Tobacco taxation: the importance of earmarking the revenue to health care and tobacco control

Autor: Gregrory N. Connolly, Constantine I. Vardavas, Filippos T. Filippidis, Israel T. Agaku, Vasileios Mytaras, Panagiotis Behrakis, Monique Bertic, Yannis Tountas
Rok vydání: 2012
Předmět:
medicine.medical_specialty
Health (social science)
current smoking status
Population
Psychological intervention
Medicine (miscellaneous)
tobacco product
lcsh:RC254-282
Health(social science)
03 medical and health sciences
0302 clinical medicine
National Household Survey
Environmental health
Health care
medicine
Revenue
030212 general & internal medicine
Sociology
education
Public
Environmental & Occupational Health

lcsh:RC705-779
education.field_of_study
Science & Technology
030505 public health
business.industry
Research
Public health
Tobacco control
Substance Abuse
1. No poverty
Public Health
Environmental and Occupational Health

1103 Clinical Sciences
lcsh:Diseases of the respiratory system
lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
3. Good health
Health psychology
Austerity
tobacco control
PRICE
0305 other medical science
business
Greek population
Life Sciences & Biomedicine
Zdroj: Tobacco Induced Diseases
Tobacco Induced Diseases, Vol 10, Iss December (2012)
ISSN: 1617-9625
DOI: 10.1186/1617-9625-10-21
Popis: Background Increases in tobacco taxation are acknowledged to be one of the most effective tobacco control interventions. This study aimed at determining the mediating role of socioeconomical status (SES) and the earmarking of revenue to healthcare and tobacco control, in influencing population support for the adoption of a 2 Euro tobacco tax increase in Greece, amid the challenging economic environment and current austerity measures. Methods Data was collected from two national household surveys, the “Hellas Health III” survey, conducted in October 2010 and the "Hellas Tobacco survey” conducted in September 2012. Data was analyzed from 694 and 1066 respondents aged 18 years or more, respectively. Logistic regression models were fitted to measure the adjusted relationship between socio-economic factors for the former, and support for increased taxation on tobacco products for the latter. Results In 2012 amidst the Greek financial crisis, population support for a flat two euro tax increase reached 72.1%, if earmarked for health care and tobacco control, a percentage high both among non-smokers (76%) and smokers (64%) alike. On the contrary, when not earmarked, only 43.6% of the population was in support of the equivalent increase. Women were more likely to change their mind and support a flat two-euro increase if the revenue was earmarked for health care and tobacco control (aOR = 1.70; 95% C.I: 1.22-2.38, p = 0.002). Furthermore, support for an increase in tobacco taxation was not associated with SES and income. Conclusions Despite dire austerity measures in Greece, support for an increase in tobacco taxation was high among both smokers and non-smokers, however, only when specifically earmarked towards health care and tobacco control. This should be taken into account not only in Greece, but within all countries facing social and economic reform.
Databáze: OpenAIRE