e-ISSN 2598-3849       print ISSN 2527-8878

Vol 3, No 2 (2018)

Increasing Cigarette Excise Tax Prevents Smoking Initiation in Children and Finances National Health Insurance in Indonesia

Ayu Tyas Purnamasari, Pujiyanto Pujiyanto, Hasbullah Thabrany, Renny Nurhasana, Aryana Satrya, Teguh Dartanto

Abstract


AbstractIndonesia has ranked third among countries with the highest number of smokers in Asia because the price of cigarettes in those countries is still affordable. The strategy to make the price of cigarettes is not affordable is increasing cigarette excise tax. This instrument is considered the most effective way to control cigarette consumption. The purpose of this study was to find out how the public perceive the increase of the cigarette excise tax to cover the National Health Insurance (NHI) deficit and to identify the factors which affect such perception. This study used mobile phone survey and the sample were 1000 respondents. The list of potential respondent’s mobile phone numbers was selected using the systematic random sampling method with an interval of 100,000 to 200,000. The result showed that 87.9% respondents agree to increase cigarette price so that the children do not start to smoke. The majority of respondents (86.2%) also agree to increase the price of cigarettes to finance the JKN deficit. Perceptions of respondents who agreed to increase the price of cigarettes to prevent smoking initiation in children also tended to accede the increase in cigarette prices for financing the JKN deficit.  Abstrak Indonesia menempati peringkat ketika jumlah perokok tertinggi di Asia karena harga rokok masih terjangkau. Strategi agar harga rokok tidak terjangkau adalah menaikkan cukai rokok. Instrumen tersebut dinilai paling efektif untuk mengendalikan konsumsi rokok. Tujuan penelitian adalah untuk mengetahui bagaimana persepsi masyarakat terhadap kenaikan cukai rokok untuk pembiayaan Jaminan Kesehatan Nasional (JKN) dan mengidentifikasi faktor yang memengaruhi persepsi tersebut. Metode penelitian menggunakan survei melalui telepon dengan sampel 1000 responden. Daftar nomor telepon seluler calon responden dipilih dengan cara systematic random sampling interval 100.000 sampai 200.000. Hasil penelitian menunjukkan bahwa 87,9% setuju harga rokok dinaikkan agar anak-anak tidak mulai merokok. Mayoritas responden (86,2%) juga setuju mengenai kenaikan harga rokok untuk pembiayaan defisit JKN. Persepsi responden yang setuju terhadap kenaikan harga rokok agar mencegah inisisasi merokok pada anak-anak juga cenderung setuju terhadap kenaikan harga rokok untuk pembiayaan defisit JKN. 

Keywords


sin tax; tobacco control; national health insurance; cigarette excise tax; NHI deficit

References


(1) Boonn, A. 2018. Raising cigarette taxes reduces smok-ing, especially among kids (and the cigarette compa-nies know it) . Washington, District of Columbia. Accessed: 6 January 2019

(2) Bosnia, T. 2018. Blokir Berlaku, Ada 63 Juta Nomor HP yang Belum Teregistrasi. Accessed: 13 De-cember 2018 .

(3) CTFK. 2016. The Toll of Tobacco in Indonesia. Ac-cessed: 6 May 2019 .

(4) Databoks. 2018. Defisit dan Penyertaan Pemerintah ke BPJS Kesehatan (2014-2017). Accessed: 15 De-cember 2018

(5) Gardner, B. and West, R. 2010. Public support in En-gland for raising the price of cigarettes to fund tobacco control activities. BMJ Open. 19(4): 331–333.

(6) Ghada N., R. et al. 2003. Impact of religious rulings (Fatwa) on smoking . Journal of the Egyptian Soci-ety of Parasitology. 33(3):1087–1101.

(7) Ghouri, N., Atcha, M. and Sheikh, A. 2006. Public health Influence of Islam on smoking among Muslims. BMJ Open. 332: 291–294.

(8) Global Tobacco Free Kids. 2017a. Tobacco Tax Success Story, Global Tobacco Free Kids. Accessed: 18 Jan-uary 2019 .

(9) Global Tobacco Free Kids. 2017b. Tobacco Tax Success Story, Global Tobacco Free Kids. Accessed: 18 Jan-uary 2019 < https://www.tobaccofreekids.org/as-sets/global/pdfs/en/success_Philippines_en.pdf>.

(10) Hamilton et al. 2005. Who Supports Tobacco Excise Taxes? Factors Associated With Towns’ and Individ-uals’ Support in Massachusetts . Journal of Public Health Management & Practice. 11(4): 333–340. van Hasselt, M. et al. 2015. The relation between tobac-co taxes and youth and young adult smoking: What happened following the 2009 U.S. federal tax increase on cigarettes?. Addictive Behaviors. 45: 104–109. Hidayat, B. et al. 2017. Ringkasan Studi : Menentukan Harga Rokok Ideal. Depok: Center for Health Eco-nomics and Policy Studies Universitas Indonesia. Hill, S. et al. 2014. Impact of tobacco control interventions on socioeconomic inequalities in smoking: Review of the evidence. Tobacco Control. 23(e2): e89–e97.

