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The health effects of smoking bans: Evidence from German hospitalization data

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  • Kvasnicka, Michael
  • Siedler, Thomas
  • Ziebarth, Nicolas

Abstract

This paper studies the short-term impact of public smoking bans on hospitalizations in Germany. It exploits the staggered implementation of smoking bans over time and across the 16 federal states along with the universe of hospitalizations from 2000-2008 and daily county-level weather and pollution data. Smoking bans in bars and restaurants have been effective in preventing 1.9 hospital admissions (-2.1%) due to cardiovascular diseases per day, per 1 million population. We also find a decrease by 0.5 admissions (-6.5%) due to asthma per day, per 1 million population. The health prevention effects are more pronounced on sunny days and days with higher ambient pollution levels.

Suggested Citation

  • Kvasnicka, Michael & Siedler, Thomas & Ziebarth, Nicolas, 2018. "The health effects of smoking bans: Evidence from German hospitalization data," hche Research Papers 16, University of Hamburg, Hamburg Center for Health Economics (hche).
    • Handle: RePEc:zbw:hcherp:201816
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    1. Rajeev Dehejia & Adriana Lleras-Muney, 2004. "Booms, Busts, and Babies' Health," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 119(3), pages 1091-1130.
    2. Kevin Callison & Robert Kaestner, 2014. "Do Higher Tobacco Taxes Reduce Adult Smoking? New Evidence Of The Effect Of Recent Cigarette Tax Increases On Adult Smoking," Economic Inquiry, Western Economic Association International, vol. 52(1), pages 155-172, January.
    3. Daniel Kuehnle & Christoph Wunder, 2017. "The Effects of Smoking Bans on Self‐Assessed Health: Evidence from Germany," Health Economics, John Wiley & Sons, Ltd., vol. 26(3), pages 321-337, March.
    4. Kanaka D. Shetty & Thomas DeLeire & Chapin White & Jayanta Bhattacharya, 2011. "Changes in U.S. hospitalization and mortality rates following smoking bans," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 30(1), pages 6-28, December.
    5. Ruhm, Christopher J., 2005. "Healthy living in hard times," Journal of Health Economics, Elsevier, vol. 24(2), pages 341-363, March.
    6. Lillard, Dean R. & Molloy, Eamon & Sfekas, Andrew, 2013. "Smoking initiation and the iron law of demand," Journal of Health Economics, Elsevier, vol. 32(1), pages 114-127.
    7. Jérôme Adda & Francesca Cornaglia, 2010. "The Effect of Bans and Taxes on Passive Smoking," American Economic Journal: Applied Economics, American Economic Association, vol. 2(1), pages 1-32, January.
    8. Carpenter, Christopher & Cook, Philip J., 2008. "Cigarette taxes and youth smoking: New evidence from national, state, and local Youth Risk Behavior Surveys," Journal of Health Economics, Elsevier, vol. 27(2), pages 287-299, March.
    9. Göhlmann, Silja & Schmidt, Christoph M., 2008. "Smoking in Germany: Stylized Facts, Behavioral Models, and Health Policy," Ruhr Economic Papers 64, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    10. Marianne P. Bitler & Christopher S. Carpenter & Madeline Zavodny, 2010. "Effects of venue‐specific state clean indoor air laws on smoking‐related outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 19(12), pages 1425-1440, December.
    11. Jonathan Gruber, 2001. "Tobacco at the Crossroads: The Past and Future of Smoking Regulation in the United States," Journal of Economic Perspectives, American Economic Association, vol. 15(2), pages 193-212, Spring.
    12. Anger, Silke & Kvasnicka, Michael & Siedler, Thomas, 2011. "One Last Puff? Public Smoking Bans and Smoking Behavior," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 30(3), pages 591-601.
    13. repec:pri:cheawb:adriana_booms.pdf is not listed on IDEAS
    14. Rosemary Avery & Donald Kenkel & Dean R. Lillard & Alan Mathios, 2007. "Private Profits and Public Health: Does Advertising of Smoking Cessation Products Encourage Smokers to Quit?," Journal of Political Economy, University of Chicago Press, vol. 115(3), pages 447-481.
