IDEAS home Printed from https://ideas.repec.org/p/hal/journl/hal-03127785.html
   My bibliography  Save this paper

Socioeconomic inequality in tobacco use in Kenya: a concentration analysis

Author

Listed:
  • Hermann Pythagore Pierre Donfouet

    (APHRC Campus - African Population and Health Research Center, Inc)

  • Shukri F. Mohamed

    (APHRC Campus - African Population and Health Research Center, Inc)

  • Eric Malin

    (CREM - Centre de recherche en économie et management - UNICAEN - Université de Caen Normandie - NU - Normandie Université - UR - Université de Rennes - CNRS - Centre National de la Recherche Scientifique)

Abstract

This paper aims at assessing and exploring socioeconomic inequalities in tobacco use in Kenya. Using the theory of fundamental causes, and concentration index, we investigate the determinants of tobacco use, and whether it disproportionately affects the poor. All data used in this study emanated from the 2014 Global Adult Tobacco Survey implemented in Kenya on a nationally representative sample of men and women aged 15 years and older. Our results suggest a link between tobacco use and socioeconomic inequality. Overall, poorer households are more affected by tobacco use than richer households. This socioeconomic inequality is more evident among men and households living in urban areas. The decomposition of the concentration index indicates that the overall socioeconomic inequality for current tobacco smokers is explained by 69.11% of household wealth. To reduce the prevalence rate of smoking in Kenya, policymakers could design and implement tobacco control programs through the equity lens. Community health workers could be used to promote non-smoking behaviors among the poor.

Suggested Citation

  • Hermann Pythagore Pierre Donfouet & Shukri F. Mohamed & Eric Malin, 2021. "Socioeconomic inequality in tobacco use in Kenya: a concentration analysis," Post-Print hal-03127785, HAL.
    • Handle: RePEc:hal:journl:hal-03127785
    DOI: 10.1007/s10754-020-09292-0
    Note: View the original document on HAL open archive server: https://hal.science/hal-03127785
    as

