing tobacco expenditures and thus significantly increasing the resources of the poor. Addressing the issue of tobacco and poverty together could make tobacco control a higher priority for poor countries.