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Distributional health and financial benefits of increased tobacco taxes in Colombia: results from a modelling study

机译:哥伦比亚增加烟草税的分配健康和经济效益:造型研究的结果

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Background In Colombia, smoking is the second leading modifiable risk factor for premature mortality. In December 2016, Colombia passed a major tax increase on tobacco products in an effort to decrease smoking and improve population health. While tobacco taxes are known to be highly effective in reducing the prevalence of smoking, they are often criticised as being regressive in consumption. This analysis attempts to assess the distributional impact (across socioeconomic groups) of the new tax on selected health and financial outcomes.Methods This study builds on extended cost-effectiveness analysis methods to study the new tobacco tax in Colombia, and estimates, over a time period of 20 years and across income quintiles of the current urban population (80% of the country population), the years of life gained with smoking cessation and the increased tax revenues, all associated with a 70% relative price increase of the pack of cigarettes. Where possible, we use parameters that vary by income quintile, including price elasticity of demand for cigarettes (average of -0.44 estimated from household survey data).Findings Over 20 years, the tax increase would lead to an estimated 191000 years of life gained among Colombia's current urban population, with the largest gains among the bottom two income quintiles. The additional annual tax revenues raised would amount to about 2%-4% of Colombia's annual government health expenditure, with the poorest quintiles bearing the smallest tax burden increase.Conclusions The tobacco tax increase passed by Colombia has substantial implications for the country's population health and financial well-being, with large benefits likely to accrue to the two poorest quintiles of the population.
机译:背景技术在哥伦比亚,吸烟是过早死亡率的第二个可修改的危险因素。 2016年12月,哥伦比亚通过了烟草产品的主要税收增加,以减少吸烟,改善人口健康。虽然众所周知,虽然烟草税收在减少吸烟的患病率方面非常有效,但它们通常被批评为消费的回归。该分析试图评估所选健康和金融成果的新税项的分布影响(跨社会经济群体)。这项研究建立了延长成本效益分析方法,以研究哥伦比亚新​​的烟草税,以及一段时间的估计目前城市人口(占国家人口80%)的20年和跨越的收入五分之一,患有吸烟停止和增加的税收收入,所有与税收的含量增加70% 。在可能的情况下,我们使用收入五分之一的参数,包括卷烟需求的价格弹性(平均为-0.44估计,从家庭调查数据估计).Findings超过20年,税收增加将导致估计在191000年的生命中获得哥伦比亚目前的城市人口,底部两个收入五分岩中最大的收益。提出的额外年度税收收入将达到哥伦比亚年度政府卫生支出的约2%-4%,其中最贫穷的Quintiles增加了最小的税收负担.Conclusions通过哥伦比亚通过的烟草税收增加对该国的人口健康有很大影响金融福祉,具有巨大的益处,可能会累积到人口中最贫困的五盏岛。

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