The heterogeneous impact of a successful tobacco control campaign: a case study of Mauritius

Ross, Hana; Moussa, Leelmanee; Harris, Tom; Ajodhea, Rajive

doi:10.1136/tobaccocontrol-2016-053412

Cited by 6 publications

(6 citation statements)

References 9 publications

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“…Country heterogeneity in results might be explained by differences in tobacco control regimes across countries. In Mauritius, for example, expenditure allocations were different before and after the imposition of a series of tobacco control measures in the period 2009 to 2012 [11]. In Turkey, on the other hand, there was little evidence that tobacco control policies mattered for expenditure allocations [10].…”

Section: Introductionmentioning

confidence: 99%

“…The previous literature focuses on the effect of tobacco consumption on household expenditure and, therefore, the original conditional demand model is often simplified to include a binary indicator of tobacco expenditure and an interaction term with net household expenditure [7, 8, 11]. In this paper, rather than assuming that the adult sex ratio (or any other instrument) is imperfect, we assume that it is one of a number of factors (like education and income, among others) that underscores household tobacco consumption decisions.…”

Section: Introductionmentioning

confidence: 99%

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The effect of tobacco expenditure on expenditure shares in South African households: A genetic matching approach

Chelwa

Koch

2019

PLoS ONE

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This paper examines whether tobacco expenditure leads to the crowding out or crowding in of different expenditure items in South Africa. We apply genetic matching to expenditure quartiles of the 2010/2011 South African Income and Expenditure Survey. Genetic matching is a more appealing approach for dealing with the endogeneity of tobacco expenditure that often plagues studies using systems of demand equations. Further, genetic matching provides transparent measures of covariate balance giving the analyst objective means of assessing match success. We find that the poorest tobacco consuming households in South Africa consistently allocate smaller budget shares towards food items than non-smoking households. Specifically, we find that dairy, fruits, nuts and oils are displaced in favour of tobacco expenditure in the two poorest quartiles. Unsurprisingly, food items are never displaced for households in the top two quartiles, given these households’ greater access to resources. Like other studies in the literature, we find that tobacco expenditure consistently crowds-in alcohol across all quartiles confirming the strong complementarities between the two.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The effect of tobacco expenditure on expenditure shares in South African households: A genetic matching approach

Chelwa

Koch

2019

PLoS ONE

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“…Since the first studies in the early 2000s,1 2 research especially from low and middle-income countries (LMIC) analysed the crowding out effect of spending on tobacco and consistently found evidence that this effect negatively affected spending on mainly basic necessities 3–22…”

Section: Introductionmentioning

confidence: 99%

“…The empirical evidence from the LMICs shows that the poor households are the most affected 5 6 8 9 14 15. For example, in rural Indonesia,8 households with at least one smoker tend to divert a significant amount of their already scarce budget to tobacco products.…”

Section: Introductionmentioning

confidence: 99%

Impact of tobacco spending on intrahousehold resource allocation in Montenegro

2023

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BackgroundThe main goal of this study is to estimate the crowding out impact of tobacco expenditures on the household budget allocation to other mutually exclusive commodity groups in Montenegro.MethodologyThe analysis uses the Household Budget Survey data from 2005 to 2017 to estimate a system of Engel curves using a three-stage least squares approach. As the tobacco expenditure variable is endogenous to budget shares on other consumption items, instrumental variables were included to obtain consistent estimates.ResultsOverall, the results confirm the existence of the crowding out effect of tobacco spending on various commodities, such as some food items (eg, cereals, fruits and vegetables and dairy products), clothing, housing and utilities, education and recreation while a positive effect of tobacco consumption was estimated on budget shares on bars and restaurants, alcohol, coffee and sugary drinks. These results are consistent throughout the income groups of households. The estimates indicate that an increase in tobacco expenditures leads to reduction in budget shares on essential goods, which is likely to have negative impacts on the household living standard.ConclusionsTobacco expenditure crowds out household spending on necessities, especially in case of the poorest households, thus increasing inequality, hampering human capital development and potentially causing long-term adverse effects on the households in Montenegro. Our results are similar to evidence from other low and middle-income countries. This paper contributes to the analysis of the crowding out effect of tobacco consumption, which was conducted for the first time in Montenegro.

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“…It is against this backdrop that this article seeks to explain how tobacco control rose to prominence in the government policy agenda. The existing literature either evaluates the efficacy of a specific tobacco control instrument or examines the negative health effects of smoking on the Mauritian people (see Azagba et al 2015;Cox et al 2000;López et al 2011;Ross et al 2018;Sun, Erriah, and Ramasawmy 2014;Tumwine 2011). Burhoo, Mohee, and Moussa (2011) have attempted a political economic explanation of Mauritius's tobacco control policies; however, their explanation was conducted with no theoretical discussion of the policy-making process.…”

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confidence: 99%

Negotiating Change: Ideas, Institutions, and Political Actors in Tobacco Control Policy Making in Mauritius

Kusi-Ampofo

2021

Journal of Health Politics, Policy and Law

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Context: This article explains the policy process that occasioned the development of comprehensive tobacco control policies in Mauritius from 1980 to 2019. It does so by drawing theoretical insights from John Kingdon's streams framework, historical institutionalism, and ideational perspectives to explicate how tobacco control rose to the status of government policy agenda. Methods: The main sources of data are government documents, media reports, archival studies, grey literature, and published books and articles. These sources were supplemented by key informant interviews with government officials, civil society groups, and other vested interest groups. Findings: This article finds that the prevalence of noncommunicable diseases in the late 1980s, the political commitment of Mauritius's Labour government to comprehensive tobacco control, the institutional legacies of Mauritius's Public Health Act of 1925, and the administrative capacity of Mauritius's Ministry of Health and Quality of Life are the primary factors that drove tobacco control policies in Mauritius. Conclusion: The findings from this study will enrich our understanding of policy change and the politics of tobacco control in the global south. Future research should investigate why some countries in Africa have failed to adopt comprehensive tobacco control policies despite ratifying the Framework Convention on Tobacco Control.

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The heterogeneous impact of a successful tobacco control campaign: a case study of Mauritius

Abstract: These results suggest that tobacco control policies, including sizeable tax increases, were progressive in their impact. We conclude that tobacco use increases poverty and inequality, but stronger tobacco control policies can mitigate the impact of tobacco use on impoverishment.

Cited by 6 publications

References 9 publications

The effect of tobacco expenditure on expenditure shares in South African households: A genetic matching approach

The effect of tobacco expenditure on expenditure shares in South African households: A genetic matching approach

Impact of tobacco spending on intrahousehold resource allocation in Montenegro

Negotiating Change: Ideas, Institutions, and Political Actors in Tobacco Control Policy Making in Mauritius

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