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Tobacco control campaign in Uruguay: Impact on smoking cessation during pregnancy and birth weight

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  • Harris, Jeffrey E.
  • Balsa, Ana Inés
  • Triunfo, Patricia

Abstract

We analyzed a nationwide registry of all pregnancies in Uruguay during 2007–2013 to assess the impact of three types of tobacco control policies: (1) provider-level interventions aimed at the treatment of nicotine dependence, (2) national-level increases in cigarette taxes, and (3) national-level non-price regulation of cigarette packaging and marketing. We estimated models of smoking cessation during pregnancy at the individual, provider and national levels. The rate of smoking cessation during pregnancy increased from 15.4% in 2007 to 42.7% in 2013. National-level non-price policies had the largest estimated impact on cessation. The price response of the tobacco industry attenuated the effects of tax increases. While provider-level interventions had a significant effect, they were adopted by relatively few health centers. Quitting during pregnancy increased birth weight by an estimated 188g. Tobacco control measures had no effect on the birth weight of newborns of non-smoking women.

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  • Harris, Jeffrey E. & Balsa, Ana Inés & Triunfo, Patricia, 2015. "Tobacco control campaign in Uruguay: Impact on smoking cessation during pregnancy and birth weight," Journal of Health Economics, Elsevier, vol. 42(C), pages 186-196.
    • Handle: RePEc:eee:jhecon:v:42:y:2015:i:c:p:186-196
    DOI: 10.1016/j.jhealeco.2015.04.002
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    More about this item

    Keywords

    Economic evaluation; Cigarette taxes; Package warnings; Advertising bans; Tobacco control;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • D12 - Microeconomics - - Household Behavior - - - Consumer Economics: Empirical Analysis

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