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The role of anti-smoking legislation on cigarette and alcohol consumption habits in Italy

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  • Pieroni, Luca
  • Chiavarini, Manuela
  • Minelli, Liliana
  • Salmasi, Luca

Abstract

The short-term effects of public smoking bans on individual smoking and drinking habits were investigated in this paper. In 2005, a smoking ban was introduced in Italy, and we exploited this exogenous variation to measure the effect on both smoking participation and intensity and the indirect effect on alcohol consumption. Using data from the Everyday Life Aspects survey, for the period 2001–2007, we show that the introduction of smoke-free legislation in Italy significantly affected smoking behavior. We also document significant indirect effects on alcohol consumption for the main alcoholic beverage categories. A robustness analysis is also performed, to test the extent to which unobservable variables may bias our estimated parameters. Our results are then used to perform a cost-effectiveness analysis of the anti-smoking legislation in Italy.

Suggested Citation

  • Pieroni, Luca & Chiavarini, Manuela & Minelli, Liliana & Salmasi, Luca, 2013. "The role of anti-smoking legislation on cigarette and alcohol consumption habits in Italy," Health Policy, Elsevier, vol. 111(2), pages 116-126.
    • Handle: RePEc:eee:hepoli:v:111:y:2013:i:2:p:116-126
    DOI: 10.1016/j.healthpol.2013.04.001
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    Cited by:

    1. Celidoni, Martina & Pieroni, Luca & Salmasi, Luca, 2014. "Side-effects of anti-smoking policies on health behaviors. Evidence from the US," MPRA Paper 58312, University Library of Munich, Germany.
    2. Costa-Font, Joan & Salmasi, Luca & Zaccagni, Sarah, 2021. "More Than a Ban on Smoking? Behavioural Spillovers of Smoking Bans in the Workplace," IZA Discussion Papers 14299, Institute of Labor Economics (IZA).
    3. Cinzi Di Novi & Rowena Jacobs & Matteo Migheli, 2018. "Smoking Inequality across Genders and Socio-economic Classes. Evidence from Longitudinal Italian Data," DEM Working Papers Series 152, University of Pavia, Department of Economics and Management.
    4. Luca Pieroni & Giacomo Muzi & Augusto Quercia & Donatella Lanari & Carmen Rundo & Liliana Minelli & Luca Salmasi & Marco Dell'Omo, 2015. "Estimating the Smoking Ban Effects on Smoking Prevalence, Quitting and Cigarette Consumption in a Population Study of Apprentices in Italy," IJERPH, MDPI, vol. 12(8), pages 1-13, August.
    5. Fabrizio Mazzonna & Paola Salari, 2014. "Short term effects of public smoking bans on health," IdEP Economic Papers 1409, USI Università della Svizzera italiana.
    6. Fabrizio Mazzonna & Paola Salari, 2018. "Can a smoking ban save your heart?," Health Economics, John Wiley & Sons, Ltd., vol. 27(10), pages 1435-1449, October.
    7. Pieroni, L. & Daddi, P. & Salmasi, L., 2013. "Impact of Italian smoking ban on business activity of restaurants, cafés and bars," Economics Letters, Elsevier, vol. 121(1), pages 70-73.
    8. Cinzia Novi & Rowena Jacobs & Matteo Migheli, 2020. "Smoking inequality across genders and socio-economic positions. Evidence from Italian data," Journal of Bioeconomics, Springer, vol. 22(3), pages 177-203, October.
    9. Anastase Tchicaya & Nathalie Lorentz & Stefaan Demarest, 2016. "Socioeconomic Inequalities in Smoking and Smoking Cessation Due to a Smoking Ban: General Population-Based Cross-Sectional Study in Luxembourg," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-15, April.
    10. Pryce, Robert, 2019. "The effect of the United Kingdom smoking ban on alcohol spending: Evidence from the Living Costs and Food Survey," Health Policy, Elsevier, vol. 123(10), pages 936-940.

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    More about this item

    Keywords

    Anti-smoking legislation; Regression discontinuity; Difference-in-Differences; Cost-effectiveness analysis;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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