Home > Research > Publications & Outputs > The consequences of tobacco tax on household he...

Electronic data

  • 1-s2.0-S2214109X15700951-main

    Rights statement: ©Verguet et al. Open access article distributed under the terms of CC BY-NC-SA.

    Final published version, 394 KB, PDF document

    Available under license: CC BY-NC-SA: Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License

Links

Text available via DOI:

View graph of relations

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

Research output: Contribution to journalJournal articlepeer-review

Published

Standard

The consequences of tobacco tax on household health and finances in rich and poor smokers in China : an extended cost-effectiveness analysis. / Verguet, Stéphane; Gauvreau, Cindy L.; Mishra, Sujata; MacLennan, Mary; Murphy, Shane M.; Brouwer, Elizabeth D.; Nugent, Rachel A.; Zhao, Kun; Jha, Prabhat; Jamison, Dean T.

In: Lancet Global Health, Vol. 3, No. 4, 04.2015, p. e206-216.

Research output: Contribution to journalJournal articlepeer-review

Harvard

Verguet, S, Gauvreau, CL, Mishra, S, MacLennan, M, Murphy, SM, Brouwer, ED, Nugent, RA, Zhao, K, Jha, P & Jamison, DT 2015, 'The consequences of tobacco tax on household health and finances in rich and poor smokers in China: an extended cost-effectiveness analysis', Lancet Global Health, vol. 3, no. 4, pp. e206-216. https://doi.org/10.1016/S2214-109X(15)70095-1

APA

Verguet, S., Gauvreau, C. L., Mishra, S., MacLennan, M., Murphy, S. M., Brouwer, E. D., Nugent, R. A., Zhao, K., Jha, P., & Jamison, D. T. (2015). The consequences of tobacco tax on household health and finances in rich and poor smokers in China: an extended cost-effectiveness analysis. Lancet Global Health, 3(4), e206-216. https://doi.org/10.1016/S2214-109X(15)70095-1

Vancouver

Author

Verguet, Stéphane ; Gauvreau, Cindy L. ; Mishra, Sujata ; MacLennan, Mary ; Murphy, Shane M. ; Brouwer, Elizabeth D. ; Nugent, Rachel A. ; Zhao, Kun ; Jha, Prabhat ; Jamison, Dean T. / The consequences of tobacco tax on household health and finances in rich and poor smokers in China : an extended cost-effectiveness analysis. In: Lancet Global Health. 2015 ; Vol. 3, No. 4. pp. e206-216.

Bibtex

@article{5e04a471497e46588f710ed3417716fa,
title = "The consequences of tobacco tax on household health and finances in rich and poor smokers in China: an extended cost-effectiveness analysis",
abstract = "BACKGROUND: 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.METHODS: 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.FINDINGS: Our modelling analysis showed that a 50% increase in tobacco price through excise tax would lead to 231 million years of life gained (95% uncertainty range 194-268 million) over 50 years (a third of which would be gained in the lowest income quintile), a gain of US$703 billion ($616-781 billion) of additional tax revenues from the excise tax (14% of which would come from the lowest income quintile, compared with 24% from the highest income quintile). The excise tax would increase overall household expenditures on tobacco by $376 billion ($232-505 billion), but decrease these expenditures by $21 billion (-$83 to $5 billion) in the lowest income quintile, and would reduce expenditures on tobacco-related disease by $24·0 billion ($17·3-26·3 billion, 28% of which would benefit the lowest income quintile). Finally, it would provide financial risk protection worth $1·8 billion ($1·2-2·3 billion), mainly concentrated (74%) in the lowest income quintile.INTERPRETATION: Increased tobacco taxation can be a pro-poor policy instrument that brings substantial health and financial benefits to households in China.FUNDING: Bill & Melinda Gates Foundation and Dalla Lana School of Public Health.",
author = "St{\'e}phane Verguet and Gauvreau, {Cindy L.} and Sujata Mishra and Mary MacLennan and Murphy, {Shane M.} and Brouwer, {Elizabeth D.} and Nugent, {Rachel A.} and Kun Zhao and Prabhat Jha and Jamison, {Dean T.}",
note = "Copyright {\textcopyright} 2015 Verguet et al. Open access article distributed under the terms of CC BY-NC-SA. ",
year = "2015",
month = apr,
doi = "10.1016/S2214-109X(15)70095-1",
language = "English",
volume = "3",
pages = "e206--216",
journal = "Lancet Global Health",
issn = "2214-109X",
publisher = "Elsevier BV",
number = "4",

