Preventive Medicine 134 (2020) 106042 Contents lists available at ScienceDirect Preventive Medicine journal homepage: www.elsevier.com/locate/ypmed Price Elasticity of cigarette smoking demand in the Philippines after the 2012 Sin Tax Reform Act T Kent Jason Go Chenga,⁎, Miguel Antonio Garcia Estradab,c a Social Science Department, Maxwell School of Citizenship and Public Affairs, Syracuse University, 100 College Place, Lyman Hall Rm 309, Syracuse, NY, USA School of Economics, University of the Philippines Diliman, Quezon City, 1101 Philippines c Congressional Policy and Budget Research Department, 3F Main Building, House of Representatives, Batasan Hills, Quezon City, 1126 Philippines b ARTICLE INFO ABSTRACT Keywords: Cigarette Price elasticity Sin tax reform Philippines The Philippine tobacco excise tax reform law passed in 2012 drastically increased cigarette prices which were historically low. A pack of 20 cigarettes costing nine cents (US Dollar) or less was taxed five cents in 2011. When the reform took effect in 2013, each pack was taxed 24 cents which is almost five times the 2011 rate. Alongside the increase in tax is a decline in the prevalence of tobacco use from 28.3% in 2009 to 23.8% in 2015. Seven years since the reform took effect, policymakers are still debating whether the tax introduced was high enough to significantly reduce smoking prevalence. This study estimated the total price elasticity of cigarette demand using regression analyses on the pooled Philippine 2009 and 2015 Global Adult Tobacco Survey data with the excise tax as an instrumental variable. Information from both tax regimes provided the variation in cigarette prices that allowed for the estimation of the price elasticity of smoking participation and intensity. Age, sex, urban residence, educational attainment, employment status, wealth quintile, and media exposure were used as control variables. Results confirm that cigarette demand is inelastic, given that total cigarette price elasticity of demand ranges from −0.56 to −1.10 which means that for every 10% price increase, total cigarette demand declines by 5.6% to 11.0%. This study also provides total price elasticities for different subpopulations. Future studies can use these elasticity estimates to forecast smoking prevalence and provide policy recommendations. 1. Introduction Smoking is a serious public health concern. It is known to be the leading cause of respiratory and cardiovascular diseases and cancer (US CDC, 2017). The recent Global Burden of Disease (GBD) study estimates that in 2015, one in four people smoke and one in 10 deaths is due to smoking, adding up to 6.4 million deaths worldwide (Reitsma et al., 2017). Smoking ranks second in the top causes of mortality, followed by high systolic blood pressure (Forouzanfar et al., 2016; Reitsma et al., 2017). Tax increases are known to be the most effective intervention to reduce tobacco demand, among other methods, such as postings of health warnings, designation of non-smoking areas, banning of the selling of tobacco products to minors, and ad restrictions (Jha and Chaloupka, 2000; Jha et al., 2012; World Health Organization, 2015). In this light, the Philippine government increased tobacco taxes through Republic Act (RA) 10351 or the “Sin Tax Reform Act of 2012." The law drastically increased tobacco prices which was historically low: a stick of cigarette was as cheap as one Philippine Peso (PhP) or roughly ⁎ a few US cents back in 2012 (Kaiser et al., 2016). A pack of cigarettes costing nine US cents (PhP 5 under a PhP 51 per USD 1 exchange rate) was taxed five US cents (PhP 2.72) in 2011 but, because of the reform, was taxed 24 cents (PhP 12) in 2013 or almost five times the 2011 rate. The net retail price (NRP), which refers to the price of a pack of cigarettes without tax and other charges (Estrada, 2018), is the basis for the amount of excise tax imposed. There were four tiers prior to the enactment of the reform, with each tier having a corresponding tax. The reform decreased the NRP tiers from four to two, and eventually abolished the tiers to create a uniform flat tax starting 2017. Beginning 2018, the unitary excise tax rate was supposed to