    Download full text from publisher

    File URL: https://hal.science/hal-03127785/document
    Download Restriction: no
    File URL: https://libkey.io/10.1007/s10754-020-09292-0?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Erreygers, Guido, 2009. "Correcting the Concentration Index: A reply to Wagstaff," Journal of Health Economics, Elsevier, vol. 28(2), pages 521-524, March.
    2. Deon Filmer & Kinnon Scott, 2012. "Assessing Asset Indices," Demography, Springer;Population Association of America (PAA), vol. 49(1), pages 359-392, February.
    3. Pierre Koning & Dinand Webbink & Nicholas Martin, 2015. "The effect of education on smoking behavior: new evidence from smoking durations of a sample of twins," Empirical Economics, Springer, vol. 48(4), pages 1479-1497, June.
    4. Rubin, M.S. & Colen, C.G. & Link, B.G., 2010. "Examination of inequalities in HIV/AIDS mortality in the United States from a fundamental cause perspective," American Journal of Public Health, American Public Health Association, vol. 100(6), pages 1053-1059.
    5. Waldron, Ingrid, 1991. "Patterns and causes of gender differences in smoking," Social Science & Medicine, Elsevier, vol. 32(9), pages 989-1005, January.
    6. Roemer, R. & Taylor, A. & Lariviere, J., 2005. "Origins of the WHO framework convention on tobacco control," American Journal of Public Health, American Public Health Association, vol. 95(6), pages 936-938.
    7. John Freebairn, 2010. "Special Taxation of Alcoholic Beverages to Correct Market Failures," Economic Papers, The Economic Society of Australia, vol. 29(2), pages 200-214, June.
    8. Patrick Peretti-Watel & Olivier L’haridon & Valérie Seror, 2013. "Time preferences, socioeconomic status and smokers' behaviour, attitudes and risk awareness," Post-Print halshs-00801330, HAL.
    9. Chaloupka, Frank, 1991. "Rational Addictive Behavior and Cigarette Smoking," Journal of Political Economy, University of Chicago Press, vol. 99(4), pages 722-742, August.
    10. Sander, William, 1995. "Schooling and smoking," Economics of Education Review, Elsevier, vol. 14(1), pages 23-33, March.
    11. Hong Liu & John A. Rizzo & Qi Sun & Fang Wu, 2015. "How Do Smokers Respond to Cigarette Taxes? Evidence from China's Cigarette Industry," Health Economics, John Wiley & Sons, Ltd., vol. 24(10), pages 1314-1330, October.
    12. Doorslaer, Eddy van & Jones, Andrew M., 2003. "Inequalities in self-reported health: validation of a new approach to measurement," Journal of Health Economics, Elsevier, vol. 22(1), pages 61-87, January.
    13. Wagstaff, Adam & van Doorslaer, Eddy & Watanabe, Naoko, 2003. "On decomposing the causes of health sector inequalities with an application to malnutrition inequalities in Vietnam," Journal of Econometrics, Elsevier, vol. 112(1), pages 207-223, January.
    14. Wasserman, Jeffrey & Manning, Willard G. & Newhouse, Joseph P. & Winkler, John D., 1991. "The effects of excise taxes and regulations on cigarette smoking," Journal of Health Economics, Elsevier, vol. 10(1), pages 43-64, May.
    15. Franck, C. & Grandi, S.M. & Eisenberg, M.J., 2013. "Taxing junk food to counter obesity," American Journal of Public Health, American Public Health Association, vol. 103(11), pages 1949-1953.
    16. David McKenzie, 2005. "Measuring inequality with asset indicators," Journal of Population Economics, Springer;European Society for Population Economics, vol. 18(2), pages 229-260, June.
    17. Magnus Lindelow, 2006. "Sometimes more equal than others: how health inequalities depend on the choice of welfare indicator," Health Economics, John Wiley & Sons, Ltd., vol. 15(3), pages 263-279, March.
    18. Demombynes, Gabriel & Ozler, Berk, 2005. "Crime and local inequality in South Africa," Journal of Development Economics, Elsevier, vol. 76(2), pages 265-292, April.
    19. Deon Filmer & Lant Pritchett, 2001. "Estimating Wealth Effects Without Expenditure Data—Or Tears: An Application To Educational Enrollments In States Of India," Demography, Springer;Population Association of America (PAA), vol. 38(1), pages 115-132, February.
    20. Sander, William, 1995. "Schooling and Quitting Smoking," The Review of Economics and Statistics, MIT Press, vol. 77(1), pages 191-199, February.
    21. Fajnzylber, Pablo & Lederman, Daniel & Loayza, Norman, 2002. "Inequality and Violent Crime," Journal of Law and Economics, University of Chicago Press, vol. 45(1), pages 1-40, April.
    22. Remler, D.K., 2004. "Poor Smokers, Poor Quitters, and Cigarette Tax Regressivity," American Journal of Public Health, American Public Health Association, vol. 94(2), pages 225-229.
    23. Adam Wagstaff, 2005. "The bounds of the concentration index when the variable of interest is binary, with an application to immunization inequality," Health Economics, John Wiley & Sons, Ltd., vol. 14(4), pages 429-432, April.
    24. Waldron, Ingrid & Bratelli, Gary & Carriker, Laura & Sung, Wei-Chin & Vogeli, Christine & Waldman, Elizabeth, 1988. "Gender differences in tobacco use in Africa, Asia, the Pacific, and Latin America," Social Science & Medicine, Elsevier, vol. 27(11), pages 1269-1275, January.
    25. Colin D Mathers & Dejan Loncar, 2006. "Projections of Global Mortality and Burden of Disease from 2002 to 2030," PLOS Medicine, Public Library of Science, vol. 3(11), pages 1-20, November.
    26. Stanislav Kolenikov & Gustavo Angeles, 2009. "Socioeconomic Status Measurement With Discrete Proxy Variables: Is Principal Component Analysis A Reliable Answer?," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 55(1), pages 128-165, March.
    27. Erreygers, Guido, 2009. "Correcting the Concentration Index," Journal of Health Economics, Elsevier, vol. 28(2), pages 504-515, March.
    28. Kaplan, Mara & Carriker, Laura & Waldron, Ingrid, 1990. "Gender differences in tobacco use in Kenya," Social Science & Medicine, Elsevier, vol. 30(3), pages 305-310, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Nguyen, Duyen Thuy & Donnelly, Michael & Van Hoang, Minh & O'Neill, Ciaran, 2023. "The case for individualised public health interventions: Smoking prevalence and inequalities in Northern Ireland 1985-2015," Health Policy, Elsevier, vol. 135(C).
