Tuesday, January 22, 2013

The Youth Smoking Paradox





According to the World Health Organization, rates of tobacco-use are decreasing in developed countries and increasing in many developing countries (Kostova, 2013).  Resultantly, it has been projected that on the global scale, developing countries will be burdened with approximately 80% of all cases of tobacco-related deaths (Kostova, 2013).  At the present, a majority of the globe (174 countries) has adopted the World Health Organization’s Framework Convention for Tobacco Control, whose central focus is to control tobacco-use through increasing taxes on cigarettes, leading to increased consumer prices of cigarettes (Kostova, 2013).     

The argument that prices on cigarettes should be increased to prevent the initiation of smoking has received an incredible quantity of exposure in the media, and appears to receive an overwhelming amount of support from the public.  Less widespread however, is the criticism of the idea of raising prices on cigarettes, and opinions questioning whether or not such economic policies truly exert a powerful impact on reducing rates of smoking.

In developed countries including Britain, the United States, and Spain, studies looking at the effect of increasing prices on cigarettes with respect to smoking initiation and cessation in youth have been inconclusive, but the bulk of the cited research indicates that price increases on cigarettes are more likely to reduce rates of initiation as opposed to rates of cessation (Kostova, 2013).  This finding serves as a reminder of just how difficult it is to quit smoking following initiation, and that saving money by not purchasing cigarettes is often not the primary reason smokers choose to quit smoking.

Contrary to the predictable findings in developed countries, the findings for developing countries proved to be surprising and unpredictable.  When results from developed countries were compared with those retrieved from developing countries, it was found (overall) that youth in developing countries appeared to be less responsive to price increases in cigarettes (Kostova, 2013).  It is likely that one would have expected the opposite, because these individuals (on average) have significantly lower incomes than their counterparts in developed countries.  The direct implication of this finding is that increasing prices of cigarettes in developed countries may actually produce a more powerful downward force on smoking initiation and cessation.

In conclusion, the paradox exists in the sense that increasing prices on cigarettes appears to be the least effective in preventing smoking initiation and promoting cessation in those who have the greatest difficulty affording them.  A plausible argument in light of these findings is that raising prices on cigarettes may not actually be the most effective method of reducing rates of tobacco-use.  Perhaps a move towards educating individuals (particularly in developing countries), empowering them to make healthier life choices, may prove to be a greater contributor to tobacco control than economic policies.

References
Kostova, D. (2013). A (nearly) global look at the dynamics of youth smoking initiation and cessation: the role of cigarette prices. Applied Economics. 45(28), 3943-3951. doi: 10.1080/00036846.2012.736947