Campaña antitabaco en uruguay: impacto en la decisión de dejar de fumar durante el embarazo y en el peso al nacer

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

Resumen:

Background. In 2005, Uruguay instituted a nationwide tobacco control campaign that has resulted in a substantial decline in nationwide smoking rates. We sought to determine the quantitative contributions of each of the major tobacco control measures adopted by the Uruguayan government. We focused sharply on smoking cessation by pregnant women and on the effect of quitting smoking during pregnancy on birth weight. Data. We analyzed a nationwide registry of all pregnancies in Uruguay during 2007–2012, supplemented by data on cigarette prices and various governmental policies. Methods. We estimated linear probability models of quitting smoking in the third trimester as well as linear models of the effect of quitting on birth weight. Our explanatory variables included maternal characteristics, provider-level and national-level policy interventions, and real price. In our models of quitting smoking, we used taxes as an instrument to address price endogeneity. In our models of birth weight, we used tobacco control policies as instruments to address the endogeneity of smoking cessation. Results. During 2007–2012, the proportion of pregnant women who had quit smoking by their third trimester increased markedly from 15 to 42 percent. Each of the major non-price tobacco control measures – including programs to treat nicotine dependence at health centers, banning of advertising nationwide, rotating warnings with pictograms on each pack, restriction of brands to a single presentation, and an increase in the size of pictograms to 80% of the front and back of each pack – was separately associated with a significant increase in the rate of quitting. During 2007–2009, tobacco manufacturers responded to tax increases and non-price policies by moderating their pretax prices. Quitting smoking by the third trimester increased birth weight by an estimated 163 grams. Conclusion. Uruguay’s nationwide tobacco control campaign led to a substantial increase in the likelihood that a pregnant smoker would quit by her third trimester. Each of the major tobacco control measures adopted by the government had a measurable impact on the rate of quitting and thus on neonatal health.


Detalles Bibliográficos
2014
Eevaluation
Cigarette taxes
Package warnings
Aadvertising bans
Tobacco control
Pregnancy
Birth weight
Inglés
Universidad de Montevideo
REDUM
https://hdl.handle.net/20.500.12806/1337
Acceso abierto
Attribution-NonCommercial-NoDerivatives 4.0 Internacional
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author Harris, Jeffrey E.
author2 Balsa, Ana Inés
Triunfo, Patricia
author2_role author
author
author_facet Harris, Jeffrey E.
Balsa, Ana Inés
Triunfo, Patricia
author_role author
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dc.contributor.filiacion.es.fl_str_mv Harris, Jeffrey E. Massachusetts Institute of Technology
Balsa, Ana Inés. Universidad de Montevideo, Uruguay
Triunfo, Patricia. Universidad de la República, Uruguay
dc.creator.none.fl_str_mv Harris, Jeffrey E.
Balsa, Ana Inés
Triunfo, Patricia
dc.date.accessioned.none.fl_str_mv 2022-04-20T20:33:05Z
dc.date.available.none.fl_str_mv 2022-04-20T20:33:05Z
dc.date.issued.es.fl_str_mv 2014
dc.description.abstract.none.fl_txt_mv Background. In 2005, Uruguay instituted a nationwide tobacco control campaign that has resulted in a substantial decline in nationwide smoking rates. We sought to determine the quantitative contributions of each of the major tobacco control measures adopted by the Uruguayan government. We focused sharply on smoking cessation by pregnant women and on the effect of quitting smoking during pregnancy on birth weight. Data. We analyzed a nationwide registry of all pregnancies in Uruguay during 2007–2012, supplemented by data on cigarette prices and various governmental policies. Methods. We estimated linear probability models of quitting smoking in the third trimester as well as linear models of the effect of quitting on birth weight. Our explanatory variables included maternal characteristics, provider-level and national-level policy interventions, and real price. In our models of quitting smoking, we used taxes as an instrument to address price endogeneity. In our models of birth weight, we used tobacco control policies as instruments to address the endogeneity of smoking cessation. Results. During 2007–2012, the proportion of pregnant women who had quit smoking by their third trimester increased markedly from 15 to 42 percent. Each of the major non-price tobacco control measures – including programs to treat nicotine dependence at health centers, banning of advertising nationwide, rotating warnings with pictograms on each pack, restriction of brands to a single presentation, and an increase in the size of pictograms to 80% of the front and back of each pack – was separately associated with a significant increase in the rate of quitting. During 2007–2009, tobacco manufacturers responded to tax increases and non-price policies by moderating their pretax prices. Quitting smoking by the third trimester increased birth weight by an estimated 163 grams. Conclusion. Uruguay’s nationwide tobacco control campaign led to a substantial increase in the likelihood that a pregnant smoker would quit by her third trimester. Each of the major tobacco control measures adopted by the government had a measurable impact on the rate of quitting and thus on neonatal health.
