Tobacco Control In China

Nearly 370 million people in China smoke; about one-third of all smokers in the world are in China; and about 1.2 million deaths in China are attributable to smoking. The death toll is expected to reach 2.2 million in 2030 if no smoking intervention programs are implemented. Taxation on tobacco products is one of the most effective tobacco control programs. This book addresses not only why China should raise cigarette tax, but also how to raise the tobacco tax, by providing decision makers with relevant research findings and quantitative estimate about the impact of raising the tobacco tax. It documents how these research findings were communicated to the Chinese government officials, and how, finally, tobacco tax was raised 10 years after China's ratification of the WHO Frame Work Convention on Tobacco Control Treaty. The purposes of this book are (1) to inform economists, public health professionals, and policymakers about the economic consequences of smoking, (2) to provide the essential economics (particularly related to taxation) and public health information upon which to build the specifics of the taxation policy that is adopted, (3) to identify barriers, challenges, and recommendations for the Chinese government, and (4) to describe how research findings can be disseminated and communicated successfully to Chinese government policy makers. It is a must read for researchers who are interested in China's tobacco control efforts and in how to communicating their findings to the policy makers. It could also be useful for tobacco control professionals, researchers and policy makers in other countries. Contents:PrefaceList of ContributorsIntroductionEconomic Costs of Smoking:Economic Costs Attributable to Smoking in China: Update and an 8-year Comparison, 2000–2008 (Lian Yang, Hai-Yen Sung, Zhengzhong Mao, Teh-wei Hu and Keqin Rao)Secondhand Smoke Exposure at Home in Rural China (Tingting Yao, Hai-Yen Sung, Zhengzhong Mao, Teh-wei Hu and Wendy Max)The Healthcare Costs of Secondhand Smoke Exposure in Rural China (Tingting Yao, Hai-Yen Sung, Zhengzhong Mao, Teh-wei Hu and Wendy Max)Demand for Cigarette Consumption:Quantity, Quality, and Regional Price Variation of Cigarettes: Demand Analysis Based on a Household Survey in China (Yuyu Chen and Weibo Xing )The Effect of Cigarette Prices on Brand-Switching in China: A Longitudinal Analysis of Data from the ITC China Survey (Justin S White, Jing Li, Teh-wei Hu, Geoffrey T Fong and Jiang Yuan)The Heterogeneous Effects of Cigarette Prices on Brand Choice in China: Implications for Tobacco Control Policy (Jing Li, Justin S White, Teh-wei Hu, Geoffrey T Fong and Jiang Yuan)The Epidemic of Cigarette Gifting: A Social Barrier to Tobacco Control in China (Xiulan Zhang, Steve Lin and Teh-wei Hu)Tobacco Taxation System and Its Reform Impact:The Role of Taxation in Tobacco Control and Its Potential Economic Impact in China (Teh-wei Hu, Zhengzhong Mao, Jian Shi and Wendong Chen)Recent Tobacco Tax Rate Adjustment and Its Potential Impact on Tobacco Control in China (Teh-wei Hu, Zhengzhong Mao and Jian Shi)Can Increases in the Cigarette Tax Rate be Linked to Cigarette Retail Prices? Solving Mysteries Related to the Cigarette Pricing Mechanism in China (Song Gao, Rong Zheng and Teh-wei Hu)The Potential Effects of Tobacco Control in China: Projections from the China SimSmoke Simulation Model (David Levy, Ricardo L Rodríguez-Buño Teh-wei Hu and Andrew E Moran)The Consequences of Tobacco Tax on Household Health and Finances in Rich and Poor Smokers in China: An Extended Cost-Effectiveness Analysis (Stéphane Verguet, Cindy L Gauvreau, Sujata Mishra, Mary MacLennan, Shane M Murphy, Elizabeth D Brouwer, Rachel A Nugent, Kun Zhao, Prabhat Jha and Dean T Jamison)Tobacco Control in China: Barriers, Challenges and Recommendations:WHO Framework Convention on Tobacco Control in China: Barriers, Challenges and Recommendations (Teh-wei Hu, Anita H Lee and Zhengzhong Mao)Tobacco Control in China: From Policy Research to Practice and the Way Forward (Teh-wei Hu and Xiulan Zhang) Readership: Students, researchers and readers who are interested in learning more about tobacco control in China and how to effectively communicate research findings to China's policymakers.