increase by 4% annually. However, due to a tax reform law (RA 10963) passed in late 2017, a higher tax was imposed in 2018. Another law (RA 11346), enacted in July 2019, changed the schedule of increases altogether and raised the cigarette excise tax to a higher amount relative to the ones provided under the two earlier laws. A portion of tax collections from tobacco products is earmarked for public health programs and alternative livelihood projects for farmers in tobacco-growing regions. Table 1 summarizes the sin tax law rates pre- and post-2012 reform. Corresponding author. E-mail addresses: kgcheng@syr.edu (K.J.G. Cheng), mgestrada@up.edu.ph, miguel.estrada@cpbrd.congress.gov.ph (M.A.G. Estrada). https://doi.org/10.1016/j.ypmed.2020.106042 Received 14 July 2019; Received in revised form 26 December 2019; Accepted 22 February 2020 Available online 22 February 2020 0091-7435/ © 2020 Elsevier Inc. All rights reserved. Preventive Medicine 134 (2020) 106042 K.J.G. Cheng and M.A.G. Estrada Table 1 Sin tax rates in the pre-reform and reform periods. Source: Based on tables from Estrada (2018) Pre-reform Period RA number (law) Year Tier 1 (NRP < PhP 5) Tier 2 (PhP 5.00 ≤ NRP ≤ PhP 6.50) Tier 3 (PhP 6.50 ≤ NRP ≤ PhP 10.00) Tier 4 (NRP > PhP 10.00) 8420 of 1996 8424 of 1997 1997 1998 2000 2005 2007 2009 2011 PhP 1.00 1.00 1.12 2.00 2.23 2.47 2.72 5.00 5.00 5.60 6.35 6.74 7.14 7.56 8.00 8.00 8.96 10.35 10.88 11.43 12.00 12.00 12.00 13.44 25.00 26.06 27.16 28.30 9334 of 2004 Reform Period RA number Year Tier 1 (NRP ≤ PhP 11.50) Tier 2 (NRP > PhP 11.50) 10,351 of 2012 2013 2014 2015 2016 2017 2018 onwards 12.00 17.00 21.00 25.00 30.00 Annual increase of 4% 25.00 27.00 28.00 29.00 Notes: RA = Republic Act; PhP = Philippine Peso; NRP = Net Retail Price. NRP is the price of a pack of cigarettes without tax and other charges. Until 2016, tax rates were based on NRP per pack. Higher-tiered cigarettes were taxed at higher rates. Tiers were decreased from four to two (2013-2016), and altogether abolished to create a uniform excise tax rate from 2017 onwards. developed by Cragg (1971) which remains to be widely used in this line of research. Here, the decision to smoke (smoking participation) is modelled separately from the number of sticks smoked (smoking intensity). The first model was estimated using Probit and Probit with an Instrumental Variable (IV) while the second was estimated using Ordinary Least Squares (OLS) and the IV Two-Stage Least Squares (2SLS). We ran the OLS and 2SLS for both sticks smoked and the log-transformed sticks smoked following many preceding studies (see Chaloupka and Warner, 1999 and International Agency for Research on Cancer, 2011 for useful reviews, and the World Health Organization, 2010 for a step-by-step guide in conducting economic analysis of cigarette demand using GATS). Robust standard errors were used for all models to correct for the possibility of heteroscedasticity. The two-part model can be summarized by the equations below wherein α is the constant, β is the coefficient of the main variable price, Χ is the matrix of other controls that are mostly socio-economic variables, θ is the vector of coefficients of Χ, A is a proxy for addiction and γ is its coefficient, and ε is the error term. Based on the Global Adult Tobacco Survey (GATS) (Department of Health - Philippines and Philippine Statistics Authority, 2016), cigarette smoking prevalence for individuals aged 15 years and older dropped from 27.9% in 2009 to 22.5% in 2015. Among former smokers, 55.5% pointed to high prices as the reason for quitting while 34.8% claimed that anti-smoking policies made them quit. These findings may make it seem that the excise tax reform is effective. Despite the 2012 reform, data in 2016 show that the country was third in Southeast Asia (SEA), with a smoking prevalence of 24.3%. This rate was 7.8 points higher than Singapore which had the lowest percentage of smokers in the region (World Bank, 2018). It should be noted that RA 11346, signed in July 2019, increases the cigarette excise tax to 88 cents (PhP 45) by 2020 and eventually, to USD 1.18 (PhP 60) by 2023. This will be followed by an annual increase of 5% in the sin tax beginning 2024. RA 