Miguel Ángel Del Arco-Osuna, Alejandro Almeida, Aida Galiano, Juan Manuel Martín-Álvarez
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Unlike its negative impact on cigarette sales (−0.075%), unemployment has a positive effect on Roll-Your-Own (RYO), pipe tobacco, and cigars. A 1% increase in unemployment raises sales of these alternative products by 0.31%, 0.48% and 0.29%, respectively, suggesting that economic downturns push consumers toward cheaper substitutes, also perceived as less harmful, rather than leading to a complete reduction in tobacco use. The inclusion of real cigarette prices confirms that higher prices—often driven by taxation—are associated with reduced cigarette sales and a shift toward alternative tobacco products, supporting evidence of a substitution effect during periods of economic downturns. Additionally, factors such as life expectancy and demographic aging significantly influence consumption patterns across all tobacco products. These findings highlight the need for differentiated anti-smoking policies, as uniform regulations may fail to address product-specific shifts driven by economic cycles.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 9","pages":"1648-1662"},"PeriodicalIF":2.4000,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4981","citationCount":"0","resultStr":"{\"title\":\"Socio-Economic Evolution and Tobacco Products Sales in Spain: A Long-Term Analysis of the Tobacco Kuznets Curve\",\"authors\":\"Miguel Ángel Del Arco-Osuna, Alejandro Almeida, Aida Galiano, Juan Manuel Martín-Álvarez\",\"doi\":\"10.1002/hec.4981\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>This article examines the relationship between economic development and tobacco consumption in Spain, using the Kuznets Curve framework. Drawing on panel data from Spanish provinces (2002–2021), the findings confirm that GDP has a non-linear effect on cigarette consumption. A 1% increase in GDP initially is positively associated with an increase in cigarette sales by 2.31%, but at higher income levels, cigarettes sales decrease (−0.24%), reflecting changing consumption dynamics as economies develop, which corroborates the existence of the Tobacco Kuznets Curve (TKC). Beyond GDP, we examine the role of unemployment in shaping tobacco consumption patterns, focusing on product substitution effects. Unlike its negative impact on cigarette sales (−0.075%), unemployment has a positive effect on Roll-Your-Own (RYO), pipe tobacco, and cigars. A 1% increase in unemployment raises sales of these alternative products by 0.31%, 0.48% and 0.29%, respectively, suggesting that economic downturns push consumers toward cheaper substitutes, also perceived as less harmful, rather than leading to a complete reduction in tobacco use. The inclusion of real cigarette prices confirms that higher prices—often driven by taxation—are associated with reduced cigarette sales and a shift toward alternative tobacco products, supporting evidence of a substitution effect during periods of economic downturns. Additionally, factors such as life expectancy and demographic aging significantly influence consumption patterns across all tobacco products. 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Socio-Economic Evolution and Tobacco Products Sales in Spain: A Long-Term Analysis of the Tobacco Kuznets Curve
This article examines the relationship between economic development and tobacco consumption in Spain, using the Kuznets Curve framework. Drawing on panel data from Spanish provinces (2002–2021), the findings confirm that GDP has a non-linear effect on cigarette consumption. A 1% increase in GDP initially is positively associated with an increase in cigarette sales by 2.31%, but at higher income levels, cigarettes sales decrease (−0.24%), reflecting changing consumption dynamics as economies develop, which corroborates the existence of the Tobacco Kuznets Curve (TKC). Beyond GDP, we examine the role of unemployment in shaping tobacco consumption patterns, focusing on product substitution effects. Unlike its negative impact on cigarette sales (−0.075%), unemployment has a positive effect on Roll-Your-Own (RYO), pipe tobacco, and cigars. A 1% increase in unemployment raises sales of these alternative products by 0.31%, 0.48% and 0.29%, respectively, suggesting that economic downturns push consumers toward cheaper substitutes, also perceived as less harmful, rather than leading to a complete reduction in tobacco use. The inclusion of real cigarette prices confirms that higher prices—often driven by taxation—are associated with reduced cigarette sales and a shift toward alternative tobacco products, supporting evidence of a substitution effect during periods of economic downturns. Additionally, factors such as life expectancy and demographic aging significantly influence consumption patterns across all tobacco products. These findings highlight the need for differentiated anti-smoking policies, as uniform regulations may fail to address product-specific shifts driven by economic cycles.
期刊介绍:
This Journal publishes articles on all aspects of health economics: theoretical contributions, empirical studies and analyses of health policy from the economic perspective. Its scope includes the determinants of health and its definition and valuation, as well as the demand for and supply of health care; planning and market mechanisms; micro-economic evaluation of individual procedures and treatments; and evaluation of the performance of health care systems.
Contributions should typically be original and innovative. As a rule, the Journal does not include routine applications of cost-effectiveness analysis, discrete choice experiments and costing analyses.
Editorials are regular features, these should be concise and topical. Occasionally commissioned reviews are published and special issues bring together contributions on a single topic. Health Economics Letters facilitate rapid exchange of views on topical issues. Contributions related to problems in both developed and developing countries are welcome.