Centre for Public Policy Research, Kochi, India.
WHO FCTC Global Knowledge Hub on Smokeless Tobacco, ICMR-National Institute of Cancer Prevention & Research, Noida, India.
Indian J Med Res. 2018 Jul;148(1):46-55. doi: 10.4103/ijmr.IJMR_1822_17.
Southeast Asia accounts for nearly 86 per cent of the smokeless tobacco (SLT) consumers in the world. The heterogeneous nature of SLT is a major impediment to using taxation as a tool to regulate SLT. This study was aimed to review issues around fiscal policies on SLT with the objective of providing clarity on the use of taxation as an effective policy instrument to regulate SLT use. Descriptive statistics and graphical representations were used to analyze published data from different sources. An analysis of prices and tax between smoke and SLT products was done to understand the impact of tax policies on SLT consumption. India, Bangladesh and Myanmar together account for 71 per cent of the world SLT users. The retail prices (PPP$) and tax were lower for SLT in low- and lower-middle-income countries and higher in high-income countries, on an average, suggesting a direct relationship between the two. Evidence from India and Bangladesh suggested that taxation had significantly reduced SLT use among adults. The compounded levy scheme used in India to tax SLT was found effective after incorporating speed of packing machines into the assessment of deemed production and tax on SLT products. The current analysis shows that taxation can be an effective instrument to regulate SLT consumption if tax rates are harmonized across SLT products and in a manner not to encourage substitution with other tobacco products. It is also imperative to set a minimum floor price on all tobacco products including SLT.
东南亚地区占全球无烟气烟草制品(SLT)消费者的近 86%。SLT 的异质性是利用税收作为工具来规范 SLT 的主要障碍。本研究旨在审查 SLT 财政政策方面的问题,目的是明确利用税收作为有效政策工具来规范 SLT 使用。使用描述性统计和图形表示来分析来自不同来源的已发表数据。对香烟和 SLT 产品之间的价格和税收进行分析,以了解税收政策对 SLT 消费的影响。印度、孟加拉国和缅甸三国的 SLT 用户占全球的 71%。低和中下等收入国家的 SLT 的零售价格(PPP$)和税收平均较低,而高收入国家的价格和税收较高,这表明两者之间存在直接关系。来自印度和孟加拉国的证据表明,税收显著降低了成年人对 SLT 的使用。印度在评估 SLT 产品的应课税产量和税收时,将包装机的速度纳入其中,采用复合征税计划对 SLT 进行征税,结果发现这一计划非常有效。目前的分析表明,如果对所有 SLT 产品(包括 SLT)的税率进行协调,并避免鼓励用其他烟草产品替代 SLT,那么税收可以成为规范 SLT 消费的有效手段。同样至关重要的是,要为所有烟草产品(包括 SLT)设定最低底价。