Tütün Yasağının Genişletilmesinin Sigara Kullanma Olasılığı Üzerine Etkileri

Yıl 2020, Cilt: 27 Sayı: 2, 189 - 198, 24.08.2020

Abdullah Tirgil

https://doi.org/10.18657/yonveek.603273

Öz

Dünya genelinde hükümetler tütün ile ilişkili hast alıkları ortadan kaldırmak için tütün kullanımına karşı bir dizi önlemler alarak mücadele etmektedirler. Türkiye, Dünya Sağlık Örgütü’nün ilk global umumi sağlık antlaşmasını imzaladıktan sonra tütün salgın hastalığına karşı acilen bir dizi karşıt politikayı hayata geçirmiştir.
Sigara tüketiminin azaltılması bağlamında yeni bir kanıt sunmak adına Türkiye için yapılan Küresel Yetişkin Tütün Anketleri 2008 ve 2012 verisetlerine Lineer Olasılık Modellerini uygulayarak tütün karşıtı politikanın etkilerini inceledik.
2009 ve 2010 yılları arasında uygulamaya konulan tütün karşıtı iki önemli politikanın sigara kullanıcısı olma olasılığı üzerinde istatistiksel olarak anlamlı ve negatif bir etkisi görülmektedir. Konuya cinsiyet perspektifinden yaklaştığımızda; bu politika her iki cinsiyetin de sigara kullanıcıları olma olasılıklarını düşürmektedir fakat bu etki yetişkin erkekler için daha fazladır. Eğitimin kadın ve erkek üzerindeki etkisi farklılaşmakta; eğitimli kadınların sigara içme olasılıkları daha yüksek iken yetişkin erkekler için bu durum tam tersidir.
Politika yapıcılar tütün tüketimine önlem almak ve sigara salgınını durdurmak için bu çalışmanın sonuçlarını dikkatle incelemeli ve cinsiyet farklılıklarını dikkate alan bir takım politikalar geliştirmelidirler.

Anahtar Kelimeler

Cigarette consumption, Anti-tobacco regulation, gender, smoking behavior

Effect Of Expanding Anti-Tobacco Regulations On The Likelihood Of Being A Smoker

Öz

Governments across the world have been fighting against tobacco use by introducing a series of anti-tobacco measures to eliminate tobacco-related diseases. After ratifying the first global public health treaty by the World Health Organization in 2005, Turkey urgently implemented a series of anti-smoking policies to address the tobacco epidemic.
We utilized data from the Global Adult Tobacco Surveys 2008 and 2012 for Turkey and implemented a Linear Probability Model to estimate the effect of introducing anti-smoking policies to provide new evidence on reducing smoking.
Two significant anti-tobacco policies undertaken between 2009 and 2010 had a significant negative impact on the likelihood of being a current smoker. The new policies helped reduce the probability of being smokers for both females and males, but the effect was more substantial for male adults. Education has distinct effects on females and males such that with more education, female adults are more likely to smoke while the opposite is true for male adults.
Policymakers should consider these findings to address tobacco consumption and announce multiple policies taking gender differences into account to stop the smoking epidemic.
Key Words: Cigarette consumption, Anti-tobacco regulation, gender, smoking behavior
JEL Classification: I12, I18, J16 