This is the first book that analyzes tobacco control policies in China from the perspectives of economics and health. For readers interested in the economic aspects of tobacco control policy issues not only in China but also in other developing countries, this book provides a comprehensive analytical and empirical framework addressing key debated issues. This book covers a range of interesting topics from the prevalence of smoking in China, health and economic burden of smoking in China, demand for cigarettes and taxation in China, the role of tobacco on farming, the tobacco industry and the World Trade Organization, poverty and smoking in China, to future challenges of tobacco control for the Chinese government. Sample Chapter(s). Foreword (78 KB). Chapter 1: Introduction (91 KB). Contents: Tobacco Use and its Consequences: Prevalence of Smoking in China (G-H Yang); Tobacco Control Programs in China (A H Lee & Y Jiang); Chinese Physicians: Smoking Behavior, and their Smoking Cessation Knowledge, Attitudes, and Practice (M Ong et al.); Disease Burden from Smoking and Passive Smoking in China (Q Gan et al.); Economic Burden of Smoking in China (H-Y Sung et al.); Demand for Cigarettes and Household Expenditures Analysis: The Demand for Cigarettes in China (Z-Z Mao et al.); Smoking, Standard of Living, and Poverty in China (T-W Hu et al.); Cigarette Smoking and Poverty in China (Y-L Liu et al.); Supply of Tobacco: The Role of Government in Tobacco Leaf Production in China: National and Local Interventions (T-W Hu et al.); China''s Tobacco Industry and the World Trade Organization (E Tong et al.); Cigarette Taxation: Effects of Cigarette Tax on Cigarette Consumption and the Chinese Economy (T-W Hu & Z-Z Mao); Cigarette Taxation in China: Lessons from International Experiences (T-W Hu); Earmarked Tobacco Taxes: The US Experience (T-W Hu et al.); Policy Directions: China at the Crossroads: The Economics of Tobacco and Health (T-W Hu et al.). Readership: Academics in public health, health economics, Chinese economy and professionals in the tobacco industry.

This book comprehensively covers the science and policy issues relevant to one of the major public health issues in China. It pulls together the prevalence pattern of tobacco use in different population and burden of the myriad of tobacco-related diseases. The book pays more attention to review the successes and failures of tobacco control policies in China, including the protect peoples from second-hand smoke, comprehensive banning tobacco advertisement promotion and sponsor, regulation of the contents of tobacco products and low tar cigarettes, warn about the dangers of tobacco, support for smokers to quit, and increasing tobacco taxation and price, as well as monitor and assessment on tobacco use and implement of prevention policy under the international background of tobacco control. The book analyse and explain the influence factors, especially interference from tobacco industry with public management theory frame for promoting tobacco control policies and looks at lessons learnt to help set health policy for reducing the burden of tobacco-related diseases. It is a helpful reference for experts in public health and epidemiologists in tobacco control, advocators and policy maker.

This book fills a major gap in research into smoking and tobacco control in China. In recent decades, few studies have explored the significance of geographical factors and the role they have played either in affecting the prevalence of smoking or in tobacco control responses to the smoking epidemic in China. In light of this, the book investigates the importance of national, regional and local environmental factors affecting smoking in China. It shows how geographical, social and institutional contexts have influenced the implementation and success of tobacco control initiatives, and situates smoking trends in China in a broader global context. The authors synthesize Chinese and western research on the smoking epidemic and uniquely focus on the importance of environmental factors and Chinese cultural perspectives in understanding smoking behaviour and the ineffectiveness of many tobacco control initiatives, especially how these conflict with Chinese economic policy. The book is aimed at academic and policy audiences both internationally and inside China, and will be of interest to a wide audience, not only geographers, but also epidemiologists, sociologists and others working in public health.