}

RIS

TY - JOUR

T1 - The consequences of tobacco tax on household health and finances in rich and poor smokers in China

T2 - an extended cost-effectiveness analysis

AU - Verguet, Stéphane

AU - Gauvreau, Cindy L.

AU - Mishra, Sujata

AU - MacLennan, Mary

AU - Murphy, Shane M.

AU - Brouwer, Elizabeth D.

AU - Nugent, Rachel A.

AU - Zhao, Kun

AU - Jha, Prabhat

AU - Jamison, Dean T.

N1 - Copyright © 2015 Verguet et al. Open access article distributed under the terms of CC BY-NC-SA.

PY - 2015/4

Y1 - 2015/4

N2 - BACKGROUND: 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.METHODS: 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.FINDINGS: Our modelling analysis showed that a 50% increase in tobacco price through excise tax would lead to 231 million years of life gained (95% uncertainty range 194-268 million) over 50 years (a third of which would be gained in the lowest income quintile), a gain of US$703 billion ($616-781 billion) of additional tax revenues from the excise tax (14% of which would come from the lowest income quintile, compared with 24% from the highest income quintile). The excise tax would increase overall household expenditures on tobacco by $376 billion ($232-505 billion), but decrease these expenditures by $21 billion (-$83 to $5 billion) in the lowest income quintile, and would reduce expenditures on tobacco-related disease by $24·0 billion ($17·3-26·3 billion, 28% of which would benefit the lowest income quintile). Finally, it would provide financial risk protection worth $1·8 billion ($1·2-2·3 billion), mainly concentrated (74%) in the lowest income quintile.INTERPRETATION: Increased tobacco taxation can be a pro-poor policy instrument that brings substantial health and financial benefits to households in China.FUNDING: Bill & Melinda Gates Foundation and Dalla Lana School of Public Health.

AB - BACKGROUND: 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.METHODS: 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.FINDINGS: Our modelling analysis showed that a 50% increase in tobacco price through excise tax would lead to 231 million years of life gained (95% uncertainty range 194-268 million) over 50 years (a third of which would be gained in the lowest income quintile), a gain of US$703 billion ($616-781 billion) of additional tax revenues from the excise tax (14% of which would come from the lowest income quintile, compared with 24% from the highest income quintile). The excise tax would increase overall household expenditures on tobacco by $376 billion ($232-505 billion), but decrease these expenditures by $21 billion (-$83 to $5 billion) in the lowest income quintile, and would reduce expenditures on tobacco-related disease by $24·0 billion ($17·3-26·3 billion, 28% of which would benefit the lowest income quintile). Finally, it would provide financial risk protection worth $1·8 billion ($1·2-2·3 billion), mainly concentrated (74%) in the lowest income quintile.INTERPRETATION: Increased tobacco taxation can be a pro-poor policy instrument that brings substantial health and financial benefits to households in China.FUNDING: Bill & Melinda Gates Foundation and Dalla Lana School of Public Health.

U2 - 10.1016/S2214-109X(15)70095-1

DO - 10.1016/S2214-109X(15)70095-1

M3 - Journal article

C2 - 25772692

VL - 3

SP - e206-216

JO - Lancet Global Health

JF - Lancet Global Health

SN - 2214-109X

IS - 4

ER -