题名

香菸及檳榔課稅效果之研究

并列篇名

Effect of Taxes on Cigarettes and Betel Nut

DOI

10.6288/TJPH2007-26-01-03

作者

李家銘(Jie-Min Lee);葉春淵(Chun-Yuan Yeh);洪榮耀(Jung-Yao Hung)

关键词

菸控政策 ; 癮性商品 ; 價格彈性 ; 香菸及檳榔消費 ; tobacco control policy ; addictive goods ; price elasticity ; cigarette and betel nut consumption

期刊名称

台灣公共衛生雜誌

卷期/出版年月

26卷1期(2007 / 02 / 01)

页次

17 - 25

内容语文

繁體中文

中文摘要

目標:在藉由香菸與檳榔的價格彈性估計來評估香菸及未來檳榔健康捐課徵對香菸及檳榔消費的影響效果,研究結果有助於台灣未來調漲香菸健康捐及課徵檳榔健康捐之重要參考依據。方法:以理性上癮模型(rational addiction model),使用1972-2003年每年的香菸及檳榔銷售的價量時間數列資料,進行香菸與檳榔的價格彈性估計。結果:估計香菸及檳榔的價格彈性分別為-0.3018及-0.254。國內兩次菸品健康捐的課徵將使國人平均每人香菸消費分別減少8.57%及3.29%;若每顆檳榔課徵0.22元的情況下,其對檳榔消費的減少效果為2.88%,可節省醫療支出0.12%。結論:從公衛及財政的觀點,香菸及檳榔捐的課徵將有助於抑制國人香菸及檳榔的消費,又可以增加額外香菸稅及檳榔稅之財政收益。

英文摘要

Objectives: The effect of a Health and Welfare Tax on cigarettes and betel nut consumption was evaluated by estimating cigarette and betel nut price elasticities. The results of the current study will hopefully provide a useful reference for health policymakers when instituting taxes on cigarettes and betel nuts. Methods: Using the annual statistics published from 1972-2003, we established a model based on the rational addiction model to estimate the price elasticity coefficients of cigarettes and betel nut. Results: The price elasticities for cigarettes and betel nut were -0.3018 and -0.254, respectively. By raising the tobacco health welfare tax twice, there would be an 8.75% and 3.29% reduction in the average per capita cigarette consumption. If a NT$0.22 per Betel Nut Health Tax is levied in the future, there would be a 2.88% reduction in the average per capita betel nut consumption and a medical savings of 0.12%. Conclusions: From a public health and financial perspective, levying taxes on cigarettes and betel nut would not only have a significant effect on reducing cigarette and betel nut consumption, but would also generate additional revenues.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. 傅祖壇、陳信通(1999)。風險性物品之消費行為:台灣檳榔之實證。農業經濟叢刊。
    連結:
  2. Bask M, Melkersson M(2003).Should one ues smokeless tobacco in smoking cessation programs.Eur J Health Econ.
  3. Becker GS, Grossman M, Murphy KM(1994).An empirical analysis of cigarette addiction.Am Econ Rev.
  4. Becker GS, Murphy KM(1988).A theory of rational addiction.J Polit Econ.
  5. Bureau of Health Promotion(2001).Cancer Registry Annual Report.Taipei, Taiwan: Department of Health, Executive Yuan, Taiwan.
  6. Bureau of Health Promotion(2003).Report of Knowledge, Attitude and Practice (KAP) in Health Promotionin Taiwan.Taichung, Taiwan: Bureau of Health Promotion, Department of Health, Executive Yuan.
  7. Cawte J(1985).Psychoactive substances of the South Seas: betel, kava and pituri.Aust N Z J Psychiatry.
  8. Chaloupka F(1991).Rational addictive behavior and cigarette smoking.J Polit Econ.
  9. Gupta PC, Warnakulasuriya S(2002).Areca nut symposium: global epidemiology of areca nut usage.Addict Bio.
  10. Marshall M,Lindstrom L(1987).An overview of drugs in Oceania.Drugs in Western Pacific Societies: Relations of Substance.
  11. Norton SA(1997).Betel: consumption and consequences.J Am Acad Dermatol.
  12. Raghavan V, Baruah HK(1958).Areca nut: India's popular masticatory-history, chemistry and utilization.Econ Bot.
  13. Tsai SP, Wen CP, Hu SC(2005).Workplace smoking related absenteeism and productivity costs in Taiwan.Tob Control.
  14. Warnakulasuriya S, Trivedy C, Peters T(2002).Areca nut use: an independent risk factor for oral cancer: the health problem is under-recognized.Br Med J.
  15. Wen CP, Cheng TY, Eriksen MP(2005).How opening the cigarette market led to an increase in betel quid use in Taiwan.Public Health.
  16. Wen CP, Levy DT,Wen CP, Tsai sp, chen TL(2002).Smoking policy at the crossroads: opportunities and challenges.Collection of Research Papers on Tobacco or Health in Taiwan 2002.
  17. Wen CP, Tsai SP, Cheng TY(2005).Uncovering the relation between betel quid chewing and cigarette smoking in Taiwan.Tob Control.
  18. WHO(1999).The World Health Report 1999: Making a Difference.
  19. Winstock A(2002).Areca nut symposium: areca nut-abuse liability, dependence and public health.Addict Biol.
  20. Yang IH(2000).Epidemiological Studies on Areca Quid and Oral Cancer.Literature Review Series.
  21. 丁志音、江東亮(1996)。以健康行為型態分類台灣地區之成年人口群-群聚分析之應用。中華衛誌。
  22. 行政院衛生署(2001)。中華民國九十年癌症登記報告。
  23. 吳德敏、白璐、宋丕錕等(1999)。抽菸、飲酒與嚼檳榔習慣個人聚集之初探:以健康檢查族群為例。中華衛誌。
  24. 李卓倫(2004)。探討課徵檳榔健康捐及檳榔管理可行方案研究-以中部地區為例。
  25. 張文俊、丁建元(2005)。上癮性消費與對劣價財課稅之效果-以台灣地區檳榔消費為例。財稅研究。
  26. 陳富莉、李蘭(2001)。台灣地區不同年齡層民眾的健康行為聚集型態。公共衛生。
  27. 陳富莉、李蘭(1999)。台灣地區成年人支吸菸與嚼檳榔行為的組合及相關因子探討。中華衛誌。
被引用次数
  1. 郭振雄、林翠芳、何怡澄(2012)。全民健康保險補充財源初探。臺灣公共衛生雜誌,31(4),314-325。
  2. 葉春淵、黃玟儀、洪榮耀、邱城英、李家銘(2009)。香菸課稅效果之研究—門檻迴歸模型之運用。臺灣公共衛生雜誌,28(4),289-299。