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. 2018 Apr 11;361:k1162. doi: 10.1136/bmj.k1162

Table 1.

Key study indicators

Indicators Lower middle income countries* Upper middle income countries*
India Indonesia Bangladesh Philippines Vietnam Armenia China Mexico Turkey Brazil Colombia Thailand Chile†
Population (2015; in millions) 1311 258 161 101 93 2.9 1376 127 79 208 48 68 18
Male population (2015; in millions) 679 130 81 51 46 1 709 63 39 102 24 34 9
No of people on low income at $1.90/day (2011; $ PPP; in millions) 268 21 28 13 3 0 25 4 0.3 8 3 0.03 1
Total health expenditure as % of GDP 5 3 3 5 7 4 6 6 5 8 7 4 8
Public expenditure on health as % of GDP 1 1 1 2 4 2 3 3 4 4 5 3 4
Out-of-pocket expenditure as % of total health expenditure 62 47 67 54 37 54 32 44 18 25 15 12 32
% of population covered by public financing scheme‡ 14 55 26 88 60 28 97 89§ 85 100 91 98 90
Proportion of costs paid by public financing 40 70 36 41 60 100 26 82§ 98 81 100 99 90
Male smoking prevalence (15-74 years old)¶ 10 58 28 39 46 53 52 21 39 23 18 45 48
Average sticks/day per current smoker 4 12 8 9 11 24 14 10 18 11 8 9 13
No of male cigarette smokers (in millions) 46 53 25 16 15 1 291 10 12 16 3 12 3
Price per pack of cigarettes (2016; in $ PPP) 9.2 5.2 3.4 2.3 2.6 3.1 2.8 5.7 10.3 3.2 2.2 7.1 5.8
Excise tax increase needed for a 50% increase in price (2016; in $ PPP) 4.6 2.6 1.7 1.1 1.3 1.5 1.4 2.9 5.1 1.6 1.1 3.5 2.9
Share of tax to retail price (%) 43.1 57.4 77.0 62.6 35.7 35.0 50.8 67.0 82.1 67.9 49.5 73.5 64.9
% increase in tax rate from baseline tax rate 232 174 130 160 280 286 197 149 122 147 202 136 154
Price per pack after 50% price increase 14 8 5 3 4 5 4 9 15 5 3 11 9
$

1.00 (£0.72; €0.81).

PPP=purchasing power parity; GDP=gross domestic product.

*

World Bank definition.

World Bank classifies Chile as a high income country, but for present analyses Chile was considered as a middle income country, given that the average household income for Chileans is more or less similar to that of other upper middle income countries such as Brazil

Only public financing schemes considered but mandatory private schemes (eg, ISAPREs for Chile) included. For other countries, private insurance was excluded as it covers only a small portion of the population and is not mandatory.

§

In Mexico, although the universal health coverage rate as well as financial protection provided by Seguro Popular for the first and second groups of income is 100%, the policy only covers chronic obstructive pulmonary disease among tobacco related conditions, whereas the coverage rate for the remaining groups is 82% and financial protection is 70%, and all diseases are covered by health insurance.

Estimates only include cigarettes but exclude bidis mostly used in India and Bangladesh.