Effect of comprehensive smoke-free legislation on the tourism industry in countries of the Caribbean Community

Author:

González-Rozada Martin12,Prieto-Lara Elisa3,Sandoval Guillermo A.3

Affiliation:

1. Universidad Torcuato Di Tella, Buenos Aires, Argentina.

2. mrozada@utdt.edu

3. Pan American Health Organization, Washington, DC, United States of America.

Abstract

Objective.

To assess whether the introduction of comprehensive smoke-free legislation affected tourism in four Caribbean Community (CARICOM) countries – Barbados, Guyana, Jamaica, and Trinidad and Tobago.

Methods.

We compared the evolution of three tourism variables – tourist arrivals, tourist expenditure, and average length of stay – in a country implementing smoke-free environments (treated country) with the evolution of these variables in the same country if smoke-free legislation had not been implemented. We used a synthetic control method to recreate this counterfactual scenario by constructing a synthetic country using a weighted average of several donor-pool CARICOM countries that did not introduce legislation on smoke-free environments during the period analyzed. We quantified the effect of the smoke-free environments on tourism as the difference between tourism variables in the treated and synthetic country. To assess whether the estimated effect of the smoke-free environments was the result of chance, we compared the effects of legislation in the treated country to placebo effects in the donor pool by assuming comprehensive smoke-free legislation was introduced in the same year as in the treated country.

Results.

Implementing smoke-free environments did not affect the arrival of tourists, tourism expenditure, or the average length of stay in the four countries.

Conclusions.

Our findings provide strong evidence that public policies banning smoking in public places do not affect hospitality and tourism businesses. Given the economic significance of this industry in the Caribbean, the local evidence provided by this study will help to effectively counteract interference by the tobacco industry and advance towards a smoke-free Caribbean.

Publisher

Pan American Health Organization

Subject

Public Health, Environmental and Occupational Health

Reference33 articles.

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2. WHO statement: Tobacco use and COVID. Geneva: World Health Organization; 2020 [cited 2022 Jul 28]. Available from: https://www.who.int/news/item/11-05-2020-who-statement-tobacco-use-and-covid-19

3. Goodchild M, Nargis N, Tursan d’Espaignet E. Global economic cost of smoking-attributable diseases. Tob Control. 2018;27(1):58–64 https://doi.org/10.1136/tobaccocontrol-2016-053305

4. Kvasnicka M, Siedler T, Ziebarth NR. The health effects of smoking bans: evidence from German hospitalization data [Discussion paper series]. Bonn: Institute of Labor Economics; 2028 [cited 2022 Jul 28]. Available from: https://docs.iza.org/dp11631.pdf

5. WHO report on the global tobacco epidemic 2021: addressing new and emerging products. Geneva: World Health Organization; 2021 [cited 2022 Jul 28]. Available from: https://apps.who.int/iris/handle/10665/343287

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