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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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    1. Crost, Benjamin & Guerrero, Santiago, 2012. "The effect of alcohol availability on marijuana use: Evidence from the minimum legal drinking age," Journal of Health Economics, Elsevier, vol. 31(1), pages 112-121.
    2. Anger, Silke & Kvasnicka, Michael & Siedler, Thomas, 2011. "One last puff? Public smoking bans and smoking behavior," Journal of Health Economics, Elsevier, vol. 30(3), pages 591-601, May.
    3. Bauer, J.E. & Hyland, A. & Li, Q. & Steger, C. & Cummings, K.M., 2005. "A longitudinal assessment of the impact of smoke-free worksite policies on tobacco use," American Journal of Public Health, American Public Health Association, vol. 95(6), pages 1024-1029.
    4. Milton C. Weinstein & Donald S. Shepard & Joseph S. Pliskin, 1980. "The Economic Value of Changing Mortality Probabilities: A Decision-Theoretic Approach," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 94(2), pages 373-396.
    5. Jones, A & Laporte, A & Rice, N & Zucchelli, E, 2011. "A model of the impact of smoking bans on smoking with evidence from bans in England and Scotland," Health, Econometrics and Data Group (HEDG) Working Papers 11/05, HEDG, c/o Department of Economics, University of York.
    6. Yörük, BarIs K. & Yörük, Ceren Ertan, 2011. "The impact of minimum legal drinking age laws on alcohol consumption, smoking, and marijuana use: Evidence from a regression discontinuity design using exact date of birth," Journal of Health Economics, Elsevier, vol. 30(4), pages 740-752, July.
    7. Buonanno, Paolo & Ranzani, Marco, 2013. "Thank you for not smoking: Evidence from the Italian smoking ban," Health Policy, Elsevier, vol. 109(2), pages 192-199.
    8. Lance Lochner & Enrico Moretti, 2004. "The Effect of Education on Crime: Evidence from Prison Inmates, Arrests, and Self-Reports," American Economic Review, American Economic Association, vol. 94(1), pages 155-189, March.
    9. Liu, Feng & Zhang, Ning & Cheng, Kai-Wen & Wang, Hua, 2010. "Reduced smoking and rising obesity: Does smoking ban in the workplace matter?," Economics Letters, Elsevier, vol. 108(3), pages 249-252, September.
    10. Dee, Thomas S., 1999. "The complementarity of teen smoking and drinking," Journal of Health Economics, Elsevier, vol. 18(6), pages 769-793, December.
    11. Nord, Erik, 1993. "The trade-off between severity of illness and treatment effect in cost-value analysis of health care," Health Policy, Elsevier, vol. 24(3), pages 227-238, August.
    12. Clive Pritchard;Nancy Devlin;Adrian Towse, 2002. "Cost-Effectiveness Thresholds: Economic and ethical issues," Monograph 000473, Office of Health Economics.
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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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