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对吸烟禁令的动态响应:来自一个发展中国家年轻成年人的证据

Dynamic responses to smoking bans: Evidence from young adults in a developing country
Journal of Development Economics · 2024 · Camila Steffens、Paula Carvalho Pereda

中文摘要

尽管关于吸烟禁令能否有效降低吸烟率的证据不一,此类禁令仍已得到广泛实施。本文以巴西为背景,就吸烟禁令的动态影响提供了新的见解。巴西是一个大型发展中国家,2013年有1840万经常吸烟者。我们的估计策略采用事件研究框架,利用巴西各州首府全面吸烟禁令的交错(分批)实施进行识别。我们还利用了各城市政策执行力度的差异。结果表明,禁令使年轻成年人的吸烟率降低了18%,且在严格执行时效果尤为明显。这一效应主要由戒烟所驱动,而对开始吸烟的影响相对较小。这项政策变化使实施禁令的城市避免了约8700万美元的医疗保健成本。

Abstract

Smoking bans have been widely implemented, despite mixed evidence on their effectiveness in reducing smoking prevalence. This paper provides novel insights into the dynamic impacts of smoking bans in the context of Brazil, a large developing country with 18.4 million regular smokers in 2013. Our estimation strategy exploits the staggered implementation of comprehensive smoking bans in Brazilian state capitals using an event-study framework. We also leverage the variation in policy enforcement across cities. Our results indicate that bans reduced smoking prevalence by 18% among young adults, particularly when rigorously enforced. This effect is primarily driven by smoking cessation , while the impact on initiation is relatively modest. This policy change prevented roughly USD 87 million in healthcare costs in the treated cities.
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