Club Convergence in Cigarette Consumption and Health Policies in Pre-Pandemic Period
Pandemi Öncesi Dönemde Sigara Tüketimindeki Kulüp Yakınsaması ve Sağlık Politikaları

Abdullah TİRGİL [1] , Muhammed Şehid GÖRÜŞ [2] , Önder ÖZGÜR [3]


Aim: Turkey introduced price and non-price measures in recent years to reduce smoking. The government banned smoking in all enclosed workplaces and public places. Then, they extended the ban to include all restaurants, cafeterias, and the hospitality sector in 2009 and increased the Special Consumption Tax dramatically on tobacco products by 20 percent in 2010. This study aims to examine regional disparities in cigarette consumption across Turkish cities employing provincial-level data by utilizing a club convergence test. Material and Methods: We report some descriptive results for the smoking trend for sub-regions of Turkey. Then, we explore regional disparities in smoking across Turkish provinces, employing monthly provincial-level data, through a club convergence test in pre-pandemic period, 2009-2017. Results: Our results suggest that the initial effects of the anti-tobacco policies resulted in a substantial decline in smoking. It seems that distinct regions behave differently to the policy changes in a way that some areas reduce their cigarette consumption considerably while some regions did not. Club convergence test results demonstrate that it is not proper to conduct a common tobacco control policy in Turkey since there is more than one convergence club in the analyses. Conclusion: We encourage authorities to decentralize power by including local agencies and municipalities in enforcing the anti-tobacco law. We urge authorities to take different policy measures for different regions. Besides, from a pandemic perspective, one can argue that the regional disparities in cigarette consumption is also a signal for the need of diversified health policies across regions in Turkey.
Amaç: Türkiye son yıllarda tütün talebinin azaltılmasında özellikle fiyat önlemleri ve fiyat dışı önlemler olmak üzere iki çeşit politika uygulamıştır. Hükümet, öncelikle kapalı tüm işyerlerinde ve halka açık yerlerde sigara içilmesini yasakladı. Sonrasında, 2009 yılında yasağı tüm restoranları, kafeteryaları ve konaklama sektörünü kapsayacak şekilde genişleterek tüm ülkeye yaydı. 2010 yılına gelindiğinde ise tütün ürünleri için özel tüketim vergisi yüzde 20 arttırıldı. Bu çalışma, bir kulüp yakınsama testi kullanarak Türkiye'deki şehirler arasında sigara tüketimindeki bölgesel farklılıkları incelemeyi amaçlamaktadır. Gereç ve Yöntemler: Bu çalışmada, Türkiye’deki sigara tüketiminin yıllık değişimleri betimsel sonuçlar halinde bölgesel bazda rapor edilmiştir. Daha sonra ise sigara tüketimindeki bölgesel farklılıklar, aylık il düzeyinde veriler kullanılarak ve kulüp yakınsaması analizinden faydalanılarak, pandemi öncesi dönemi kapsayacak şekilde 2009-2017 yılları için araştırılmıştır. Bulgular: Bu çalışmadan elde edilen sonuçlar tütün karşıtı politikaların ilk etkilerinin sigara kullanımında önemli bir düşüşe neden olduğunu göstermektedir. Ayrıca, farklı bölgelerdeki tüketicilerin politika değişikliklerine aynı tepkileri vermediği görülmüştür. Kulüp yakınsaması sonuçlarına göre tüm Türkiye için ortak bir tütün politikasını takip etmek doğru olmayacaktır çünkü Türkiye’deki sigara tüketimi ortak bir değere yakınsamamaktadır. Sonuç: Elde edilen sonuçlara göre merkezi otoritenin yetki paylaşımı yapması ve yerel yönetimlerin tütün karşıtı politikalar konusunda inisiyatif alabilmesinin kolaylaştırılması sağlanmalıdır. Politika yapıcılara farklı bölgeler için farklı politika uygulamaları başlatmaları gerektiğini tavsiye etmekteyiz. Dahası, pandemi perspektifinden bakıldığında, sigara tüketimindeki bölge bazlı trendlerin pandemi döneminde uygulanacak politikaların bölgesel olarak farklılaşması gerekliliğini ortaya koyduğu söylenebilir.
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Primary Language en
Subjects Medicine
Journal Section Research Article
Authors

