This article has Open Peer Review reports available.
The effect of cigarette price increase on the cigarette consumption in Taiwan: evidence from the National Health Interview Surveys on cigarette consumption
© Lee et al; licensee BioMed Central Ltd. 2004
Received: 20 June 2004
Accepted: 14 December 2004
Published: 14 December 2004
This study uses cigarette price elasticity to evaluate the effect of a new excise tax increase on cigarette consumption and to investigate responses from various types of smokers.
Our sample consisted of current smokers between 17 and 69 years old interviewed during an annual face-to-face survey conducted by Taiwan National Health Research Institutes between 2000 to 2003. We used Ordinary Least Squares (OLS) procedure to estimate double logarithmic function of cigarette demand and cigarette price elasticity.
In 2002, after Taiwan had enacted the new tax scheme, cigarette price elasticity in Taiwan was found to be -0.5274. The new tax scheme brought about an average annual 13.27 packs/person (10.5%) reduction in cigarette consumption. Using the cigarette price elasticity estimate from -0.309 in 2003, we calculated that if the Health and Welfare Tax were increased by another NT$ 3 per pack and cigarette producers shifted this increase to the consumers, cigarette consumption would be reduced by 2.47 packs/person (2.2%). The value of the estimated cigarette price elasticity is smaller than one, meaning that the tax will not only reduce cigarette consumption but it will also generate additional tax revenues. Male smokers who had no income or who smoked light cigarettes were found to be more responsive to changes in cigarette price.
An additional tax added to the cost of cigarettes would bring about a reduction in cigarette consumption and increased tax revenues. It would also help reduce incidents smoking-related illnesses. The additional tax revenues generated by the tax increase could be used to offset the current financial deficiency of Taiwan's National Health Insurance program and provide better public services.
One of the problems in controlling tobacco in Taiwan is that cigarette prices are lower in Taiwan than in most countries [1, 2]. In India, smokers have to work 77 minutes to afford a pack of cigarettes, in Indonesia 62 mins, in China 56 mins, but in Taiwan they need only work 7 to 10 mins to afford a pack . As long as the domestic cigarette price remains rather low, we probably will not see much of a decrease in the number of smokers.
The smoking population increased to 4.5 million persons (total population 22,520,776) in 2002 . One out of three adults smoked. Currently, due to illnesses and death associated with cigarette smoking, smokers currently account for approximately 20 billion NT dollar of extra medical expense annually and account for a 160 billion NT dollar loss in GDP (Gross Domestic Product). This economic burden in putting pressure on the government to further increase the existing Health and Welfare Tax on tobacco.
Because high excise taxes on cigarettes have been found able to reduce cigarette consumption [5–8], such measures are becoming one of the most important means of controlling tobacco [9–11]. The new tax scheme enacted on 1 January 2002 in Taiwan resulted in NT $16.8 tax excise. This tax included the existing taxes for NT $11.8 and a NT $5 Health & Welfare Tax for a 20-pack of cigarettes. The government also levies 5% sales taxes. Under that tax scheme, the cigarette tax revenues account for 40% of the retail price, which is about NT $42.2. While 40% sounds high, it is actually lower than the taxes imposed on cigarettes in developed countries that have seen some success at lowering cigarette consumption.
The government should take elasticity of demand into consideration when deciding whether to increase or add an excise tax levy. If there is a price elasticity below 1, a tax increase brings about a decline in consumption and an increase in total tax revenues. Since Hsieh, Hu and Lin (1999) found that figure to be -0.6 in Taiwan, it can be reasonable to assume that a tax increase would be more likely to reduce cigarette consumption more significantly in Taiwan than in other countries with lower price elasticities at least in the short-term and medium term . Higher taxes would also generate higher total tax revenues.
Taiwan's Tobacco and Wine Tax Law is currently under review in the Legislative Yuan of Taiwan. Some legislators are seeking to increase the Tobacco Health and Welfare Tax by NT $3 per pack, raising it from NT $5 to NT $8 per pack. Just as they have done in the past, cigarette sellers will probably shift the tax increase to the consumers letting them be responsible for the increase. The effect of the price increase on demand depends on cigarette price elasticity – the larger the elasticity, the larger the reduction in consumption. Therefore, an estimation of price elasticity for domestic cigarettes could be a very important indicator of the possible effect a "Tobacco Health and Welfare Tax" would have on cigarette consumption and could be used to adjust Tobacco Health and Welfare Tax accordingly.