dc.format.extent.es.fl_str_mv 73 p.
dc.format.mimetype.es.fl_str_mv application/pdf
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/20.500.12806/1337
dc.language.iso.none.fl_str_mv eng
dc.publisher.es.fl_str_mv Universidad de Montevideo, Facultad de Ciencias Empresariales y Economía, Departamento de Economía
dc.relation.ispartof.es.fl_str_mv Documentos de trabajo del Departamento de Economía; UM_CEE_2014_01
dc.rights.es.fl_str_mv Abierto
dc.rights.license.none.fl_str_mv Attribution-NonCommercial-NoDerivatives 4.0 Internacional
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
dc.rights.uri.*.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.source.none.fl_str_mv reponame:REDUM
instname:Universidad de Montevideo
instacron:Universidad de Montevideo
dc.subject.es.fl_str_mv Eevaluation
Cigarette taxes
Package warnings
Aadvertising bans
Tobacco control
Pregnancy
Birth weight
dc.title.none.fl_str_mv Campaña antitabaco en uruguay: impacto en la decisión de dejar de fumar durante el embarazo y en el peso al nacer
dc.type.es.fl_str_mv Documento de trabajo
dc.type.none.fl_str_mv info:eu-repo/semantics/workingPaper
dc.type.version.es.fl_str_mv Publicada
dc.type.version.none.fl_str_mv info:eu-repo/semantics/publishedVersion
description Background. In 2005, Uruguay instituted a nationwide tobacco control campaign that has resulted in a substantial decline in nationwide smoking rates. We sought to determine the quantitative contributions of each of the major tobacco control measures adopted by the Uruguayan government. We focused sharply on smoking cessation by pregnant women and on the effect of quitting smoking during pregnancy on birth weight. Data. We analyzed a nationwide registry of all pregnancies in Uruguay during 2007–2012, supplemented by data on cigarette prices and various governmental policies. Methods. We estimated linear probability models of quitting smoking in the third trimester as well as linear models of the effect of quitting on birth weight. Our explanatory variables included maternal characteristics, provider-level and national-level policy interventions, and real price. In our models of quitting smoking, we used taxes as an instrument to address price endogeneity. In our models of birth weight, we used tobacco control policies as instruments to address the endogeneity of smoking cessation. Results. During 2007–2012, the proportion of pregnant women who had quit smoking by their third trimester increased markedly from 15 to 42 percent. Each of the major non-price tobacco control measures – including programs to treat nicotine dependence at health centers, banning of advertising nationwide, rotating warnings with pictograms on each pack, restriction of brands to a single presentation, and an increase in the size of pictograms to 80% of the front and back of each pack – was separately associated with a significant increase in the rate of quitting. During 2007–2009, tobacco manufacturers responded to tax increases and non-price policies by moderating their pretax prices. Quitting smoking by the third trimester increased birth weight by an estimated 163 grams. Conclusion. Uruguay’s nationwide tobacco control campaign led to a substantial increase in the likelihood that a pregnant smoker would quit by her third trimester. Each of the major tobacco control measures adopted by the government had a measurable impact on the rate of quitting and thus on neonatal health.