Orcid: 0000-0002-4491-4459
Author: Abdullah TİRGİL
Institution: ANKARA YILDIRIM BEYAZIT UNIVERSITY
Country: Turkey


Orcid: 0000-0002-7614-4567
Author: Muhammed Şehid GÖRÜŞ
Institution: ANKARA YILDIRIM BEYAZIT UNIVERSITY
Country: Turkey


Orcid: 0000-0001-5221-4842
Author: Önder ÖZGÜR (Primary Author)
Institution: ANKARA YILDIRIM BEYAZIT UNIVERSITY
Country: Turkey


Dates

Publication Date : March 30, 2021

Bibtex @research article { dtfd859119, journal = {Duzce Medical Journal}, issn = {}, eissn = {1307-671X}, address = {}, publisher = {Duzce University}, year = {2021}, volume = {23}, pages = {71 - 77}, doi = {10.18678/dtfd.859119}, title = {Club Convergence in Cigarette Consumption and Health Policies in Pre-Pandemic Period}, key = {cite}, author = {Tirgil, Abdullah and Görüş, Muhammed Şehid and Özgür, Önder} }
APA Tirgil, A , Görüş, M , Özgür, Ö . (2021). Club Convergence in Cigarette Consumption and Health Policies in Pre-Pandemic Period . Duzce Medical Journal , 23 (Special Issue) , 71-77 . DOI: 10.18678/dtfd.859119
MLA Tirgil, A , Görüş, M , Özgür, Ö . "Club Convergence in Cigarette Consumption and Health Policies in Pre-Pandemic Period" . Duzce Medical Journal 23 (2021 ): 71-77 <https://dergipark.org.tr/en/pub/dtfd/issue/60535/859119>
Chicago Tirgil, A , Görüş, M , Özgür, Ö . "Club Convergence in Cigarette Consumption and Health Policies in Pre-Pandemic Period". Duzce Medical Journal 23 (2021 ): 71-77
RIS TY - JOUR T1 - Club Convergence in Cigarette Consumption and Health Policies in Pre-Pandemic Period AU - Abdullah Tirgil , Muhammed Şehid Görüş , Önder Özgür Y1 - 2021 PY - 2021 N1 - doi: 10.18678/dtfd.859119 DO - 10.18678/dtfd.859119 T2 - Duzce Medical Journal JF - Journal JO - JOR SP - 71 EP - 77 VL - 23 IS - Special Issue SN - -1307-671X M3 - doi: 10.18678/dtfd.859119 UR - https://doi.org/10.18678/dtfd.859119 Y2 - 2021 ER -
EndNote %0 Düzce Tıp Fakültesi Dergisi Club Convergence in Cigarette Consumption and Health Policies in Pre-Pandemic Period %A Abdullah Tirgil , Muhammed Şehid Görüş , Önder Özgür %T Club Convergence in Cigarette Consumption and Health Policies in Pre-Pandemic Period %D 2021 %J Duzce Medical Journal %P -1307-671X %V 23 %N Special Issue %R doi: 10.18678/dtfd.859119 %U 10.18678/dtfd.859119
ISNAD Tirgil, Abdullah , Görüş, Muhammed Şehid , Özgür, Önder . "Club Convergence in Cigarette Consumption and Health Policies in Pre-Pandemic Period". Duzce Medical Journal 23 / Special Issue (March 2021): 71-77 . https://doi.org/10.18678/dtfd.859119
AMA Tirgil A , Görüş M , Özgür Ö . Club Convergence in Cigarette Consumption and Health Policies in Pre-Pandemic Period. Duzce Medical Journal. 2021; 23(Special Issue): 71-77.
Vancouver Tirgil A , Görüş M , Özgür Ö . Club Convergence in Cigarette Consumption and Health Policies in Pre-Pandemic Period. Duzce Medical Journal. 2021; 23(Special Issue): 71-77.
IEEE A. Tirgil , M. Görüş and Ö. Özgür , "Club Convergence in Cigarette Consumption and Health Policies in Pre-Pandemic Period", Duzce Medical Journal, vol. 23, no. Special Issue, pp. 71-77, Mar. 2021, doi:10.18678/dtfd.859119