The impact of tobacco advertising, promotions, and sponsorship on adolescent smoking behavior: evidence from the global youth tobacco survey (2000-2011) in the Philippines
Date
2025-12-06
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Abstract
"This paper assesses the impact of Tobacco Advertising and Sponsorship (TAPS) bans on adolescent cigarette smoking behavior. Prior studies by Blecher et al. (2008) and Ylitörmänen et al. (2020) suggest a 6.7% decline in per capita consumption and a 10.0% and 7.7% decline in youth smoking, respectively. In contrast, Stubbs (2021), Saffer et al. (2000), and Nelson (2010) present contrasting findings, highlighting the need for further investigation into their conclusions. This analysis integrates the model of rational addiction of Gruber and Koszegi (2000), alongside Becker and Murphy’s (1988) rational addiction model, to construct an empirical model that examines the effect of TAPS on adolescent smoking behavior. This empirical model is estimated using pooled data from the World Health Organization’s Global Youth Tobacco Survey for 2000, 2004, 2007, and 2011, and employs Cragg’s Two-Part Model and the Heckman Selection Model to assess smoking participation and intensity. Results of both models suggest a significant positive effect of the TAPS ban on curbing
smoking prevalence, after controlling for socio-environmental, demographic, and socio-economic factors. However, the TAPS ban's effect on reducing smoking intensity is found to not be statistically significant, even as the advertising ban becomes more stringent, suggesting the impact of the ban is limited to participation rather than changing the behaviors of established smokers. Meanwhile, isolating the impact of the levels of advertising exposure of adolescents to cigarette advertisements shows a significant positive association with a reduction in smoking prevalence but not smoking intensity. The empirical findings are supported by the use of the Cragg Two-Part Model, given that the data empirically demonstrate the assumption of the two decision stages operating independently. These findings suggest that TAPS bans curtail adolescent smoking participation, but their impact is constrained by social environments. Therefore, policy strategies must be complemented by interventions that address the socio-environmental influences on adolescent behavior."
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Keywords
Global Youth Tobacco Survey, TAPS, Cragg’s Two-Part Model, smoking participation, smoking intensity