    2. Aristides Dos Santos, Anderson Moreira & Triaca, Lívia Madeira & Leivas, Pedro Henrique Soares, 2023. "How is smoking distributed in relation to socioeconomic status? Evidence from Brazil in the years 2013 and 2019," Economics & Human Biology, Elsevier, vol. 49(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Makate, Marshall & Makate, Clifton, 2016. "The Evolution of Socioeconomic-Related Inequalities in Maternal Healthcare Utilization: Evidence from Zimbabwe, 1994-2011," MPRA Paper 83897, University Library of Munich, Germany, revised 12 Jan 2018.
    2. Olufunke Alaba & Lumbwe Chola, 2014. "Socioeconomic Inequalities in Adult Obesity Prevalence in South Africa: A Decomposition Analysis," IJERPH, MDPI, vol. 11(3), pages 1-20, March.
    3. Quinn C, 2009. "Measuring income-related inequalities in health using a parametric dependence function," Health, Econometrics and Data Group (HEDG) Working Papers 09/24, HEDG, c/o Department of Economics, University of York.
    4. Lovaton Davila, Rodrigo & McCarthy, Aine Seitz & Gondwe, Dorothy & Kirdruang, Phatta & Sharma, Uttam, 2022. "Water, walls, and bicycles: wealth index composition using census microdata," Journal of Demographic Economics, Cambridge University Press, vol. 88(1), pages 79-120, March.
    5. Derek Asuman & Ama Pokuaa Fenny & Doreen Nyarko Anyamesem Odame, 2021. "Trends and antecedents of inequalities in maternal healthcare coverage in four African countries," Journal of International Development, John Wiley & Sons, Ltd., vol. 33(3), pages 515-544, April.
    6. Makate, Clifton & Mango, Nelson & Makate, Marshall, 2019. "Socioeconomic status connected imbalances in arable land size holding and utilization in smallholder farming in Zimbabwe: Implications for a sustainable rural development," Land Use Policy, Elsevier, vol. 87(C).
    7. Asif, Atta Muhammad & Akbar, Muhammad, 2021. "On the decomposition of rank-dependent indicator of socio-economic inequalities in child malnutrition: Some empirical findings," Socio-Economic Planning Sciences, Elsevier, vol. 77(C).
    8. Clifton Makate & Marshall Makate & Nelson Mango, 2019. "Wealth-related inequalities in adoption of drought-tolerant maize and conservation agriculture in Zimbabwe," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 11(4), pages 881-896, August.
    9. Costa-Font, Joan & Hernández-Quevedo, Cristina, 2012. "Measuring inequalities in health: What do we know? What do we need to know?," Health Policy, Elsevier, vol. 106(2), pages 195-206.
    10. Martin Siegel & Andreas Mielck & Werner Maier, 2015. "Individual Income, Area Deprivation, and Health: Do Income‐Related Health Inequalities Vary by Small Area Deprivation?," Health Economics, John Wiley & Sons, Ltd., vol. 24(11), pages 1523-1530, November.
    11. FLEURBAEY, Marc & SCHOKKAERT, Erik, 2011. "Equity in health and health care," LIDAM Discussion Papers CORE 2011026, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
    12. Kjellsson, Gustav, 2014. "Extending Decomposition Analysis to Account for Socioeconomic Background: Income-Related Smoking Inequality among Swedish Women," Working Papers 2014:29, Lund University, Department of Economics.
    13. Joachim Frick & Nicolas Ziebarth, 2013. "Welfare-related health inequality: does the choice of measure matter?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 14(3), pages 431-442, June.
    14. Mohammad Habibullah Pulok & Kees Gool & Mohammad Hajizadeh & Sara Allin & Jane Hall, 2020. "Measuring horizontal inequity in healthcare utilisation: a review of methodological developments and debates," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(2), pages 171-180, March.
    15. Peng Nie & Andrew E. Clarck & Conchita D'Ambrosio & Lanlin Ding, 2020. "Income-related health inequality in urban China (1991-2015): The role of homeownership and housing conditions," Working Papers 524, ECINEQ, Society for the Study of Economic Inequality.
    16. Clarke, Philip & Van Ourti, Tom, 2010. "Calculating the concentration index when income is grouped," Journal of Health Economics, Elsevier, vol. 29(1), pages 151-157, January.
    17. Mohammad Monirul Hasan & Jalal Uddin & Mohammad Habibullah Pulok & Nabila Zaman & Mohammad Hajizadeh, 2020. "Socioeconomic Inequalities in Child Malnutrition in Bangladesh: Do They Differ by Region?," IJERPH, MDPI, vol. 17(3), pages 1-14, February.
    18. Conrad Murendo & Gamuchirai Murenje & Pepukai Prince Chivenge & Rumbidzai Mtetwa, 2021. "Financial Inclusion, Nutrition and Socio‐Economic Status Among Rural Households in Guruve and Mount Darwin Districts, Zimbabwe," Journal of International Development, John Wiley & Sons, Ltd., vol. 33(1), pages 86-108, January.
    19. Ziebarth, Nicolas, 2010. "Measurement of health, health inequality, and reporting heterogeneity," Social Science & Medicine, Elsevier, vol. 71(1), pages 116-124, July.
    20. Laura Rossouw & Hana Ross, 2021. "Understanding Period Poverty: Socio-Economic Inequalities in Menstrual Hygiene Management in Eight Low- and Middle-Income Countries," IJERPH, MDPI, vol. 18(5), pages 1-14, March.

    More about this item

    Keywords

    Theory of fundamental causes; Tobacco consumption; Socioeconomic inequalities; Concentration index;
    All these keywords.

    JEL classification:

    • D - Microeconomics
    • C2 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • L66 - Industrial Organization - - Industry Studies: Manufacturing - - - Food; Beverages; Cosmetics; Tobacco

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:hal:journl:hal-03127785. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: CCSD (email available below). General contact details of provider: https://hal.archives-ouvertes.fr/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.