Gender differences in the price elasticity of demand for waterpipe and cigarette smoking in Lebanon, Jordan and Palestine: a volumetric choice experiment

Objectives This study assessed the extent to which the elasticity of cigarette and waterpipe tobacco products differs between men and women. We also explored the levels of substitution and complementarity in tobacco products among men and women.Setting The study examines tobacco elasticities in thre...

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Main Authors: Ramzi G Salloum, Mohammed Jawad, Aya Mostafa, Yousef Khader, Rima Nakkash, Niveen ME Abu-Rmeileh, Ali Chalak, Ruba Abla, Sameera Awawda
Format: Article
Language:English
Published: BMJ Publishing Group 2022-07-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/7/e058495.full
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author Ramzi G Salloum
Mohammed Jawad
Aya Mostafa
Yousef Khader
Rima Nakkash
Niveen ME Abu-Rmeileh
Ali Chalak
Ruba Abla
Sameera Awawda
author_facet Ramzi G Salloum
Mohammed Jawad
Aya Mostafa
Yousef Khader
Rima Nakkash
Niveen ME Abu-Rmeileh
Ali Chalak
Ruba Abla
Sameera Awawda
author_sort Ramzi G Salloum
collection DOAJ
description Objectives This study assessed the extent to which the elasticity of cigarette and waterpipe tobacco products differs between men and women. We also explored the levels of substitution and complementarity in tobacco products among men and women.Setting The study examines tobacco elasticities in three Arab countries: Lebanon, Jordan and the West Bank of Palestine.Participants We used data from nationally representative surveys of adults aged ≥18 years in Lebanon (n=1680), Jordan (n=1925) and Palestine (n=1679). The proportion of women was 50.0% of the sample in Lebanon and Palestine, and 44.6% in Jordan.Primary and secondary outcome measures A zero-inflated Poisson regression model estimated own-price and cross-price elasticities for two variations of cigarettes and five variations of waterpipe tobacco products. Elasticities were measured based on eight scenarios of prices.Results Demand for waterpipe tobacco products was elastic for both men and women. The cross-price elasticities in the three countries indicate the existence of substitution between cigarettes and waterpipe products and by different varieties within each of the two tobacco products. Gender differences varied across the three countries whereby higher cross-price elasticities were observed for women in Jordan and Palestine. For example, the price elasticity for discount waterpipe was −1.4 and −0.6 for women and men in Jordan, respectively.Conclusions Results on the elasticity of demand for tobacco products and the existence of substitution between tobacco products reveal the higher responsiveness of men and women to changes in tobacco prices. This should be taken into consideration in tobacco control strategies particularly when reducing tobacco consumption via taxation policies.
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spelling doaj-art-debc2f6d19a14d97b06d2a5e782e14d52025-01-30T14:35:10ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2021-058495Gender differences in the price elasticity of demand for waterpipe and cigarette smoking in Lebanon, Jordan and Palestine: a volumetric choice experimentRamzi G Salloum0Mohammed Jawad1Aya Mostafa2Yousef Khader3Rima Nakkash4Niveen ME Abu-Rmeileh5Ali Chalak6Ruba Abla7Sameera Awawda8Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, Florida, USAPublic Health Policy Evaluation Unit, Imperial College London, London, UK5 Department of Community, Environmental, and Occupational Medicine, Faculty of Medicine, Faculty of Medicine, Ain Shams University, Cairo, EgyptDepartment of Community Medicine, Public Health and Family Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan5 Global and Community Health Department, George Mason University, Fairfax, Virginia, USAInstitute of Community and Public Health, Birzeit University, Ramallah, Palestine, State ofDepartment of Agriculture, Faculty of Agricultural and Food Sciences, American University of Beirut, Beirut, Lebanon, Beirut, LebanonDepartment of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, Beirut, LebanonEconomics Department, Birzeit University, Ramallah, Palestine, State ofObjectives This study assessed the extent to which the elasticity of cigarette and waterpipe tobacco products differs between men and women. We also explored the levels of substitution and complementarity in tobacco products among men and women.Setting The study examines tobacco elasticities in three Arab countries: Lebanon, Jordan and the West Bank of Palestine.Participants We used data from nationally representative surveys of adults aged ≥18 years in Lebanon (n=1680), Jordan (n=1925) and Palestine (n=1679). The proportion of women was 50.0% of the sample in Lebanon and Palestine, and 44.6% in Jordan.Primary and secondary outcome measures A zero-inflated Poisson regression model estimated own-price and cross-price elasticities for two variations of cigarettes and five variations of waterpipe tobacco products. Elasticities were measured based on eight scenarios of prices.Results Demand for waterpipe tobacco products was elastic for both men and women. The cross-price elasticities in the three countries indicate the existence of substitution between cigarettes and waterpipe products and by different varieties within each of the two tobacco products. Gender differences varied across the three countries whereby higher cross-price elasticities were observed for women in Jordan and Palestine. For example, the price elasticity for discount waterpipe was −1.4 and −0.6 for women and men in Jordan, respectively.Conclusions Results on the elasticity of demand for tobacco products and the existence of substitution between tobacco products reveal the higher responsiveness of men and women to changes in tobacco prices. This should be taken into consideration in tobacco control strategies particularly when reducing tobacco consumption via taxation policies.https://bmjopen.bmj.com/content/12/7/e058495.full
spellingShingle Ramzi G Salloum
Mohammed Jawad
Aya Mostafa
Yousef Khader
Rima Nakkash
Niveen ME Abu-Rmeileh
Ali Chalak
Ruba Abla
Sameera Awawda
Gender differences in the price elasticity of demand for waterpipe and cigarette smoking in Lebanon, Jordan and Palestine: a volumetric choice experiment
BMJ Open
title Gender differences in the price elasticity of demand for waterpipe and cigarette smoking in Lebanon, Jordan and Palestine: a volumetric choice experiment
title_full Gender differences in the price elasticity of demand for waterpipe and cigarette smoking in Lebanon, Jordan and Palestine: a volumetric choice experiment
title_fullStr Gender differences in the price elasticity of demand for waterpipe and cigarette smoking in Lebanon, Jordan and Palestine: a volumetric choice experiment
title_full_unstemmed Gender differences in the price elasticity of demand for waterpipe and cigarette smoking in Lebanon, Jordan and Palestine: a volumetric choice experiment
title_short Gender differences in the price elasticity of demand for waterpipe and cigarette smoking in Lebanon, Jordan and Palestine: a volumetric choice experiment
title_sort gender differences in the price elasticity of demand for waterpipe and cigarette smoking in lebanon jordan and palestine a volumetric choice experiment
url https://bmjopen.bmj.com/content/12/7/e058495.full
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