Price elasticity of cigarette in Taiwan has been mostly estimated using time-series data [12, 13], though this method might overlook the impact of smuggled cigarettes on the price elasticity and overestimate the price elasticity. It might be more appropriate and useful to use cross-section data from the Health Interview Survey to estimate the effect of cigarette tax on cigarette consumption and to compare differences in cigarette price elasticity with various smoker characteristics.
This study uses data on current smokers from 17 to 69 years of age during years 2000 to 2003. First, the demand function of the current smokers was established. Respondents who answered "everyday" or "some of the days" to the question how often you smoke were classified as "current smokers". Then, we used a random sampling of how they consumed and how much they paid for it between 2000 to 2003 to calculate cigarette price elasticity. We then analyzed differences in cigarette price elasticity in smokers categorized according to gender, age, education, income standard, and how much they smoked.
Cigarette demand function was estimated by OLS and expressed by double logarithm function. The estimated demand function we used was:
ln Q ig = α 0 + β 1 ln P ig + γ 2 ln I ig (1)
lnQig is i'th current smokers' logarithm representing monthly amount smokers consumed per person in group g. Current smokers were categorized according to age, gender, education, monthly income, and amount smoked. lnPig is i'th current smokers' logarithm representing cigarette price per pack (NT$) for smoking characteristics group g. lnIig is i'th current smokers' logarithm representing income per capita (NT$) for various categories of smokers in group g.
The α 0, β 1, and γ 2 are parameters to be estimated. In order to measure how price change might affect cigarette consumption, the determination of price elasticity was particularly important. Price elasticity of demand for cigarettes is defined as the percent change in consumption resulting from a price increase. Cigarette price elasticity of demand β 1 and income elasticity of demand γ 2 can be derived from logarithmically differentiation (1) according to price and income.
Using an annual face-to-face survey on cigarette consumption from 2000 to 2003 by Taiwan National Health Research Institutes, we collected data on how many packs current smokers consumed, how much they paid for a pack of cigarettes, how much they earned per month and how much they spent on cigarettes per month. Current smokers were categorized into gender, age, education, income, and amount smoked. Calculations of cigarette price were based on the average retail price of the top 3 most consumed cigarettes, calculations of number of packs smoked per month were done by dividing the monthly cigarette consumption by the average retail price. Calculations of income were based on personal monthly income.
Background characteristics of the current smokers in Taiwan, 2000–2003
College and above
Senior high school
Junior high school
Primary school or lower
NT $ 20,000–39,999
NT $ 40,000–59,999
≥ NT $ 60,000
The estimated overall cigarette price and income elasticities of the current smokers, 2000–2003a
After Taiwan's accession to WTO in 2002, Taiwan's first Tobacco Health and Welfare Tax added NT $5 the price of cigarettes, resulting in an increase in cigarette retail price from NT $35.2 in 2001 to NT $42.2 in 2002, about an NT $7 increase. In 2001, smokers 15 years old or older consumed an average 126.52 packs/person . In 2002, the cigarette price elasticity became -0.5274, meaning that this price increase caused a reduction of cigarette consumption by 13.27 packs/person (10.5% per person) and a reduction of about 0.235 billion packs in the total consumption. Meanwhile, new cigarette consumption in 2002 was reduced to 2 billion packs for the population at and above the age of 15 in 2001. Provided there was a NT $16.8 tax on every pack of cigarettes, the tax revenue for the government would be 33.6 billion NT dollar.
However, the tax has been in force for two years, and a significant reduction in consumption has been shown to date. Cigarette taxes accounted for 40% of the retail price in 2002. Although forty percent sounds high, this proportion is still rather low when, as mentioned earlier, comparing it with the 66% or more of the retail price going for cigarettes prices in high-income countries (with the notable exception of the United States). Consequently, cigarette prices in Taiwan are well below those of many high-income countries, who have seen significant reductions in cigarette consumption. Those successes certainly impose a pressure on the government to implement another tax increase in the existing Health and Welfare Tax.
Inter-party negotiations at the Legislative Yuan resulted in changes to Tobacco and Liquor Tax Law which led to a NT $3 rise in the health tax levied on cigarettes, from NT$5 to NT$8 per pack. The cigarette industry is likely to pass the tax increase in the form of higher prices on to the consumer. A price increase of 3 NT per pack in cigarette would reflect a consumption reduction of 2.47 packs per capita, totaling 44.7 million packs, 2.2% per capita, in cigarette consumption. Cigarette consumption would be reduced to 2 billion packs (based on a population count of 2003), and the government tax revenue would be 33.46 billion, including the Health and Welfare Tax of 16 billion. We estimate that with a Health and Welfare Tax increase from 5 NT to 8 NT per pack, there would be a 6 billion NT increase in revenue from the Health and Welfare Tax.
