Gender differences in the price elasticity of demand for waterpipe and cigarette smoking in Lebanon, Jordan and Palestine: a volumetric choice experiment

• Published in: BMJ open Vol. 12; no. 7; p. e058495
• Main Authors: Awawda, Sameera, Chalak, Ali, Khader, Yousef, Mostafa, Aya, Abla, Ruba, Nakkash, Rima, Jawad, Mohammed, Salloum, Ramzi G, Abu-Rmeileh, Niveen ME
• Format: Journal Article
• Language: English
• Published: England British Medical Journal Publishing Group 18.07.2022; BMJ Publishing Group LTD; BMJ Publishing Group
• Series: Original research
• Subjects: Adolescent; Adult; Arabs; Cigarette Smoking - epidemiology; Cigarettes; Commerce; Elasticity; Elasticity of demand; Female; Gender differences; Health Economics; Health policy; Humans; Jordan - epidemiology; Lebanon - epidemiology; Male; Mens health; Nicotiana; Price elasticity; Protocols & guidelines; PUBLIC HEALTH; Sex Factors; Smoking; Tax rates; Taxes; Tobacco Products; Water Pipe Smoking; Water pipes; Womens health; Lebanon; Jordan; Jordan (country); West Bank; Palestinian territory; PUBLIC HEALTH; Protocols & guidelines; Health economics; Health policy
• ISSN: 2044-6055; 2044-6055
• DOI: 10.1136/bmjopen-2021-058495

ObjectivesThis study assessed the extent to which the elasticity of cigarette and waterpipe tobacco products differs between men and women. We also explored the levels of substitution and complementarity in tobacco products among men and women.SettingThe study examines tobacco elasticities in three Arab countries: Lebanon, Jordan and the West Bank of Palestine.ParticipantsWe used data from nationally representative surveys of adults aged ≥18 years in Lebanon (n=1680), Jordan (n=1925) and Palestine (n=1679). The proportion of women was 50.0% of the sample in Lebanon and Palestine, and 44.6% in Jordan.Primary and secondary outcome measuresA zero-inflated Poisson regression model estimated own-price and cross-price elasticities for two variations of cigarettes and five variations of waterpipe tobacco products. Elasticities were measured based on eight scenarios of prices.ResultsDemand for waterpipe tobacco products was elastic for both men and women. The cross-price elasticities in the three countries indicate the existence of substitution between cigarettes and waterpipe products and by different varieties within each of the two tobacco products. Gender differences varied across the three countries whereby higher cross-price elasticities were observed for women in Jordan and Palestine. For example, the price elasticity for discount waterpipe was −1.4 and −0.6 for women and men in Jordan, respectively.ConclusionsResults on the elasticity of demand for tobacco products and the existence of substitution between tobacco products reveal the higher responsiveness of men and women to changes in tobacco prices. This should be taken into consideration in tobacco control strategies particularly when reducing tobacco consumption via taxation policies.