TY - JOUR
T1 - The effect of coverage of smoking-cessation aids on tobacco use
T2 - Evidence from Canada
AU - Shen, Yichen
AU - Noguchi, Haruko
N1 - Funding Information:
We greatly appreciate the comments from Akira Kawamura, Rong Fu, Cheolmin Kang, Shuhei Kaneko, Yuichi Watanabe, Sen Zeng, and Shuji Kitahara at the seminar of Waseda University. Further, we would like to express our appreciation for the meaningful comments and suggestions provided by the participants at the Japanese Health Economics Association (JHEA), Tokyo, Japan. All errors in this paper are our own. This study was financially supported by the Waseda University Research Initiatives entitled “Empirical and theoretical research for social welfare in sustainable society‐ Inheritance of human capital beyond ‘an individual’ and ‘a generation’”‐ (PI: Haruko Noguchi) and Grant‐in‐Aid for Scientific Research Project funded by the Ministry of Health, Labour and Welfare (MHLW): “Effects of the prevention policy of lifestyle‐related disease on labor productivity and macroeconomy from viewpoint of cost‐effective analysis” (PI: Haruko Noguchi). The views and opinions expressed by the independent authors in this article are provided in their capacity and are their sole responsibility.
Funding Information:
We greatly appreciate the comments from Akira Kawamura, Rong Fu, Cheolmin Kang, Shuhei Kaneko, Yuichi Watanabe, Sen Zeng, and Shuji Kitahara at the seminar of Waseda University. Further, we would like to express our appreciation for the meaningful comments and suggestions provided by the participants at the Japanese Health Economics Association (JHEA), Tokyo, Japan. All errors in this paper are our own. This study was financially supported by the Waseda University Research Initiatives entitled ?Empirical and theoretical research for social welfare in sustainable society- Inheritance of human capital beyond ?an individual? and ?a generation??- (PI: Haruko Noguchi) and Grant-in-Aid for Scientific Research Project funded by the Ministry of Health, Labour and Welfare (MHLW): ?Effects of the prevention policy of lifestyle-related disease on labor productivity and macroeconomy from viewpoint of cost-effective analysis? (PI: Haruko Noguchi). The views and opinions expressed by the independent authors in this article are provided in their capacity and are their sole responsibility.
Publisher Copyright:
© 2021 John Wiley & Sons Ltd.
PY - 2021/9
Y1 - 2021/9
N2 - In clinical trials, smoking-cessation aids (SCAs) have proven to be effective at improving the odds of smoking cessation. Because of the effectiveness of SCAs in these settings, many countries have adopted the coverage of SCAs to reduce tobacco use. However, the effect of such coverage on tobacco use is ambiguous. On one hand, the coverage may have the intended effect and reduce tobacco use. On the other hand, the coverage may cause beneficiaries to participate in tobacco use more as the drug coverage protects beneficiaries from future costs associated with tobacco use. To understand the effect of SCA coverage, we examine it using 2008–2012 Canadian Tobacco Use Monitoring Survey and a difference-in-differences approach. We find that SCA coverage increases cigarette and cigarillo use. Moreover, the effect of SCA coverage on tobacco use is stronger in men and in those with at least a college education. Our results point to the unintended consequences of the coverage of SCAs on tobacco use.
AB - In clinical trials, smoking-cessation aids (SCAs) have proven to be effective at improving the odds of smoking cessation. Because of the effectiveness of SCAs in these settings, many countries have adopted the coverage of SCAs to reduce tobacco use. However, the effect of such coverage on tobacco use is ambiguous. On one hand, the coverage may have the intended effect and reduce tobacco use. On the other hand, the coverage may cause beneficiaries to participate in tobacco use more as the drug coverage protects beneficiaries from future costs associated with tobacco use. To understand the effect of SCA coverage, we examine it using 2008–2012 Canadian Tobacco Use Monitoring Survey and a difference-in-differences approach. We find that SCA coverage increases cigarette and cigarillo use. Moreover, the effect of SCA coverage on tobacco use is stronger in men and in those with at least a college education. Our results point to the unintended consequences of the coverage of SCAs on tobacco use.
KW - difference-in-differences
KW - drug insurance
KW - ex-ante moral hazard
KW - smoking
KW - smoking-cessation aids
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U2 - 10.1002/hec.4375
DO - 10.1002/hec.4375
M3 - Article
C2 - 34128281
AN - SCOPUS:85107999948
SN - 1057-9230
VL - 30
SP - 2200
EP - 2216
JO - Health Economics (United Kingdom)
JF - Health Economics (United Kingdom)
IS - 9
ER -