Tobacco taxes can save the next generation in the Eastern Mediterranean Region.

Abstract

Background: Tobacco use remains a significant challenge to public health in the Eastern Mediterranean Region (EMR), particularly among adolescents, despite various control measures implemented by countries.

Aim: To evaluate the effectiveness of tobacco taxation policies in reducing consumption among adolescents in the EMR and identify optimal tax structures and enforcement strategies.

Methods: We analysed data from the Global Youth Tobacco Survey and the Global Tobacco Control Report up to 2023 to assess prevalence of tobacco use among adolescents, access to tobacco products, and types of taxes imposed by EMR countries. Literature reviews were conducted to examine global evidence on tobacco taxation effectiveness.

Results: The analysis revealed high accessibility of tobacco products by adolescents in the EMR, with over 50% having easy access to cigarettes. Enforcement of age-related regulations was lacking. Effective tobacco taxation, with high and uniform excise taxes, emerged as a crucial measure for reducing tobacco use among adolescents.

Conclusion: Implementation and enforcement of tobacco taxation policies are vital to curb tobacco use among adolescents in the EMR. Comprehensive taxation strategies that limit affordability and accessibility, in line with WHO recommendations, can help mitigate the health burdens due to tobacco use among adolescents.