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Smoking and income distribution: Inequalities in new and old products

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  • Carnazza, Giovanni
  • Liberati, Paolo
  • Resce, Giuliano
  • Molinaro, Sabrina

Abstract

There is widespread evidence that smoking is more spread among the least well-off, but few studies investigate the effects of the differentiation of smoking products. This paper provides new evidence on income related inequality of five different products using a database from the Italian Population Survey on Alcohol and other Drugs. In particular, we use the 2014 and 2018 surveys to estimate how the consumption of manufactured cigarettes, roll-your-own cigarettes, cigars, pipe, and e-cigarettes is distributed across the income scale. The results confirm the existing evidence that the use of manufactured and roll-your-own cigarettes is more concentrated among the poor, while the use of cigars and pipe tends to be more concentrated among richer individuals. On the other hand, an important result emerges that the use of electronic cigarettes appears to be more concentrated among the poor, giving support either to the possibility that e-cigs may induce entry into smoking at cheaper prices for less affluent people or that it helps downtrading and quitting of traditional smokers in the lowest part of the income distribution. In both cases, the policy implications, for example of how to tax these alternative products, are relevant, especially because individual socio-economic characteristics (gender, income, education, working condition and geographical location) play a significant and differentiated role across smoking products.

Suggested Citation

  • 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.
  • Handle: RePEc:eee:hepoli:v:125:y:2021:i:2:p:261-268
    DOI: 10.1016/j.healthpol.2020.11.012
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    1. Carrieri, Vincenzo & Wuebker, Ansgar, 2013. "Assessing inequalities in preventive care use in Europe," Health Policy, Elsevier, vol. 113(3), pages 247-257.
    2. 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.
    3. Jan Tempel & Aliya Noormohamed & Robert Schwartz & Cameron Norman & Muhannad Malas & Laurie Zawertailo, 2016. "Vape, quit, tweet? Electronic cigarettes and smoking cessation on Twitter," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(2), pages 249-256, March.
    4. Erreygers, Guido, 2009. "Correcting the Concentration Index: A reply to Wagstaff," Journal of Health Economics, Elsevier, vol. 28(2), pages 521-524, March.
    5. 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.
    6. Jha, Prabhat & Chaloupka, Frank (ed.), 2000. "Tobacco Control in Developing Countries," OUP Catalogue, Oxford University Press, number 9780192632463.
    7. Carrieri, V. & Jones, A.M., 2016. "Smoking for the poor and vaping for the rich? Distributional concerns of new smoking methods," Health, Econometrics and Data Group (HEDG) Working Papers 16/10, HEDG, c/o Department of Economics, University of York.
    8. Chaloupka, Frank J. & Warner, Kenneth E., 2000. "The economics of smoking," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 29, pages 1539-1627, Elsevier.
    9. Lagravinese, Raffaele & Liberati, Paolo & Resce, Giuliano, 2019. "Exploring health outcomes by stochastic multicriteria acceptability analysis: An application to Italian regions," European Journal of Operational Research, Elsevier, vol. 274(3), pages 1168-1179.
    10. 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.
    11. Cawley, John & Ruhm, Christopher J., 2011. "The Economics of Risky Health Behaviors," Handbook of Health Economics, in: Mark V. Pauly & Thomas G. Mcguire & Pedro P. Barros (ed.), Handbook of Health Economics, volume 2, chapter 0, pages 95-199, Elsevier.
    12. Erreygers, Guido, 2009. "Correcting the Concentration Index," Journal of Health Economics, Elsevier, vol. 28(2), pages 504-515, March.
    13. Costa-Font, Joan & Hernández-Quevedo, Cristina & Jiménez-Rubio, Dolores, 2014. "Income inequalities in unhealthy life styles in England and Spain," Economics & Human Biology, Elsevier, vol. 13(C), pages 66-75.
    14. 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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    3. Nguyen, Duyen Thuy & Donnelly, Michael & Van Hoang, Minh & O'Neill, Ciaran, 2023. "The case for individualised public health interventions: Smoking prevalence and inequalities in Northern Ireland 1985-2015," Health Policy, Elsevier, vol. 135(C).
    4. 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).

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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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