11346 was endorsed by the President as an urgent measure and is seen to result in higher government revenues. An updated estimate of the price elasticity of cigarette demand is therefore warranted given future attempts to push for an even higher excise tax. Previous elasticity estimates used household-level surveys (Austria and Pagaduan, 2019; Quimbo et al., 2010) or macro-level data (National Tobacco Control Team et al., 2008). To the best of our knowledge, this study is the first to estimate the price elasticity of cigarette demand in the Philippines using 2009 and 2015 GATS data. Having data from both pre-reform and reform periods provides the variation in cigarette prices that allows for the estimation of the price elasticity of demand. In addition, compared to household or macrolevel data, using individual-level data allows us to estimate the price elasticity by smoking participation and smoking intensity and to control for socio-demographic factors (International Agency for Research on Cancer, 2011). The resulting price elasticity will help policymakers decide what tax rate is needed to meet smoking prevalence targets and how much tax revenues to expect under a proposed tax regime. Part 1: Smoking participation = + price + Part 2: Number of Sticks Smoked = + price + + + A+ The smoking participation model results in the prevalence price elasticity of demand while the smoking intensity model results in the conditional price elasticity of demand. Summing these two elasticities will result in the total price elasticity of demand. To obtain the elasticities for different socioeconomic status groups, we ran the same set of regressions on disaggregated data following previous studies (e.g. Farrelly et al., 2001). 2.2. Data GATS data was employed to estimate the price elasticity of cigarette demand in the the excise tax reform period. The survey is the global standard protocol for systematically monitoring adult tobacco use and tracking key tobacco control indicators. It is a cross-sectional, nationally representative survey of Filipinos aged 15 and older, which used multistage geographically clustered sample design. The 2009 and 2015 waves of the survey were pooled to allow the analysis to include both pre-reform and Sin Tax Reform periods. The 2009 GATS had 9701 2. Methods 2.1. Statistical analyses Cigarette demand was estimated using the two-part model 2 Preventive Medicine 134 (2020) 106042 K.J.G. Cheng and M.A.G. Estrada respondents while the 2015 GATS had 11,644 respondents. Response rates were impressive at 88.4% and 92.1%, respectively. Final study sample included 9545 responses from 2009 and 11,489 responses from 2015 after dropping responses with missing values on variables of interest and outliers for the price variable. Table 2 Computation of the instrumental variable used. [A] No. of sticks per pack 2.2.1. Smoking participation and smoking intensity Smoking participation was coded dichotomously, with a value of 1 for those who said they smoked daily and less than daily, and a value of 0 for those who said they did not smoke at all. On the other hand, smoking intensity was measured in terms of number of sticks smoked daily. For non-daily smokers, weekly number of sticks smoked was divided by seven. 2.2.2. Cigarette price The survey asks the respondents to report the quantity and price of their recent cigarette purchase. These were used to derive price per stick. In the regression, all left-hand side variables should be exogenous to get unbiased estimates. However, self-reported price is not exogenous since smokers get to decide which cigarettes to buy at a given price so price is not out of their control. In addition, because non-current smokers do not buy cigarettes, they do not have any price to report. But it is incorrect to assume that the price they face is zero because they can still choose to buy cigarettes, and their decision not to smoke is shaped by price. To solve these two issues, the respondent gets assigned the average price per stick of her/his primary sampling unit (PSU) or type of residence (urban or rural) in case PSU information was not available. Weighted tax per stick Price per stick [C] Tax per [D] Tax per pack (PhP) stick [C] ÷ [A] [E] Weight based on volume [B] ÷ Ʃ[B] [F] Weighted tax (per stick) [D] × [E] 2009 30 20 20 20 Total 35.52 2273.90 512.18 1265.23 4086.83 PhP 2.47 2.47 7.14 11.43 – PhP 0.082 0.124 0.357 0.572 – 0.009 0.556 0.125 0.310 1.000 PhP 0.001 0.069 0.045 0.177 0.291 2015 20 20 10 20 Total 2916.58 1092.02 265.15 93.15 4366.9 21.00 28.00 21.00 28.00 – 1.050 1.400 2.100 1.400 – 0.668 0.250 0.061 0.021 1.000 0.701 0.350 0.128 0.030 1.209 a Sourced from BIR annual reports (Bureau of Internal Revenue, 2009, 2015). using principal components analysis (PCA) on responses to questions that ask whether the respondent had own electricity, flush toilet, fixed telephone, cell phone, television, radio, refrigerator, car, scooter, washing machine, CD/VCD/DVD player, component/karaoke, laptop, tractor, and motorized boat. The first principal components served as the weights of the index. Set of measures selected were reliable, with a Cronbach's alpha of 0.83 for 2009 and 0.81 for 2015. Exposure to media was constructed using PCA on responses to questions that ask whether the respondent had been exposed to messages about the harms of cigarettes from newspapers and magazines, local television, radio, billboard, monorails, cinema advertisements, health care facilities, malls, and warnings on cigarette packages. The first principal components served as the weights of the index. Set of measures selected were reliable, with a Cronbach's alpha of 0.80 for 2009 and 0.78 for 2015. Then, similar to cigarette price, each respondent was assigned the average media exposure index for her/his PSU or type of residence (urban or rural), in case PSU information was not available. This was done just in case endogeneity problems arise. Resulting index was normalized to range from 0 to 1. Following Tsai et al. (2005), addiction was controlled for using the time to smoking the first cigarette after waking up which was categorized as within 5 min, within 30 min, within an hour, and after an hour, with non-daily smokers as the reference group. This measure had been found to be a good single-item measure of nicotine dependence (Baker et al., 2007). In preliminary analyses (results available upon request), the dichotomized year dummy (1 = 2015, 0 = 2009) was controlled for like most pooled cross-sectional analyses. However, doing so led to multicollinearity issues as indicated by how sensitive the price coefficient was when year was added. Specifically, price became large and positive and lost statistical significance while year was positive and statistically significant. In addition, there was strong correlation between price per stick and the year dummy (correlation = 0.71). Because of these observations, we decided to drop the year variable in our final model. 2.2.3. Instrumental variable Despite the effort described in the preceding subsection, the endogeneity problem with the price variable persisted (as shown in Table 4). Therefore, following previous studies, the excise tax was used as an instrument for price (e.g. Nargis et al., 2014; Odermatt and Stutzer, 2018). As previously mentioned, the excise tax is levied based on different levels of NRP which is the price of a pack of cigarettes without tax and other charges. Unfortunately, the NRP and the corresponding excise tax cannot be determined from the respondent-reported price data. Therefore, an approximate percentage share of the excise tax in the price per stick was used instead, computed as follows: Approximate %of excise tax per stick = [B] Volume of removals (in million packs)a 1 wherein the weighted tax per stick is computed using the volume of removals reported by the Philippine Bureau of Internal Revenue (BIR) (Bureau of Internal Revenue, 2009, 2015). Table 2 shows how the weighted tax per stick was computed: The resulting weighted tax per stick for 2009 and 2015 is PhP 0.29 and PhP 1.21, respectively. Naturally, the tax should be lower than the price per stick the consumer face. Thus, price-per-stick observations that are equivalent or higher than the weighted tax per stick computed were dropped (n2009 = 67, n2015 = 217). 