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Smoking for the poor and vaping for the rich? Distributional concerns for novel nicotine delivery systems

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  • Carrieri, Vincenzo
  • Jones, Andrew M.

Abstract

We compare income-related inequalities in the use of traditional smoking and of novel nicotine delivery systems (NDS), such as e-cigarettes and other smokeless products, and we apply a regression-based decomposition method for rank-dependent inequality measures to estimate the source of inequalities in the use of NDS. Using data from the 2013 wave of the Health Survey for England, we find that pro-poor inequality is greater for traditional smoking than for smoking and the smokeless products combined. Significant pro-rich inequalities are found in e-cig and other NDS consumption due to higher take-up among richer, younger and better-educated smokers. These patterns might lead to a long-run equilibrium with both higher average health and higher socioeconomic health inequalities.

Suggested Citation

  • Carrieri, Vincenzo & Jones, Andrew M., 2016. "Smoking for the poor and vaping for the rich? Distributional concerns for novel nicotine delivery systems," Economics Letters, Elsevier, vol. 149(C), pages 71-74.
    • Handle: RePEc:eee:ecolet:v:149:y:2016:i:c:p:71-74
    DOI: 10.1016/j.econlet.2016.10.012
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    References listed on IDEAS

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    1. Erreygers, Guido, 2009. "Correcting the Concentration Index: A reply to Wagstaff," Journal of Health Economics, Elsevier, vol. 28(2), pages 521-524, March.
    2. Cobb, N.K. & Byron, M.J. & Abrams, D.B. & Shields, P.G., 2010. "Novel nicotine delivery systems and public health: The rise of the "E-Cigarette"," American Journal of Public Health, American Public Health Association, vol. 100(12), pages 2340-2342.
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    4. Adam Wagstaff, 2005. "The bounds of the concentration index when the variable of interest is binary, with an application to immunization inequality," Health Economics, John Wiley & Sons, Ltd., vol. 14(4), pages 429-432, April.
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    Citations

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    Cited by:

    1. Giuliano Resce & Raffaele Lagravinese & Elisa Benedetti & Sabrina Molinaro, 2019. "Income-related inequality in gambling: evidence from Italy," Review of Economics of the Household, Springer, vol. 17(4), pages 1107-1131, December.
    2. Hovhannisyan, Vardges & Bastian, Christopher T. & Devadoss, Stephen, 2020. "An Empirical Analysis of Tobacco Addiction," 2020 Annual Meeting, July 26-28, Kansas City, Missouri 304425, Agricultural and Applied Economics Association.
    3. Myriam Khlat & Fred Pampel & Damien Bricard & Stéphane Legleye, 2016. "Disadvantaged Social Groups and the Cigarette Epidemic: Limits of the Diffusion of Innovations Vision," IJERPH, MDPI, vol. 13(12), pages 1, December.
    4. Carnazza, Giovanni & Liberati, Paolo & Resce, Giuliano, 2023. "Income-related inequality in smoking habits: A comparative assessment in the European Union," Health Policy, Elsevier, vol. 128(C), pages 34-41.
    5. Lucio Esposito & Shatakshee Dhongde & Christopher Millett, 2021. "Smoking habits in Mexico: Upward and downward comparisons of economic status," Review of Development Economics, Wiley Blackwell, vol. 25(3), pages 1558-1575, August.
    6. John Buckell & Joachim Marti & Jody L. Sindelar, 2017. "Should Flavors be Banned in E-cigarettes? Evidence on Adult Smokers and Recent Quitters from a Discrete Choice Experiment," NBER Working Papers 23865, National Bureau of Economic Research, Inc.
    7. Carnazza, Giovanni & Liberati, Paolo & Resce, Giuliano & Molinaro, Sabrina, 2021. "Smoking and income distribution: Inequalities in new and old products," Health Policy, Elsevier, vol. 125(2), pages 261-268.
    8. Joachim Marti & John Buckell & Johanna Catherine Maclean & Jody Sindelar, 2019. "To “Vape” Or Smoke? Experimental Evidence On Adult Smokers," Economic Inquiry, Western Economic Association International, vol. 57(1), pages 705-725, January.
    9. Carrieri, Vincenzo & Jones, Andrew M., 2018. "Intergenerational transmission of nicotine within families: Have e-cigarettes influenced passive smoking?," Economics & Human Biology, Elsevier, vol. 31(C), pages 83-93.
    10. Paolo Liberati & Francesco Crespi & Massimo Paradiso & Simone Tedeschi & Antonio Scialà, 2018. "Smokers Are Different: The Heterogeneity Of Smokers’ Responses To Price Increases," Departmental Working Papers of Economics - University 'Roma Tre' 0237, Department of Economics - University Roma Tre.
    11. Aristides Dos Santos, Anderson Moreira & Triaca, Lívia Madeira & Leivas, Pedro Henrique Soares, 2023. "How is smoking distributed in relation to socioeconomic status? Evidence from Brazil in the years 2013 and 2019," Economics & Human Biology, Elsevier, vol. 49(C).
    12. Carrieri, V.; Jones, A.M.;, 2017. "Intergenerational transmission of nicotine within families: have e-cigarettes had an impact?," Health, Econometrics and Data Group (HEDG) Working Papers 17/03, HEDG, c/o Department of Economics, University of York.

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    More about this item

    Keywords

    Smoking; Income-related health inequalities; Electronic-cigarettes;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality

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