Anahtar Kelimeler

Sigara tüketimi, tütün karşıtı düzenleme, cinsiyet, sigara içme davranışı

Kaynakça

• Cameron, A. C., & Trivedi, P. K. (2005). Microeconometrics: methods and applications: Cambridge university press.
• Chaloupka, F. J., & Warner, K. E. (2000). The economics of smoking. Handbook of health economics, 1, 1539-1627.
• Erguder, T., Çakır, B., Aslan, D., Warren, C. W., Jones, N. R., & Asma, S. (2008). Evaluation of the use of Global Youth Tobacco Survey (GYTS) data for developing evidence-based tobacco control policies in Turkey. BMC Public Health, 8(1), S4. doi:10.1186/1471-2458-8-S1-S4
• Fichtenberg, C. M., & Glantz, S. A. (2000). Association of the California Tobacco Control Program with declines in cigarette consumption and mortality from heart disease. New England Journal of Medicine, 343(24), 1772-1777. DOI: 10.1056/NEJM200012143432406
• Fong, G. T., Hyland, A., Borland, R., Hammond, D., Hastings, G., McNeill, A., . . . Mulcahy, M. (2006). Reductions in tobacco smoke pollution and increases in support for smoke-free public places following the implementation of comprehensive smoke-free workplace legislation in the Republic of Ireland: findings from the ITC Ireland/UK Survey. Tobacco control, 15(suppl 3), iii51-iii58. doi: 10.1136/tc.2005.013649
• Giovino, G. A., Mirza, S. A., Samet, J. M., Gupta, P. C., Jarvis, M. J., Bhala, N., . . . Morton, J. (2012). Tobacco use in 3 billion individuals from 16 countries: an analysis of nationally representative cross-sectional household surveys. The Lancet, 380(9842), 668-679. https://doi.org/10.1016/S0140-6736(12)61085-XJha, P., & Peto, R. (2014). Global effects of smoking, of quitting, and of taxing tobacco. New England Journal of Medicine, 370(1), 60-68. DOI: 10.1056/NEJMra1308383
• Jones, A. M., Laporte, A., Rice, N., & Zucchelli, E. (2015). Do public smoking bans have an impact on active smoking? Evidence from the UK. Health economics, 24(2), 175-192. https://doi.org/10.1002/hec.3009
• Kilic, D., & Ozturk, S. (2014). Gender differences in cigarette consumption in Turkey: Evidence from the Global Adult Tobacco Survey. Health Policy, 114(2-3), 207-214. https://doi.org/10.1016/j.healthpol.2013.05.019
• Levy, D. T., Mumford, E. A., & Compton, C. (2006). Tobacco control policies and smoking in a population of low education women, 1992–2002. Journal of Epidemiology & Community Health, 60(suppl 2), ii20-ii26. http://dx.doi.org/10.1136/jech.2005.045542
• Mathers, C. D., & Loncar, D. (2006). Projections of global mortality and burden of disease from 2002 to 2030. PLoS medicine, 3(11), e442. https://doi.org/10.1371/journal.pmed.0030442
• Murray, C. J., & Lopez, A. D. (1997). Alternative projections of mortality and disability by cause 1990–2020: Global Burden of Disease Study. The Lancet, 349(9064), 1498-1504. https://doi.org/10.1016/S0140-6736(96)07492-2
• Organization, W. H., & Control, R. f. I. T. (2008). WHO report on the global tobacco epidemic, 2008: the MPOWER package: World Health Organization. https://books.google.com.tr/books?hl=en&lr=&id=y6YsDwAAQBAJ&oi=fnd&pg=PA7&dq=Organization,+W.+H.,+%26+Control,+R.+f.+I.+T.+(2008).+WHO+report+on+the+global+tobacco+epidemic,+2008:+the+MPOWER+package:+World+Health+Organization.&ots=Y5XA5OIueY&sig=Ro_kQwSjvoq4Tc2tzusjILEuhYw&redir_esc=y#v=onepage&q&f=false
• Pirie, K., Peto, R., Reeves, G. K., Green, J., Beral, V., & Collaborators, M. W. S. (2013). The 21st century hazards of smoking and benefits of stopping: a prospective study of one million women in the UK. The Lancet, 381(9861), 133-141. https://doi.org/10.1016/S0140-6736(12)61720-6
• Rosen, L. J., Zucker, D. M., Rosen, B. J., & Connolly, G. N. (2010). Second-hand smoke levels in Israeli bars, pubs and cafes before and after implementation of smoke-free legislation. European Journal of Public Health, 21(1), 15-20. https://doi.org/10.1093/eurpub/ckp243
• Sargent, R. P., Shepard, R. M., & Glantz, S. A. (2004). Reduced incidence of admissions for myocardial infarction associated with public smoking ban: before and after study. Bmj, 328(7446), 977-980. doi: https://doi.org/10.1136/bmj.38055.715683.55
• van Beek, K. N., Kuipers, M. A., Lignac, O., & Kunst, A. E. (2018). Smoking in bars in eight European countries in 2010 and 2016: an observational comparative study. European Journal of Public Health, 29(1), 159-163. https://doi.org/10.1093/eurpub/cky111
• Verguet, S., Gauvreau, C. L., Mishra, S., MacLennan, M., Murphy, S. M., Brouwer, E. D., . . . Jamison, D. T. (2015). The consequences of tobacco tax on household health and finances in rich and poor smokers in China: an extended cost-effectiveness analysis. The Lancet Global Health, 3(4), e206-e216. https://doi.org/10.1016/S2214-109X(15)70095-1
• Wakefield, M. A., Chaloupka, F. J., Kaufman, N. J., Orleans, C. T., Barker, D. C., & Ruel, E. E. (2000). Effect of restrictions on smoking at home, at school, and in public places on teenage smoking: cross sectional study. Bmj, 321(7257), 333-337. doi: https://doi.org/10.1136/bmj.321.7257.333
• Waldron, I. (1988). Gender and health-related behavior Health behavior (pp. 193-208): Springer. https://doi.org/10.1007/978-1-4899-0833-9_11
• Warren, C. W., Erguder, T., Lee, J., Lea, V., Sauer, A. G., Jones, N. R., & Bilir, N. (2012). Effect of policy changes on cigarette sales: the case of Turkey. The European Journal of Public Health, 22(5), 712-716. https://doi.org/10.1093/eurpub/ckr157
• Wasserman, J., Manning, W. G., Newhouse, J. P., & Winkler, J. D. (1991). The effects of excise taxes and regulations on cigarette smoking. Journal of health economics, 10(1), 43-64. https://doi.org/10.1016/0167-6296(91)90016-G
• Zablocki, R. W., Edland, S. D., Myers, M. G., Strong, D. R., Hofstetter, C. R., & Al-Delaimy, W. K. (2014). Smoking ban policies and their influence on smoking behaviors among current California smokers: a population-based study. Preventive medicine, 59, 73-78. https://doi.org/10.1016/j.ypmed.2013.11.018