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Cigarette affordability in the Eastern Mediterranean Region.

Miriam R P Gordon1, Anne-Marie Perucic2, Robert Angelo P Totanes2

  • 1World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt.

Eastern Mediterranean Health Journal = La Revue De Sante De La Mediterranee Orientale = Al-Majallah Al-Sihhiyah Li-Sharq Al-Mutawassit
|February 12, 2020
PubMed
Summary

Cigarettes are more affordable in the Eastern Mediterranean Region (EMR) than globally, potentially explaining rising smoking rates. This trend persists despite some convergence, highlighting the need for tobacco control measures.

Keywords:
economicssmokingtaxationtobacco

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Area of Science:

  • Public Health
  • Health Economics
  • Tobacco Control

Background:

  • The Eastern Mediterranean Region (EMR) faces increasing male smoking prevalence, unique among WHO regions.
  • A gap exists in regional analyses of cigarette affordability within the EMR.

Purpose of the Study:

  • To compare cigarette affordability across different brands and income groups in the EMR versus the rest of the world.
  • To analyze affordability trends in 2008 and 2018.

Main Methods:

  • Affordability calculated as the percentage of GDP per capita required to buy 2000 cigarette sticks.
  • Comparative analysis by income group for EMR and non-EMR countries.

Main Results:

  • Cigarettes have historically been more affordable in the EMR across all income groups and brand types.
  • This affordability gap persists, though some convergence was observed between 2008 and 2018.

Conclusions:

  • Higher cigarette affordability in the EMR may contribute to its rising tobacco prevalence.
  • Continued implementation of Article 6 of the WHO Framework Convention on Tobacco Control is recommended.