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Tobacco control campaign in Uruguay: Impact on smoking cessation during pregnancy and birth weight

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  • Harris, Jeffrey E.
  • Balsa, Ana Inés
  • Triunfo, Patricia

Abstract

We analyzed a nationwide registry of all pregnancies in Uruguay during 2007–2013 to assess the impact of three types of tobacco control policies: (1) provider-level interventions aimed at the treatment of nicotine dependence, (2) national-level increases in cigarette taxes, and (3) national-level non-price regulation of cigarette packaging and marketing. We estimated models of smoking cessation during pregnancy at the individual, provider and national levels. The rate of smoking cessation during pregnancy increased from 15.4% in 2007 to 42.7% in 2013. National-level non-price policies had the largest estimated impact on cessation. The price response of the tobacco industry attenuated the effects of tax increases. While provider-level interventions had a significant effect, they were adopted by relatively few health centers. Quitting during pregnancy increased birth weight by an estimated 188g. Tobacco control measures had no effect on the birth weight of newborns of non-smoking women.

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  • Harris, Jeffrey E. & Balsa, Ana Inés & Triunfo, Patricia, 2015. "Tobacco control campaign in Uruguay: Impact on smoking cessation during pregnancy and birth weight," Journal of Health Economics, Elsevier, vol. 42(C), pages 186-196.
    • Handle: RePEc:eee:jhecon:v:42:y:2015:i:c:p:186-196
    DOI: 10.1016/j.jhealeco.2015.04.002
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    9. Sadegh Eshaghnia & James J. Heckman, 2023. "Intergenerational Transmission of Inequality: Maternal Endowments, Investments, and Birth Outcomes," NBER Working Papers 31761, National Bureau of Economic Research, Inc.
    10. Alzúa, María Laura & Katzkowicz, Noemí, 2021. "Pay for performance for prenatal care and newborn health: Evidence from a developing country," World Development, Elsevier, vol. 141(C).
    11. Tamas Hajdu & Gabor Hajdu, 2017. "Smoking Ban and Health at Birth," CERS-IE WORKING PAPERS 1706, Institute of Economics, Centre for Economic and Regional Studies.
    12. Agüero, Jorge M. & Beleche, Trinidad, 2017. "Health shocks and their long-lasting impact on health behaviors: Evidence from the 2009 H1N1 pandemic in Mexico," Journal of Health Economics, Elsevier, vol. 54(C), pages 40-55.
    13. Antoine Marsaudon & Lise Rochaix, 2010. "Impact of acute health shocks on cigarette consumption: A combined DiD-matching strategy to address endogeneity issues in the French Gazel panel data," PSE Working Papers halshs-01626187, HAL.
    14. Trinidad Beleche & Nellie Lew & Rosemarie L. Summers & J. Laron Kirby, 2018. "Are Graphic Warning Labels Stopping Millions of Smokers? A Comment on Huang, Chaloupka, and Fong," Econ Journal Watch, Econ Journal Watch, vol. 15(2), pages 129–157-1, May.
    15. Steffens, Camila & Pereda, Paula Carvalho, 2025. "Dynamic responses to smoking bans: Evidence from young adults in a developing country," Journal of Development Economics, Elsevier, vol. 174(C).
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    17. Muhammad Salar Khan & Paul N. Thompson & Victor J. Tremblay, 2020. "Marijuana tax incidence, stockpiling, and cross-border substitution," International Tax and Public Finance, Springer;International Institute of Public Finance, vol. 27(1), pages 103-127, February.
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    More about this item

    Keywords

    Economic evaluation; Cigarette taxes; Package warnings; Advertising bans; Tobacco control;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • D12 - Microeconomics - - Household Behavior - - - Consumer Economics: Empirical Analysis

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