Evaluation of Tobacco Control Measures in the Organization for Economic Co-operation and Development Countries: A Comparative Study Using Data Envelopment Analysis

  • سال انتشار: 1400
  • محل انتشار: مجله تحقیقات در علوم سلامت، دوره: 21، شماره: 3
  • کد COI اختصاصی: JR_JRHSU-21-3_002
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 102
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نویسندگان

Majid Safaei Lari

MSc, Department of Health Management, Policy, and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

Behzad Raei

PhD, Department of Health Management, Policy, and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

Pedram Nourizadeh Tehrani

MSc, Department of Health Management, Policy, and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

Amirhossein Takian

MD, pHD, Department of Health Management, Policy, and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran- Department of Global Health and Public Policy, School of Public Health, Tehran University of Medical Sciences, T

چکیده

Background: This study aimed to measure the efficiency and productivity of tobacco controlpolicies across ۱۶ selected Organization for Economic Co-operation and Development (OECD)countries from ۲۰۰۸ to ۲۰۱۴.Study design: A panel-data study.Methods: Data envelopment analysis was used in this study. Taxation on tobacco products andpictorial warning labels were chosen as the inputs. Percentage of the population of daily smokersabove ۱۵ years old and the number of cigarettes used per smoker per day were output variables.Additionally, the Malmquist total factor productivity (TFP) was used to analyze the panel data andmeasure productivity change and technical efficiency changes over time.Results: The highest technical efficiency score (۱.۰۵) was attributed to Norway, while the lowest(۰.۹۱) belonged to the UK. Technological change with a total mean of ۱.۰۶ implied that thetechnology and creativity have increased, while countries have been able to promote their creativityover the studied period. Norway with the TFP score of ۱.۱۵ was the most productive country, whilethe UK and Turkey with TFP scores of ۰.۹۵ and ۰.۹۸, respectively, were the least productivecountries in terms of the implementation of the tobacco control policies.Conclusions: Most OECD countries have productively implemented tax and pictorial warningpolicies to reduce tobacco use. To achieve the optimum outcome of the tobacco control policiesand overcome the challenges of smoking use, countries need to tackle the difficult underlyingfactors, i.e. tobacco industry opposition and lobbyists, smuggling, and low socioeconomic status.

کلیدواژه ها

Efficiency, OECD, Taxes, Tobacco use

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