    15. Christopher Ruhm, 2007. "A healthy economy can break your heart," Demography, Springer;Population Association of America (PAA), vol. 44(4), pages 829-848, November.
    16. Lovenheim, Michael F., 2008. "How Far to the Border?: The Extent and Impact of Cross-Border Casual Cigarette Smuggling," National Tax Journal, National Tax Association;National Tax Journal, vol. 61(1), pages 7-33, March.
    17. Odermatt, Reto & Stutzer, Alois, 2015. "Smoking bans, cigarette prices and life satisfaction," Journal of Health Economics, Elsevier, vol. 44(C), pages 176-194.
    18. Ruhm, Christopher J. & Black, William E., 2002. "Does drinking really decrease in bad times?," Journal of Health Economics, Elsevier, vol. 21(4), pages 659-678, July.
    19. Benjamin Hansen & Joseph J. Sabia & Daniel I. Rees, 2017. "Have Cigarette Taxes Lost Their Bite? New Estimates of the Relationship between Cigarette Taxes and Youth Smoking," American Journal of Health Economics, MIT Press, vol. 3(1), pages 60-75, Winter.
    20. Olivier Deschênes & Enrico Moretti, 2009. "Extreme Weather Events, Mortality, and Migration," The Review of Economics and Statistics, MIT Press, vol. 91(4), pages 659-681, November.
    21. Austan Goolsbee & Michael F. Lovenheim & Joel Slemrod, 2010. "Playing with Fire: Cigarettes, Taxes, and Competition from the Internet," American Economic Journal: Economic Policy, American Economic Association, vol. 2(1), pages 131-154, February.
    22. DeCicca, Philip & Kenkel, Don & Mathios, Alan, 2008. "Cigarette taxes and the transition from youth to adult smoking: Smoking initiation, cessation, and participation," Journal of Health Economics, Elsevier, vol. 27(4), pages 904-917, July.
    23. Michael Kvasnicka & Harald Tauchmann, 2012. "Much ado about nothing? Smoking bans and Germany's hospitality industry," Applied Economics, Taylor & Francis Journals, vol. 44(35), pages 4539-4551, December.
    24. DeCicca, Philip & Kenkel, Donald & Liu, Feng, 2013. "Excise tax avoidance: The case of state cigarette taxes," Journal of Health Economics, Elsevier, vol. 32(6), pages 1130-1141.
    25. Courtemanche, Charles, 2009. "Rising cigarette prices and rising obesity: Coincidence or unintended consequence?," Journal of Health Economics, Elsevier, vol. 28(4), pages 781-798, July.
    26. Jonathan Gruber & Sendhil Mullainathan, 2006. "Do Cigarette Taxes Make Smokers Happier?," Palgrave Macmillan Books, in: Yew-Kwang Ng & Lok Sang Ho (ed.), Happiness and Public Policy, chapter 6, pages 109-146, Palgrave Macmillan.
    27. David M. Cutler & Edward L. Glaeser, 2009. "Why Do Europeans Smoke More than Americans?," NBER Chapters, in: Developments in the Economics of Aging, pages 255-282, National Bureau of Economic Research, Inc.
    28. Marianne Bertrand & Esther Duflo & Sendhil Mullainathan, 2004. "How Much Should We Trust Differences-In-Differences Estimates?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 119(1), pages 249-275.
    29. Matthew C. Farrelly & William N. Evans & Edward Montgomery, 1999. "Do Workplace Smoking Bans Reduce Smoking?," American Economic Review, American Economic Association, vol. 89(4), pages 728-747, September.
    30. Christopher Carpenter & Sabina Postolek & Casey Warman, 2011. "Public-Place Smoking Laws and Exposure to Environmental Tobacco Smoke (ETS)," American Economic Journal: Economic Policy, American Economic Association, vol. 3(3), pages 35-61, August.
    31. Wehby, George L. & Courtemanche, Charles J., 2012. "The heterogeneity of the cigarette price effect on body mass index," Journal of Health Economics, Elsevier, vol. 31(5), pages 719-729.
    32. Karlsson, Martin & Ziebarth, Nicolas R., 2018. "Population health effects and health-related costs of extreme temperatures: Comprehensive evidence from Germany," Journal of Environmental Economics and Management, Elsevier, vol. 91(C), pages 93-117.
    33. Friedman, Abigail S., 2015. "How does electronic cigarette access affect adolescent smoking?," Journal of Health Economics, Elsevier, vol. 44(C), pages 300-308.
    34. Andrew M. Jones & Audrey Laporte & Nigel Rice & Eugenio Zucchelli, 2015. "Do Public Smoking Bans have an Impact on Active Smoking? Evidence from the UK," Health Economics, John Wiley & Sons, Ltd., vol. 24(2), pages 175-192, February.