2.2.4. Control variables Following the literature, age during the time of interview, sex, type of residence, education, employment status, wealth levels, exposure to media relating to the dangers of smoking cigarettes, and addiction were controlled for. Sex was coded as a dichotomous variable with 1 for female and 0 for male. Type of residence was coded as a dichotomous variable with 1 for urban and 0 for rural. Education level was categorized as elementary, high school, college, and higher than college, with no formal education and less than elementary as reference. Employment was simplified to employed, student or pupil, and not in the labor force, with the unemployed as reference. Following recent studies (e.g. Kostova et al., 2014; Rutstein and Johnson, 2004; Sinha et al., 2012), a wealth index was constructed 3. Results Table 3 shows the descriptive statistics. Smokers made up 23% and 28% of the total 2015 and 2009 samples, respectively. On average, smokers from the 2015 sample smoked about 11 sticks per day while smokers from the 2009 sample smoked about 10 sticks per day. Each stick in 2015 cost around PhP 2.46, on average, while a stick in 2009 averaged PhP 1.08. Most of smokers were in their late thirties to early forties, had high school education or less, were employed, and were in 3 Preventive Medicine 134 (2020) 106042 K.J.G. Cheng and M.A.G. Estrada Table 3 Descriptive statistics. Variables 2015 2009 All Total Sex Male Female Education No formal schooling to some elementary Elementary graduate Some high school to high school graduate Some college to post college Employment Unemployed Employed Student Not in the labor force Wealth 1st Tertile 2nd Tertile 3rd Tertile Residence Urban Rural Addiction Smokes within 5 min of waking 6 to 30 min 31 to 60 min >60 min Not daily smoker Price Sticks Log of sticksa Age Media exposure index Tax instrumental variablea a Smokers All Smokers N % N % N % N % 11,487 100.0 2746 23.9 9541 100.0 2738 28.7 5698 5789 49.6 50.4 2386 360 86.9 13.1 4675 4866 49.0 51.0 2278 460 83.2 16.8 2102 1539 4572 3274 18.3 13.4 39.8 28.5 687 437 1096 527 25.0 15.9 39.9 19.2 258 2948 3692 2643 2.7 30.9 38.7 27.7 107 1109 1013 509 3.9 40.5 37.0 18.6 462 7248 963 2814 4.0 63.1 8.4 24.5 127 2307 66 246 4.6 84.0 2.4 9.0 443 6192 702 2204 4.6 64.9 7.4 23.1 125 2264 69 279 4.6 82.7 2.5 10.2 4043 3618 3825 35.2 31.5 33.3 1205 838 703 43.9 30.5 25.6 3196 3168 3177 33.5 33.2 33.3 1123 980 635 41.0 35.8 23.2 4572 6915 39.8 60.2 1038 1708 37.8 62.2 4265 5276 44.7 55.3 1084 1654 39.6 60.4 Mean 2.46 SD 0.72 SD 0.61 16.78 0.16 11.08 15.6 30.2 13.8 22.4 18.0 SD 0.70 17.07 1.31 15.12 0.16 11.04 Mean 1.08 40.75 0.32 50.93 428 829 379 615 494 Mean 2.44 11.15 1.75 41.88 0.32 51.31 38.82 0.34 31.52 15.96 0.18 11.93 471 799 378 578 512 Mean 1.05 9.97 1.63 39.80 0.33 32.44 17.2 29.2 13.8 21.1 18.7 SD 0.57 13.45 1.38 14.84 0.18 11.97 N for these variables are smaller due to how these variables were constructed. the lowest wealth quintile. It should also be noted that despite a law that prohibits the sale of cigarettes to minors or those below 18 years of age, individuals below this age remain to have access to cigarettes. Table 4 shows the regression results. For the smoking participation regressions (Columns 1–2), the test of exogeneity yielded a p-value significant at the 1% level, leading to the rejection of the null hypothesis that all independent variables are exogenous. In addition, tax is found to be a strong IV as the F-statistic of the reduced form regression (i.e. regressing the endogenous variable on the IV) is well above the minimum threshold of 10 (Column 2). Therefore, the Probit with IV is the appropriate modelling approach for smoking participation. Consistent with the literature, the model reveals that socio-economic factors indeed play a significant role in determining smoking probabilities. The chance that a female may smoke is 36% lower than males. Urban residents are 1% more likely to smoke compared to rural residents. Having higher education greatly diminishes the chance of smoking participation relative to those with no formal or less than elementary schooling. Students are unlikelier to smoke by 18% versus the unemployed. Being among the wealthiest is associated with an 8% lower chance of smoking than the