In 2000 and 2001, the cigarette price elasticities of the current smokers were -0.3134 and -0.3684, respectively. In 2002, it had reached its maximum of -0.5274, indicating that as cigarette prices increased, so did the price elasticity. Consumers responded to the higher prices by cutting consumption. Then in 2003, after Taiwan's accession to WTO, cigarette price elasticity then lowered to -0.309, indicating that the effect of a cigarette price hike can diminish over time.
The estimated cigarette price and income elasticities of different types of current smokers during 2000–2001 and during 2002–2003a
College and above
Senior high school
Junior high school
Preliminary or lower
NT $ 20,000–39,999
NT $ 40,000–59,999
≥ NT $ 60,000
Cigarette price elasticity for the male smokers reached statistically significance (5%), which was higher than the price elasticity of the female smokers, indicating that men were more responsive to price elasticity than the women. The cigarette price elasticity of the male smokers in 2002–2003 was -0.393, which was higher than -0.3107 male smokers in 2000–2001. The income elasticity of male smokers in 2002–2003 was 0.0194, reaching statistical significance (5%). There was no statistical difference found in estimated cigarette price and income elasticity of smokers among the different age sub-groups, though, according to some reports in foreign countries, teenagers are more sensitive changes to cigarette prices than adults [15–17].
Education level seemed to make a difference. The price elasticity smokers with junior high school educations was -0.5766 in 2000–2001, which was higher than that of senior high school level smokers, -0.2772. In 2002-2003, the price elasticity of college level smokers was -0.7007, which was higher than that of the smokers of senior high school level, -0.5369. Therefore, between 2000 and 2001, the more educated group had a larger price elasticity, though the less educated group had the higher coefficient in 2002–2003. Our findings cover two time spans and are different from those reported by foreign researchers who have found that consumers at lower education levels respond stronger to the change of cigarette price . In our study, those with no income had the greatest cigarette price elasticity, -0.5103 in 2000–2001 and -0.8363 in 2002–2003. Those with no income were more sensitive to the price rise than those with income. Light smokers had the highest cigarette price elasticity, -0.1984 in 2000–2001 and -0.532 in 2002–2003. Heavy smokers had a price elasticity of 0.2573 in 2000–2001, indicating that with the rise of cigarette price, these smokers increased their consumption of tobacco.
In this study, we evaluate the effect of a new tax on the consumption of tobacco by calculating the cigarette price elasticities of various kinds of smokers and comparing those values with their reactions to an increase cigarette, and then using knowledge gained from that study, we assess the possible effect of another increase on consumption. We found that the new tax scheme implemented after Taiwan joined the WTO reduced cigarette consumption by 13.27 packs/person (10.5%). We estimated that an additional NT $3 increase in Taiwan's Health and Welfare Tax would reduce cigarette consumption here by 2.47 packs/person (2.2%).
In this study, cigarette price elasticity was less than one, meaning that in addition to reducing cigarette consumption, an additional tax would also generate additional tax revenues. Continuing price increases should reduce cigarette consumption significantly. Provided that the tax increases are proportionately larger than the resulting reduction in cigarette consumption, cigarette tax revenues will increase and can be used to reduce current National Health Insurance deficits and possibly reduce the damage and death caused by smoking related diseases.
Based on estimated cigarette price elasticities for various kinds of current smokers, we found that male smokers without income and light smokers were more sensitive to changes in cigarette prices. Teenagers (17 – 24 years old), however, were not found to be significantly influenced by the change in cigarette price, which means it will take more than just tax increases to decrease consumption among our youth. Schools will need to commit to preventive education by inculcating the students with the knowledge of tobacco hazards. Only through early preventive education starting from their childhood can we expect to see significant reduction in cigarette consumption.
Finally, the R-squared statistics of the each empirical estimation was below 0.1 for probably sake of to calculate elasticity and exclude variables like advertisement. Future research should also attempt to include these factors with cigarette demand function.
A partly-article of this research was support by extramural grants from Bureau of Health Promotion, Department of Health in Taiwan (Grant Number: BHP-92- Anti-Tobacco-2H01). This study is based (in part) on data from the Taiwan Interview Survey on Cigarette Consumption (TISCC) Original Database provided by National Health Research Institutes. The interpretation and conclusions contained herein do not represent those of Department of Health and National Health Research Institutes.