    35. Kyle Rozema & Nicolas R. Ziebarth, 2017. "Taxing Consumption and the Take-up of Public Assistance: The Case of Cigarette Taxes and Food Stamps," Journal of Law and Economics, University of Chicago Press, vol. 60(1), pages 1-27.
    36. Philip DeCicca & Donald Kenkel & Alan Mathios, 2002. "Putting Out the Fires: Will Higher Taxes Reduce the Onset of Youth Smoking?," Journal of Political Economy, University of Chicago Press, vol. 110(1), pages 144-169, February.
    37. repec:pri:cheawb:adriana_booms is not listed on IDEAS
    38. Gruber, Jonathan & Sen, Anindya & Stabile, Mark, 2003. "Estimating price elasticities when there is smuggling: the sensitivity of smoking to price in Canada," Journal of Health Economics, Elsevier, vol. 22(5), pages 821-842, September.
    39. Adams, Scott & Cotti, Chad, 2008. "Drunk driving after the passage of smoking bans in bars," Journal of Public Economics, Elsevier, vol. 92(5-6), pages 1288-1305, June.
    40. Gruber, Jonathan & Koszegi, Botond, 2004. "Tax incidence when individuals are time-inconsistent: the case of cigarette excise taxes," Journal of Public Economics, Elsevier, vol. 88(9-10), pages 1959-1987, August.
    41. Jérôme Adda & Francesca Cornaglia, 2006. "Taxes, Cigarette Consumption, and Smoking Intensity," American Economic Review, American Economic Association, vol. 96(4), pages 1013-1028, September.
    42. Benjamin Hansen & Joseph J. Sabia & Daniel I. Rees, 2017. "Have Cigarette Taxes Lost Their Bite? New Estimates of the Relationship between Cigarette Taxes and Youth Smoking," American Journal of Health Economics, University of Chicago Press, vol. 3(1), pages 60-75, Winter.
    43. Jérôme Adda & Francesca Cornaglia, 2010. "Passive smoking: the effect of bans and taxes," CentrePiece - The magazine for economic performance 315, Centre for Economic Performance, LSE.
    44. Gruber, Jonathan & Frakes, Michael, 2006. "Does falling smoking lead to rising obesity?," Journal of Health Economics, Elsevier, vol. 25(2), pages 183-197, March.
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    3. Michael A. Catalano & Donna B. Gilleskie, 2021. "Impacts of local public smoking bans on smoking behaviors and tobacco smoke exposure," Health Economics, John Wiley & Sons, Ltd., vol. 30(8), pages 1719-1744, August.
    4. Gregor Pfeifer & Mirjam Reutter & Kristina Strohmaier, 2020. "Goodbye Smokers’ Corner: Health Effects of School Smoking Bans," Journal of Human Resources, University of Wisconsin Press, vol. 55(3), pages 1068-1104.
    5. Martin Lange & Ole Monscheuer, 2022. "Spreading the disease: Protest in times of pandemics," Health Economics, John Wiley & Sons, Ltd., vol. 31(12), pages 2664-2679, December.
    6. Cornelia Chadi, 2022. "Smoking Bans, Leisure Time and Subjective Well-being," Journal of Happiness Studies, Springer, vol. 23(8), pages 3765-3797, December.
    7. McGeary, Kerry Anne & Dave, Dhaval M. & Lipton, Brandy & Roeper, Timothy, 2019. "Impact of Comprehensive Smoking Bans on the Health of Infants and Children: Evidence from the U.S," IZA Discussion Papers 12194, Institute of Labor Economics (IZA).
    8. Sen Zeng & Haruko Noguchi & Satoru Shimokawa, 2019. "Partial Smoking Ban and Secondhand Smoke Exposure in Japan," IJERPH, MDPI, vol. 16(15), pages 1-13, August.
    9. Hansoo Ko, 2020. "The effect of outdoor smoking ban: Evidence from Korea," Health Economics, John Wiley & Sons, Ltd., vol. 29(3), pages 278-293, March.
    10. Martina Celidoni & Luca Pieroni & Luca Salmasi, 2020. "Further Evidence on the Effect of Clean Indoor Air Laws on Smoking: The Italian Case," Southern Economic Journal, John Wiley & Sons, vol. 86(3), pages 1110-1132, January.

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    More about this item

    Keywords

    smoking bans; health effects; hospital admissions; second-hand smoke;
    All these keywords.

    JEL classification:

    • D12 - Microeconomics - - Household Behavior - - - Consumer Economics: Empirical Analysis
    • H19 - Public Economics - - Structure and Scope of Government - - - Other
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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