poorest. Counterintuitively, exposure to health warnings contribute possibly to the chance of smoking, probably because smokers are more likely to see health hazard warnings on a cigarette pack than a non-smoker. As expected, price is statistically significantly associated with lower smoking participation, and the resulting prevalence price elasticity of demand is −1.24, meaning a 10% increase in price would lead to 12.4% reduction in the risk of smoking participation. The regression on sticks smoked (Column 3) did not have an endogeneity issue per the test of exogeneity so the OLS estimator (Column 4) will do. However, contrary to the conventions of the law of demand, the coefficient for price is positive and its implied conditional price elasticity is at 0.14 meaning a 10% increase in price would lead to 1.4% increase in sticks smoked among smokers. On the other hand, the regression on log-transformed sticks smoked (Column 5) had an issue with endogeneity and the coefficient of price is statistically insignificant so the 2SLS with IV regression (Column 6) is more suitable. Its price coefficient however is positive, yielding a conditional elasticity of 0.68, meaning a 10% increase in price would lead to 6.8% increase in sticks smoked among smokers. Both 0.68 and 0.14 seemed reasonable estimates of conditional price elasticity of demand, making total price elasticity range from −0.56 to −1.10, meaning, a 10% increase in price would lead cigarette demand to decrease by 5.6 to 11.0%. Both the OLS of sticks smoked (Column 3) and the 2SLS IV regression of log of sticks (Column 6) yielded almost similar direction and statistical significance levels of coefficients for the other socioeconomic status variables, save for employment status which becomes statistically significant and negative only in the 2SLS IV model (Column 6). Both models show that sticks smoked increases by age but attenuates over time. Being an elementary graduate, having some high school or graduating from high school, or having college education or beyond are positively associated with more sticks smoked relative to those with no formal schooling to some elementary but wealth does not relate to smoking intensity. Being female, not being unemployed, living in an urban area, experiencing higher rates of media exposure, and not being addicted (like a person who do not easily succumb to smoking within 5 min of waking up) are associated with less sticks smoked. 4 Preventive Medicine 134 (2020) 106042 K.J.G. Cheng and M.A.G. Estrada Table 4 Regression results. Independent variables Price Age Age squared Female (ref = male) Education (ref = no formal schooling to some elementary) Elementary graduate Some high school to high school graduate Some college to post college Employment (ref = unemployed) Employed Student Not in the labor force Wealth Tertile (ref = 1st Tertile) 2nd Tertile 3rd Tertile Urban (ref = rural) Media exposure index Addiction (ref = smokes within 5 min of waking) 6 to 30 min Smoking participation Number of sticks smoked per day Log of number of sticks smoked per day (1) Probit (2) IV Probit (3) OLS of no. of sticks (4) 2SLS with IV of no. of sticks (5) OLS of log of sticks (6) 2SLS with IV of log of sticks −0.0205*** (0.0034) 0.0066*** (0.0011) −0.0001*** (0.0000) −0.3570*** (0.0066) −0.6675*** (0.0840) 0.0232*** (0.0034) −0.0002*** (0.0000) −1.0674*** (0.0699) 0.8358** (0.3579) 0.3250*** (0.0707) −0.0033*** (0.0008) −2.6898*** (0.6583) 2.4751 (1.9979) 0.3130*** (0.0743) −0.0032*** (0.0008) −2.5046*** (0.7453) 0.0295 (0.0213) 0.0266*** (0.0056) −0.0003*** (0.0001) −0.3556*** (0.0527) 0.3870** (0.1553) 0.0232*** (0.0061) −0.0002*** (0.0001) −0.3217*** (0.0583) 0.0045 (0.0109) −0.0400*** (0.0104) −0.1133*** (0.0118) −0.4857*** (0.0808) −0.3893*** (0.0470) −0.5926*** (0.0414) 1.2993* (0.7550) 1.6365** (0.7544) 1.5745* (0.8218) 2.8006 (1.8510) 2.4480** (1.1223) 2.2842** (1.1085) −0.0023 (0.0555) 0.0558 (0.0526) 0.029 (0.0604) 0.3121** (0.1448) 0.2212** (0.0873) 0.1711** (0.0872) 0.0141 (0.0143) −0.1865*** (0.0203) −0.0495*** (0.0160) 0.0386 (0.0470) −0.4900*** (0.0770) −0.1142** (0.0538) −0.6455 (0.9628) −2.076 (2.0273) −1.8293 (1.1409) −0.619 (0.9774) −2.0468 (2.0226) −1.772 (1.1650) −0.1481** (0.0632) −0.4034*** (0.1279) −0.2305*** (0.0823) −0.1430** (0.0662) −0.4030*** (0.1305) −0.2067** (0.0867) −0.0358*** (0.0073) −0.0758*** (0.0086) 0.0121* (0.0067) 0.0644*** (0.0185) −0.0648** (0.0274) −0.1327*** (0.0386) 0.1637*** (0.0273) 0.2392*** (0.0596) −0.1201 (0.5055) 0.5228 (0.5857) −1.2518*** (0.4682) −2.1550** (0.9223) −0.1391 (0.5117) 0.2199 (0.6827) −1.7502** (0.7158) −2.1873** (0.9353) 0.011 (0.0373) 0.0538 (0.0425) −0.0028 (0.0340) −0.3580*** (0.0890) 0.0098 (0.0388) −0.0093 (0.0510) −0.1057* (0.0565) −0.3730*** (0.0936) −4.0667*** (0.4461) −5.2673*** (0.5063) −7.7091*** (0.4471) −5.8670*** (1.0332) 7.7293*** (2.2009) 5213 – 0.1381**a 0.60 [0.44] 31.21 −4.2034*** (0.4874) −5.3244*** (0.5378) −8.0032*** (0.5675) −6.0609*** (1.1034) 4.5863 (4.3650) 5149 – 0.4124b −0.3178*** (0.0392) −0.4544*** (0.0464) −0.7386*** (0.0415) −2.2619*** (0.0636) 2.0577*** (0.1469) 5138 – 0.0515a 5.98 [0.01] 37 −0.3475*** (0.0434) −0.4767*** (0.0499) −0.8008*** (0.0500) −2.3224*** (0.0680) 1.4044*** (0.3263) 5076 – 0.6808**b 31 to 60 min >60 min Not daily smoker Constant Observations % correctly predicted Elasticity Test of exogeneity First-stage F-test 21,028 76.77% −0.0376*** 29.16 [0.00] 147.77 20,752 76.62% −1.2377*** Marginal effects at means are presented for the Probit model. % correctly predicted was computed using a threshold of 0.5. Standard errors are in parentheses. ***p < 0.01, **p < 0.05, *p < 0.1; p-values for the exogeneity test in [ ]. a Computed by multiplying the coefficient of price with the ratio of average price and sticks smoked. b Computed by multiplying the coefficient of price with average price. We carried out the same analyses on disaggregated data to arrive at total price elasticities of demand for different subgroups of the population, shown in Table 5. Like our main results, model selection for the elasticities depended on the endogeneity tests, the F-statistic of the first stage regression, and the statistical significance level, sign, and magnitude of the price coefficient (in descending order according to importance). every 10% price increase, total cigarette demand declines by 5.6% to 11.0%. Cigarette demand therefore is generally inelastic in the Philippines. This study also provided total price elasticities for different subpopulations. This study's main finding are close to Kostova et al.'s (2014) pooled analysis of all available GATS data in 13 low-to-middle income countries (LMICs) (including the Philippines) which applied the two-part model. They found that price elasticity is −0.53, and similarly, better socio-economic status is attributed to less probability of smoking participation. Moreover, higher wealth is associated with more sticks smoked. Results are quite similar with previous studies (International Agency for Research on Cancer, 2011). For instance, price lessens the risk for 4. Discussion and conclusion This study pooled the Philippine 2009 and 2015 Global Adult Tobacco Survey data and estimated the total price elasticity of cigarette demand to be in the range of −0.56 to −1.10, which means that for 5 K.J.G. Cheng and M.A.G. Estrada Table 5 Price elasticity of cigarette demand per group. 6 Various groupings A. Prevalence price elasticity Na Model used B. Conditional price elasticity Na Model used A + B = Total price elasticity Female Male No formal schooling to some elementary Elementary graduate Some high school to high school graduate Some college to post college Unemployed Employed Student Not in the labor force 1st wealth Tertile 2nd wealth Tertile 3rd wealth Tertile Ages 15–19 Ages 20–24 Ages 25–59 Ages 60+ Urban Rural −1.5773 −0.9570⁎⁎⁎ −0.1107⁎⁎⁎ −0.0796⁎⁎⁎ −0.8679⁎⁎⁎ −1.3638⁎⁎⁎ Not significant −0.9076⁎⁎⁎ −1.9326⁎⁎⁎ −1.8679⁎⁎⁎ −1.7857⁎⁎⁎ −1.3968⁎⁎⁎ −0.8380⁎⁎⁎ −1.9428⁎⁎⁎ −1.6799⁎⁎⁎ −1.0136⁎⁎⁎ −0.1063⁎⁎⁎ −0.7737⁎⁎⁎ −1.7784⁎⁎⁎ 10,515 10,237 2365 4490 8159 5842 892 to 899 13,267 1641 4952 7115 6724 6913 1986 1829 13,530 2794 8737 12,015 IV Probit IV Probit Probit Probit IV Probit IV Probit 1.1696 0.6285⁎⁎ −1.0437⁎ Not significant 0.1923⁎⁎ Not significant Not significant 0.8259⁎⁎ 1.7949⁎⁎ Not significant 0.1431⁎⁎ 0.1592⁎ Not significant Not significant Not significant 0.6758⁎ 0.2200⁎ 0.5283⁎ 