(11) International Agency for Research on Cancer. 2011. IARC Handbooks of Cancer Prevention Tobacco Con-trol Volume 14: Effectiveness of Tax and Price Policies for Tobacco Control, World Health Organization.

(12) Jha, P. and Peto, R. 2014. Global Effects of Smoking, of Quitting, and of Taxing Tobacco. The New England Journal of Medicine. 370(1): 60–68.

(13) Kementerian Kesehatan Republik Indonesia. 2018a. Hasil Utama RISKESDAS 2018 . Badan Penelitian dan Pengembangan Kesehatan. Jakarta:Kemente-rian Kesehatan Republik Indonesia. p.123-124.

(14) Kementerian Kesehatan Republik Indonesia. 2018b. Hasil Utama RISKESDAS 2018, Badan Penelitian dan Pengembangan Kesehatan. Jakarta:Kementerian Kesehatan Republik Indonesia. p.125.

(15) Kostiva, D. et al. 2010. Prices and Cigarette Demand: Evidance from Youth Tobacco Use in Developing Countries . 15781. Cambridge.

(16) L’Engle, K. et al. 2018. Survey research with a random digit dial national mobile phone sample in Ghana: Methods and sample quality. PLoS ONE. 13(1): 1–11.

(17) Moeloek, N. 2016. Pengantar Dialog: Dialog Kon-struktif Pemangku Kepentingan untuk Peningkatan JKN”’. Jakarta, 30 May 2016.

(18) Park, E. J. et al. 2015 ‘What cigarette price is re-quired for smokers to attempt to quit smoking? Findings from the ITC Korea waves 2 and 3 sur-vey’, Tobacco Control. 24(2008): iii48-iii55.

(19) Pierce, J. P., White, V. M. and Emery, S. L. 2012. What public health strategies are needed to reduce smoking initiation?. Tobacco Control. 21(2): 258–264.

(20) Singapore Customs (2018) List of Dutiable Goods, Government of Singapore. Accessed: 20 February 2019 .

(21) Song, A. V. et al. 2009. Perceptions of smoking-related risks and benefits as predictors of adolescent smok-ing initiation. American Journal of Public Health. 99(3): 487–492.

(22) Tabuchi, T. et al. 2016. Tobacco Price Increase and Smoking Cessation in Japan, a Developed Coun-try With Affordable Tobacco: A National Popula- tion-Based Observational Study. Journal of Epide-miology. 26(1):14–21.

(23) Tan, Y. L. 2016 Earmarked tobacco taxes : Lesson learnt from nine countries. Geneva: World Health Organization.

(24) Thabrany, H. and Laborahima, Z. 2016. People’s Sup-port on Sin Tax to Finance UHC in Indonesia, 2016, Jurnal Ekonomi Kesehatan Indonesia. 1 (1):1-11.

(25) The AstraZeneca Young Health Programme. 2011. Non-Communicable Diseases and Adolescents: An opportunity for action. Cambridge. p. 1-20.

(26) Thomas, S. et al. 2008. Population tobacco control interventions and their effects on social inequali-ties in smoking: Systematic review. Tobacco Con-trol.17(4): 230–237.

(27) U.S. Department of Health and Human Services. 2010. How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attrib-utable Disease: A Report of the Surgeon General., U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Na-tional Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health.

(28) U.S. Department of Health and Human Services. 2014. The Health Consequences of Smoking—50 Years of Progress A Report of the Surgeon General. A Report of the Surgeon General. p. 1081.

(29) Vardavas, C. I. et al. 2012. Tobacco taxation: The im-portance of earmarking the revenue to health care and tobacco control. Tobacco Induced Diseases. 10(1): 1–6

(30) WHO. 2008. MPOWER: Six policies to reverse the to-bacco epidemic. World Health Organization, pp. 23–41.

(31) WHO Regional Office for Europe. 2007. The Europe-an Tobacco Control Report: 2007 . Denmark: World Health Organization Europe.

(32) WHO Tobacco Free Initiative. 2004. Building blocks for tobacco control: a handbook. Geneva.

(33) World Bank. 2017. Total Population. Accessed: 6 May 2019

(34) World Health Assembly. 2011. Youth and health risks.

(35) World Health Organization. A64.28(May), pp. 1–4.

(36) World Health Organization. 2018. Fact-sheet 2018 Indonesia. p. 2. doi: 10.1056/ NEJM200208153470717.


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DOI: 10.7454/eki.v3i2.3033

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