- Guindon GE, Tobin S, Yach D: Trends and affordability of cigarette price: ample room for tax increases and related health gains. Tobacco Control. 2002, 11: 35-43. 10.1136/tc.11.1.35.View ArticlePubMedPubMed CentralGoogle Scholar
- Tsai YW, Chen CS, Liu TC, Yang CL, Chuang CC, Chen JI: Analysis of cigarette taxation in Taiwan. In Collection of Research Papers on Tobacco or Health in Taiwan 2002. Edited by: Wen Chi-Pang. 2002, Taiwan: Division of Health Policy Research, National Health Research Institutes, 188-211.Google Scholar
- Wen CP, Levy DT: Smoking policy at the crossroads: opportunities and challenges. In Collection of Research Papers on Tobacco or Health in Taiwan 2002. Edited by: Wen Chi-Pang. 2002, Taiwan: Division of Health Policy Research, National Health Research Institutes, 4-49.Google Scholar
- Lin HS, Wen CP, Hou CC, Hou CC, Chu ST, Chung WS: Research on tobacco litigation in Taiwan. In Collection of Research Papers on Tobacco or Health in Taiwan 2002. Edited by: Wen Chi-Pang. 2002, Taiwan: Division of Health Policy Research, National Health Research Institutes, 68-90.Google Scholar
- Sung HY, Hu TW, Keeler TE: Cigarette taxation and demand: an empirical model. Contemporary Economic Policy. 1994, 12 (3): 91-100.View ArticleGoogle Scholar
- Hu TW, Sung HY, Keeler TE: Reducing cigarette consumption in California: tobacco taxes vs. anti-smoking media campaign. American Journal of Public Health. 1998, 88 (9): 1218-1222.Google Scholar
- Lanoie P, Leclair P: Taxation or regulation: looking for a good anti-smoking policy. Economics letters. 1998, 58: 85-89. 10.1016/S0165-1765(97)00258-9.View ArticleGoogle Scholar
- Hu TW, Mao Z: Effects of cigarette tax on cigarette consumption and the Chinese economy. Tobacco Control. 2002, 11: 105-108. 10.1136/tc.11.2.105.View ArticlePubMedPubMed CentralGoogle Scholar
- Chaloupka FJ, Hu TW, Warner KE, Jacobs Rowena, Yurekli Ayda: The taxation of tobacco products. Tobacco control in developing countries. Edited by: Jha Prabhat, Chaloupka Frank. 2000, London: Oxford University Press, 237-272.Google Scholar
- Hopkins DP, Briss PA, Richard CJ, et al: Reviews of evidence regarding interventions to reduce use and exposure to environmental tobacco smoke. American Journal of Preventive Medicine. 2001, 20: 16-66. 10.1016/S0749-3797(00)00297-X.View ArticlePubMedGoogle Scholar
- United States Department of Health and Human Services: Reducing tobacco use: a report of the Surgeon General. 2000. Atlanta, Ga, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Heath Promotion, Office on Smoking and Heath.Google Scholar
- Hsieh CR, Hu TW, Lin C-FJ: The demand for cigarettes in Taiwan: domestic versus imported cigarettes. Contemporary Economic Policy. 1999, 17: 223-234.View ArticleGoogle Scholar
- Shi MS, Hsieh CR: Cigarette demand, cigarette taxation and anti-smoking: review of empirical literature and the case of Taiwan. Journal of Social Sciences and Philosophy. 1999, 11: 301-334.Google Scholar
- Lee JM, Yen CJ: A Study of the Impacts of Trade Liberalization and Tobacco Hazard Control on Cigarettes Demand and Industry Structure in Taiwan. 2004, Taiwan: Bureau of Health Promotion, Department of HealthGoogle Scholar
- Chaloupka FJ, Wechsler H: Price, tobacco control policies and smoking among young adults. Journal of Health Economics. 1997, 16: 359-373. 10.1016/S0167-6296(96)00530-9.View ArticlePubMedGoogle Scholar
- Lewit EM, Coate D: The potential for using excise taxes to reduce smoking. Journal of Health Economics. 1982, 1: 121-45. 10.1016/0167-6296(82)90011-X.View ArticleGoogle Scholar
- Lewit E, Coate MD, Grossman M: The effects of government regulations on teenage smoking. Health Economics. 1981, 24 (3): 545-569.Google Scholar
- Chaloupka FJ: Rational addictive behavior and cigarette smoking. Journal of Political Economy. 1991, 99 (4): 722-742. 10.1086/261776.View ArticleGoogle Scholar
- The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2458/4/61/prepub
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.