Goodchild Mark, Thu Le Thi, The Son Dao, Nguyen Tuan Lam, Totanes Robert, Paul Jeremias, Park Kidong
Health Promotion Department, World Health Organization, Geneva, Switzerland
HealthBridge Foundation of Canada, Hanoi, Vietnam.
Tob Control. 2021 Nov;30(6):675-679. doi: 10.1136/tobaccocontrol-2020-055920. Epub 2020 Nov 23.
Vietnam's national tobacco control strategy aims to reduce the rate of smoking among male adults from 45% in 2015 to 39% by 2020. The aim of this paper is to assess what contribution cigarette tax increases under Vietnam's current excise tax plan can be expected to make to this target, and to discuss what additional measures might be implemented accordingly.
This study uses a mix of administrative datasets and predictive modelling techniques to assess the expected impact of tax and price increases on cigarette consumption, tobacco tax revenues and the rate of smoking between 2015 and 2020.
The average retail price of cigarettes is estimated to have increased by 16% (sensitivity analysis: 14%-18%) in inflation-adjusted terms between 2015 and 2020, while cigarette consumption is projected to decrease by 5.1% (4.5%-5.5%). The rate of smoking among males is projected to decrease to 42.8% (42.1%-43.6%) compared with the target of 39%. Total tax revenues from cigarettes are projected to increase by 21% (19%-23%), reflecting an extra ₫3300 billion in inflation-adjusted revenues for the government.
The current excise tax law is expected to have only a modest impact on the rate of smoking in Vietnam, though it has generated tax revenues. If Vietnam is to achieve its tobacco control targets, the government should implement a mixed excise system with a high-specific component to promote public health by raising the price of cigarettes more significantly.
越南国家烟草控制战略旨在将成年男性吸烟率从2015年的45%降至2020年的39%。本文旨在评估越南当前消费税计划下提高卷烟税对实现这一目标的贡献,并讨论相应可采取的其他措施。
本研究采用行政数据集和预测建模技术相结合的方法,评估2015年至2020年期间提高税收和价格对卷烟消费、烟草税收收入及吸烟率的预期影响。
经通胀调整后,2015年至2020年期间卷烟平均零售价预计上涨16%(敏感性分析:14%-18%),而卷烟消费预计将下降5.1%(4.5%-5.5%)。男性吸烟率预计降至42.8%(42.1%-43.6%),而目标是39%。卷烟总税收收入预计将增加21%(19%-23%),这意味着政府经通胀调整后的额外收入增加33000亿越南盾。
当前的消费税法律预计对越南吸烟率的影响有限,尽管它带来了税收收入。如果越南要实现其烟草控制目标,政府应实施一种包含高从量税成分的混合消费税制度,通过更大幅度提高卷烟价格来促进公众健康。