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rights_invalid_str_mv Attribution-NonCommercial-NoDerivatives 4.0 Internacional
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spelling Attribution-NonCommercial-NoDerivatives 4.0 InternacionalAbiertohttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccess508e4843-7ec4-411a-84d2-9e109cbe6cd116b83a11-57bb-434e-8c04-df7fbe5ff1e87bdc9071-a806-49f1-8181-0e8794d2a1c1Harris, Jeffrey E. Massachusetts Institute of TechnologyBalsa, Ana Inés. Universidad de Montevideo, UruguayTriunfo, Patricia. Universidad de la República, Uruguay2022-04-20T20:33:05Z2022-04-20T20:33:05Z2014https://hdl.handle.net/20.500.12806/1337Background. In 2005, Uruguay instituted a nationwide tobacco control campaign that has resulted in a substantial decline in nationwide smoking rates. We sought to determine the quantitative contributions of each of the major tobacco control measures adopted by the Uruguayan government. We focused sharply on smoking cessation by pregnant women and on the effect of quitting smoking during pregnancy on birth weight. Data. We analyzed a nationwide registry of all pregnancies in Uruguay during 2007–2012, supplemented by data on cigarette prices and various governmental policies. Methods. We estimated linear probability models of quitting smoking in the third trimester as well as linear models of the effect of quitting on birth weight. Our explanatory variables included maternal characteristics, provider-level and national-level policy interventions, and real price. In our models of quitting smoking, we used taxes as an instrument to address price endogeneity. In our models of birth weight, we used tobacco control policies as instruments to address the endogeneity of smoking cessation. Results. During 2007–2012, the proportion of pregnant women who had quit smoking by their third trimester increased markedly from 15 to 42 percent. Each of the major non-price tobacco control measures – including programs to treat nicotine dependence at health centers, banning of advertising nationwide, rotating warnings with pictograms on each pack, restriction of brands to a single presentation, and an increase in the size of pictograms to 80% of the front and back of each pack – was separately associated with a significant increase in the rate of quitting. During 2007–2009, tobacco manufacturers responded to tax increases and non-price policies by moderating their pretax prices. Quitting smoking by the third trimester increased birth weight by an estimated 163 grams. Conclusion. Uruguay’s nationwide tobacco control campaign led to a substantial increase in the likelihood that a pregnant smoker would quit by her third trimester. Each of the major tobacco control measures adopted by the government had a measurable impact on the rate of quitting and thus on neonatal health.73 p.application/pdfengUniversidad de Montevideo, Facultad de Ciencias Empresariales y Economía, Departamento de EconomíaDocumentos de trabajo del Departamento de Economía; UM_CEE_2014_01EevaluationCigarette taxesPackage warningsAadvertising bansTobacco controlPregnancyBirth weightCampaña antitabaco en uruguay: impacto en la decisión de dejar de fumar durante el embarazo y en el peso al nacerDocumento de trabajoPublicadainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/workingPaperreponame:REDUMinstname:Universidad de Montevideoinstacron:Universidad de MontevideoHarris, Jeffrey E.Balsa, Ana InésTriunfo, PatriciaORIGINALworking_paper_um_cee_2014_01.pdfworking_paper_um_cee_2014_01.pdfapplication/pdf1251262http://redum.um.edu.uy/bitstream/20.500.12806/1337/1/working_paper_um_cee_2014_01.pdf92ddb61add3312cc90170035bcab8409MD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8805http://redum.um.edu.uy/bitstream/20.500.12806/1337/2/license_rdf4460e5956bc1d1639be9ae6146a50347MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82117http://redum.um.edu.uy/bitstream/20.500.12806/1337/3/license.txt691ed290c8bf8671811a9242b7fc04b6MD53TEXTworking_paper_um_cee_2014_01.pdf.txtworking_paper_um_cee_2014_01.pdf.txtExtracted texttext/plain146797http://redum.um.edu.uy/bitstream/20.500.12806/1337/4/working_paper_um_cee_2014_01.pdf.txtca2767ee12e59226cdbdb4e0e5592bb6MD54THUMBNAILworking_paper_um_cee_2014_01.pdf.jpgworking_paper_um_cee_2014_01.pdf.jpgGenerated Thumbnailimage/jpeg1532http://redum.um.edu.uy/bitstream/20.500.12806/1337/5/working_paper_um_cee_2014_01.pdf.jpga00e514c0274d30f010f527a6bde6c2aMD5520.500.12806/13372024-06-04 03:01:09.573oai:redum.um.edu.uy:20.500.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Universidadhttps://um.edu.uy/https://redum.um.edu.uy/oai/requestnolascoaga@um.edu.uyUruguayopendoar:105012024-06-04T06:01:09REDUM - Universidad de Montevideofalse
spellingShingle Campaña antitabaco en uruguay: impacto en la decisión de dejar de fumar durante el embarazo y en el peso al nacer
Harris, Jeffrey E.
Eevaluation
Cigarette taxes
Package warnings
Aadvertising bans
Tobacco control
Pregnancy
Birth weight
status_str publishedVersion
title Campaña antitabaco en uruguay: impacto en la decisión de dejar de fumar durante el embarazo y en el peso al nacer
title_full Campaña antitabaco en uruguay: impacto en la decisión de dejar de fumar durante el embarazo y en el peso al nacer
title_fullStr Campaña antitabaco en uruguay: impacto en la decisión de dejar de fumar durante el embarazo y en el peso al nacer
title_full_unstemmed Campaña antitabaco en uruguay: impacto en la decisión de dejar de fumar durante el embarazo y en el peso al nacer
title_short Campaña antitabaco en uruguay: impacto en la decisión de dejar de fumar durante el embarazo y en el peso al nacer
title_sort Campaña antitabaco en uruguay: impacto en la decisión de dejar de fumar durante el embarazo y en el peso al nacer
topic Eevaluation
Cigarette taxes
Package warnings
Aadvertising bans
Tobacco control
Pregnancy
Birth weight
url https://hdl.handle.net/20.500.12806/1337