The consequences of tobacco tax on household health and finances in rich and poor smokers in China: an extended cost-effectiveness analysis

The Lancet Global Health
Stéphane VerguetDean T Jamison

Abstract

In China, there are more than 300 million male smokers. Tobacco taxation reduces smoking-related premature deaths and increases government revenues, but has been criticised for disproportionately affecting poorer people. We assess the distributional consequences (across different wealth quintiles) of a specific excise tax on cigarettes in China in terms of both financial and health outcomes. We use extended cost-effectiveness analysis methods to estimate, across income quintiles, the health benefits (years of life gained), the additional tax revenues raised, the net financial consequences for households, and the financial risk protection provided to households, that would be caused by a 50% increase in tobacco price through excise tax fully passed onto tobacco consumers. For our modelling analysis, we used plausible values for key parameters, including an average price elasticity of demand for tobacco of -0·38, which is assumed to vary from -0·64 in the poorest quintile to -0·12 in the richest, and we considered only the male population, which constitutes the overwhelming majority of smokers in China. Our modelling analysis showed that a 50% increase in tobacco price through excise tax would lead to 231 million years of life ga...Continue Reading

References

Jul 1, 1994·The Journal of the Acoustical Society of America·V ChaloupkaR Muirhead
Feb 26, 2000·Tobacco Control·K E Warner
Aug 5, 2000·BMJ : British Medical Journal·P Jha, F J Chaloupka
Sep 26, 2003·Health Economics·Craig A Gallet, John A List
Feb 5, 2004·American Journal of Public Health·Dahlia K Remler
May 25, 2004·Journal of Health Economics·Peter M LanceChung-Ping Loh
Jun 24, 2004·BMJ : British Medical Journal·Richard DollIsabelle Sutherland
Jul 28, 2005·Tobacco Control·T-w HuM Ong
Sep 3, 2005·Social Science & Medicine·Hong WangSusan H Busch
Sep 9, 2006·Social Science & Medicine·Yuanli LiuZhenzhong Mao
Jun 19, 2007·American Journal of Respiratory and Critical Care Medicine·Nanshan ZhongPixin Ran
Feb 15, 2008·The New England Journal of Medicine·Prabhat JhaUNKNOWN RGI-CGHR Investigators
Oct 22, 2008·Lancet·Gonghuan YangJeffrey P Koplan
Jan 31, 2009·Tobacco Control·E H Blecher, C P van Walbeek
Apr 11, 2009·Stroke; a Journal of Cerebral Circulation·Emma HeeleyUNKNOWN ChinaQUEST Investigators
Oct 14, 2009·Tobacco Control·Michael G HoThomas E Novotny
Mar 12, 2010·American Journal of Public Health·Rajeev Cherukupalli
Apr 7, 2010·Circulation·Rebecca E SchaneStanton A Glantz
Apr 21, 2010·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·Y MaG-G Peng
Jun 12, 2010·Bulletin of the World Health Organization·David B Evans, Carissa Etienne
Oct 12, 2010·PloS One·Jade W WeiUNKNOWN ChinaQUEST Investigators
Dec 1, 2010·Tobacco Control·Frank J ChaloupkaUNKNOWN Working Group, International Agency for Research on Cancer
Mar 6, 2012·Lancet·Winnie Chi-Man YipAlan Maynard
Aug 28, 2012·Tobacco Control·Deliana KostovaUNKNOWN GATS Collaborative Group
Sep 15, 2012·Tropical Medicine & International Health : TM & IH·Cai LeZhao Keying
Apr 3, 2013·Chest·Jun SheChunxue Bai
May 7, 2013·Lancet·Judith MackayK Srinath Reddy
Dec 7, 2013·Lancet·Dean T JamisonGavin Yamey
Jan 3, 2014·The New England Journal of Medicine·Prabhat Jha, Richard Peto
Feb 20, 2014·BMJ : British Medical Journal·David LevyAndrew E Moran

❮ Previous
Next ❯

Citations

Mar 17, 2015·The Lancet Global Health·Rong Zheng, Jidong Huang
May 24, 2015·The Lancet Global Health·Ritesh G MenezesMohammed Madadin
Mar 19, 2015·Lancet·Gonghuan YangXia Wan
Aug 9, 2016·Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer·Emily C A StoneUNKNOWN International Association for the Study of Lung Cancer Tobacco Control Committee
Oct 6, 2016·The American Journal on Addictions·Lei YangChongqi Jia
Sep 9, 2015·PLoS Medicine·Harald Schmidt, Anne Barnhill
Sep 24, 2016·Journal of Epidemiology and Community Health·Shiwei LiuMaigeng Zhou
Mar 28, 2017·Tobacco Induced Diseases·Aimei MaoMary T Kelly
Feb 27, 2018·Drug Discoveries & Therapeutics·Yuuki NakamuraMiwako Kamei
Sep 13, 2017·Australian and New Zealand Journal of Public Health·Anita LalRob Carter
Dec 1, 2017·Journal of Global Health·Stéphane VerguetKun Zhao
Sep 18, 2016·Tobacco Control·Deliana KostovaFrank J Chaloupka
Jun 29, 2017·Salud pública de México·Víctor H Herrera-BallesterosReina Roa-Rodríguez
Feb 14, 2019·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Mei ZhangLimin Wang
Feb 8, 2019·Bulletin of the World Health Organization·Akshar SaxenaMario Capanzana
Dec 7, 2019·International Journal of Environmental Research and Public Health·Xiao HuRong Zheng
Jan 26, 2021·Preventive Medicine·Kent Jason Go Cheng, Miguel Antonio Garcia Estrada
Mar 16, 2021·Asian Bioethics Review·Florencia Luna, Valerie A Luyckx
Mar 19, 2021·European Journal of Public Health·Alan Fuchs Tarlovsky, María Fernanda González Icaza
Nov 8, 2017·Lancet·Dorairaj PrabhakaranUNKNOWN Disease Control Priorities-3 Cardiovascular, Respiratory, and Related Disorders Author Group
Dec 20, 2017·Value in Health Regional Issues·Herrera Ballesteros Víctor HugoRoa Reina Rodríguez

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.