Economic costs attributable to smoking in China : update and an 8-year comparison, 2000-2008 / Lian Yang, Hai-Yen Sung, Zhengzhong Mao, Teh-wei Hu, and Keqin Rao -- Secondhand smoke exposure at home in rural China / Tingting Yao, Hai-Yen Sung, Zhengzhong Mao, Teh-wei Hu, and Wendy Max -- The healthcare costs of secondhand smoke exposure in rural China / Tingting Yao, Hai-Yen Sung, Zhengzhong Mao, Teh-wei Hu, and Wendy Max -- Quantity, quality, and spatial price variation of tobacco : demand analysis of household survey data in China / Yuyu Chen and Weibo Xing -- The effect of cigarette prices on brand-switching in China : a longitudinal analysis of data from the ITC China survey / Justin S White, Jing Li, Teh-wei Hu, Geoffrey T Fong, and Yuan Jiang -- The heterogeneous effects of cigarette prices on brand choice in China : implications for tobacco control policy / Jing Li, Justin S. White, Teh-wei Hu, Geoffrey T. Fong, and Yuan Jiang -- The epidemic of gift giving : a social barrier to tobacco control in China / Xiulan Zhang, Steve Lin and Teh-wei Hu -- The role of taxation in tobacco control and its potential economic impact in China / Teh-wei Hu, Zhengzhong Mao, Jian Shi, and Wendong Chen -- Recent tobacco tax rate adjustment and its potential impact on tobacco control in China / Teh-wei Hu, Zhengzhong Mao, and Jian Shi -- Can increases in the cigarette tax rate be linked to cigarette retail prices? : solving mysteries related to the cigarette pricing mechanism in china / Song Gao, Rong Zheng, and Teh-wei Hu -- The potential effects of tobacco control in China : projections from the China Simsmoke simulation model / David Levy, Ricardo L Rodríguez-Buño, Teh-Wei Hu, and Andrew E Moran -- The consequences of tobacco tax on household health and finances in rich and poor smokers in China : an extended cost-effectiveness analysis / Stéphane Verguet, Cindy L Gauvreau, Sujata Mishra, Mary MacLennan, Shane M Murphy, Elizabeth D Brouwer, Rachel A Nugent, Kun Zhao, Prabhat Jha, and Dean T Jamison -- WHO framework convention on tobacco control in China : barriers, challenges and recommendations / Teh-Wei Hu, Anita H. Lee, and Zhengzhong Mao -- Tobacco control in China : from policy research to practice and the way forward / Teh-wei Hu and Xiulan Zhang

This book contains the full proceedings of the Tenth World Conference on Tobacco or Health, held 24-28 August 1997 in Beijing, China, and hosted by the Chinese Association on Smoking and Health and the Chinese Medical Association. Tobacco is now causing a worldwide epidemic of premature death and disability, affecting first men and then women in developed countries, and now increasingly affecting developing countries. The theme "Tobacco: The Growing Epidemic" was chosen to reflect the increasingly global nature of the problem.

A favorite icon for cigarette manufacturers across China since the mid-twentieth century has been the panda, with factories from Shanghai to Sichuan using cuddly cliché to market tobacco products. The proliferation of panda-branded cigarettes coincides with profound, yet poorly appreciated, shifts in the worldwide tobacco trade. Over the last fifty years, transnational tobacco companies and their allies have fueled a tripling of the world's annual consumption of cigarettes. At the forefront is the China National Tobacco Corporation, now producing forty percent of cigarettes sold globally. What's enabled the manufacturing of cigarettes in China to flourish since the time of Mao and to prosper even amidst public health condemnation of smoking? In Poisonous Pandas, an interdisciplinary group of scholars comes together to tell that story. They offer novel portraits of people within the Chinese polity—government leaders, scientists, tax officials, artists, museum curators, and soldiers—who have experimentally revamped the country's pre-Communist cigarette supply chain and fitfully expanded its political, economic, and cultural influence. These portraits cut against the grain of what contemporary tobacco-control experts typically study, opening a vital new window on tobacco—the single largest cause of preventable death worldwide today.

The first major book by political scientists explaining global tobacco control policy. It identifies a history of minimal tobacco control then charts the extent to which governments have regulated tobacco in the modern era. It identifies major policy change from the post-war period and uses theories of public policy to help explain the change.