Warning: fopen(/home/virtual/epih/journal/upload/ip_log/ip_log_2023-06.txt): failed to open stream: Permission denied in /home/virtual/lib/view_data.php on line 83 Warning: fwrite() expects parameter 1 to be resource, boolean given in /home/virtual/lib/view_data.php on line 84 Tobacco consumption, sales, and output as monitoring indicators in the era of the tobacco endgame
Skip Navigation
Skip to contents

Epidemiol Health : Epidemiology and Health

OPEN ACCESS
SEARCH
Search

Articles

Page Path
HOME > Epidemiol Health > Accepted Articles > Article
Original article Tobacco consumption, sales, and output as monitoring indicators in the era of the tobacco endgame
Hana Kim2orcid , Hee-kyoung Nam2orcid , Heewon Kang1orcid
Epidemiol Health 2023;e2023030
DOI: https://doi.org/10.4178/epih.e2023030 [Accepted]
Published online: February 27, 2023
  • 625 Views
  • 71 Download
  • 0 Crossref
  • 0 Scopus
1Institute of Health and Environment, Graduate School of Public Health, Seoul National University, Seoul, Korea
2Department of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, Korea
Corresponding author:  Heewon Kang,
Email: hiw0301@snu.ac.kr
Received: 11 December 2022   • Revised: 7 February 2023   • Accepted: 8 February 2023

Objectives
The consumption, sales, and output of tobacco products each suggest different areas of intervention for tobacco control. In the era of the tobacco endgame, as increasingly stronger supply-side measures are implemented, multifaceted indicators that assess both supply and/or demand are required. We aimed to estimate the consumption of cigarette and heated tobacco products (HTPs) and sought agreement between the various indicators.
Methods
The annual cigarette and HTP consumption in 2014–2020 was calculated using the frequency and intensity of cigarette use from representative surveys of adults and adolescents by sex and age. Sales and output data were acquired from governmental sources. Spearman correlation coefficients and Bland–Altman plots were used to compare the indicators.
Results
Tobacco output, cigarette sales, and cigarette consumption were greatest in 2014. The HTP consumption calculated for 2020 was 292.28 million packs. Cigarette consumption and sales correlated significantly, as did tobacco output and tobacco sales. A Bland–Altman plot comparing the difference between cigarette consumption and sales showed that this difference was largest in 2014, immediately before cigarette prices increased. With the exception of a single year, all cigarette consumption values were within the limits of agreement for cigarette sales and tobacco output.
Conclusions
Our analyses showed agreement between demand-side (tobacco consumption) and supply-side (sales and output) indicators. We recommend using all indicators to monitor the impacts of tobacco control on both demand and supply sides. The systematic use of various indicators is critical to achieve the end of the tobacco epidemic.


Epidemiol Health : Epidemiology and Health