0.2038⁎⁎⁎ 627 4449 611 1417 to 1442 2085 1011 to 1028 241 to 246 4276 130 429 to 461 2123 1763 1314 to 1327 220 to 222 472 to 479 3726 490 2047 3130 2SLS IV of log of sticks 2SLS IV of log of sticks 2SLS IV of log of sticks n/a OLS of sticks n/a n/a 2SLS IV of log of sticks OLS of sticks n/a OLS of sticks OLS of sticks n/a n/a n/a 2SLS IV of log of sticks OLS of log of sticks 2SLS IV of log of sticks OLS of sticks −0.4077 −0.3285 −1.1544 −0.0796 −0.6756 −1.3638 n/a −0.0817 −0.1377 −1.8679 −1.6426 −1.2376 −0.838 −1.9428 −1.6799 −0.3378 0.1137 −0.2454 −1.5746 ⁎⁎⁎ IV Probit IV Probit IV Probit IV Probit IV Probit IV Probit IV Probit IV Probit IV Probit Probit IV Probit IV Probit ⁎ p < 0.01. p < 0.05. p < 0.1. N of those groupings with insignificant elasticities vary because some observations dropped when sticks were log-transformed or when the tax instrumental variable was included. ⁎⁎⁎ ⁎⁎ ⁎ a Preventive Medicine 134 (2020) 106042 Preventive Medicine 134 (2020) 106042 K.J.G. Cheng and M.A.G. Estrada References smoking participation more for females than males, but the increase for cigarette demand as price goes up for female smokers is higher compared to male smokers. Price's effect on cigarette demand is most often than not lower for those with higher socio-economic status. In fact, smokers who underwent high school, are students, are employed, and those in the top wealth quintile increase their consumption of cigarettes, as reflected by the positive sign of their respective conditional price elasticities. Sensitivity of demand to price peaks for teens (ages 15 to 18) but is lowest for adults aged 25-59 and older adults aged 60+. Note that the GATS is not designed to be representative of all disaggregated populations so disaggregated elasticities should be treated with fair caution. This study has other limitations: First, in using of survey data, underreporting is possible since smoking is viewed undesirably by society. Many studies in the past just assume that underreporting is more likely to happen in the reporting of number of sticks smoked than smoking participation (Grossman and Chaloupka, 1998) so this justifies estimating the price elasticity for smoking participation and smoking intensity separately. Second, unlike longitudinal data, causality cannot be established using pooled cross-sectional data utilized in this study. Cross-sectional data cannot control for temporal factors such as changing attitudes towards smoking (DeCicca et al., 2008). In addition, the absence of longitudinal data prevents us to test the rational addiction model (e.g. Becker et al., 1994; Chaloupka, 1991), which will require not only past smoking behavior, but also future cigarette consumption. Despite these limitations, this current study improves on the previous studies done for the Philippines. One study that used aggregate demand time-series data showed that price elasticity was −0.15 to −0.20 (National Tobacco Control Team et al., 2008). However, the price measure used was estimated price adjusted to one region's (i.e. National Capital Region) tobacco consumer price index which may not represent the whole Philippines. Another study used household expenditure data and showed that price elasticity was −0.87 (Quimbo et al., 2010). 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Acknowledgments The authors appreciate the nurturing environment their respective institutions have provided that made this research possible. The authors wish to acknowledge the valuable inputs provided by Dr. Stella Luz A. Quimbo for a related research paper written by MAG Estrada. Disclaimer Views expressed and potential errors in this article are the authors' alone, and not that of their affiliations. Funding This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. 7 Preventive Medicine 134 (2020) 106042 K.J.G. Cheng and M.A.G. Estrada Tsai, Y.W., Yang, C.L., Chen, C.S., Liu, T.C., Chen, P.F., 2005. The effect of Taiwan’s taxinduced increases in cigarette prices on brand-switching and the consumption of cigarettes. Health Econ. 14 (6), 627–641. https://doi.org/10.1002/hec.972. US CDC, 2017. Health effects of cigarette smoking. 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