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Tob Control. Feb 2005; 14(1): 13–21.
PMCID: PMC1747989

Exploring the impact of foreign direct investment on tobacco consumption in the former Soviet Union

Abstract

Background: Tobacco is the single largest cause of morbidity and mortality in the developed world; in the former socialist bloc tobacco kills twice as many men as in the west. Although evidence shows that liberalisation of the cigarette trade through the elimination of import barriers leads to significant increases in consumption, far less is known about the impact of foreign direct investment on cigarette consumption. This paper seeks to explore the impact that the substantial transnational tobacco company investments have had on patterns of tobacco trade and consumption in the former Soviet Union.

Design: Routine data were used to explore trends in cigarette trade and consumption in the 15 countries of the former Soviet Union from the 1960s to the present day. Comparisons were made between trends in countries that have received substantial investment from the tobacco transnationals and countries that have not.

Results: Between 1991 and 2000 cigarette production increased by 96% in countries receiving industry investment and by 11% in countries that did not. Over the same period cigarette consumption increased by 40%; the increase was concentrated in countries receiving investments. Despite these investments, cigarette imports still outweigh exports and no trade surplus has yet to result.

Conclusions: The findings suggest that liberalisation of inward investment has a significant and positive impact on cigarette consumption and that without appropriate safeguards, market liberalisation may have long term negative impacts on health. Specific trade rules are needed to govern trade and investment in this uniquely harmful product. Implementation of effective tobacco control policies should precede tobacco industry privatisation. International financial organisations pressing for privatisation should ensure this occurs.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Shkolnikov V, McKee M, Leon DA. Changes in life expectancy in Russia in the mid-1990s. Lancet. 2001 Mar 24;357(9260):917–921. [PubMed]
  • Cockerham WC. The social determinants of the decline of life expectancy in Russia and eastern Europe: a lifestyle explanation. J Health Soc Behav. 1997 Jun;38(2):117–130. [PubMed]
  • Walberg P, McKee M, Shkolnikov V, Chenet L, Leon DA. Economic change, crime, and mortality crisis in Russia: regional analysis. BMJ. 1998 Aug 1;317(7154):312–318. [PMC free article] [PubMed]
  • Zatonski WA, McMichael AJ, Powles JW. Ecological study of reasons for sharp decline in mortality from ischaemic heart disease in Poland since 1991. BMJ. 1998 Apr 4;316(7137):1047–1051. [PMC free article] [PubMed]
  • Gilmore AB, McKee M. Tobacco and transition: an overview of industry investments, impact and influence in the former Soviet Union. Tob Control. 2004 Jun;13(2):136–142. [PMC free article] [PubMed]
  • Novotny TE, Zhao F. Consumption and production waste: another externality of tobacco use. Tob Control. 1999 Spring;8(1):75–80. [PMC free article] [PubMed]
  • Gilmore AB, McKee M. Moving East: how the transnational tobacco industry gained entry to the emerging markets of the former Soviet Union-part II: an overview of priorities and tactics used to establish a manufacturing presence. Tob Control. 2004 Jun;13(2):151–160. [PMC free article] [PubMed]
  • Joossens L, Raw M. Cigarette smuggling in Europe: who really benefits? Tob Control. 1998 Spring;7(1):66–71. [PMC free article] [PubMed]
  • Gilmore AB, McKee M, Telishevska M, Rose R. Epidemiology of smoking in Ukraine, 2000. Prev Med. 2001 Nov;33(5):453–461. [PubMed]
  • Gilmore Anna, Pomerleau Joceline, McKee Martin, Rose Richard, Haerpfer Christian W, Rotman David, Tumanov Sergej. Prevalence of smoking in 8 countries of the former Soviet Union: results from the living conditions, lifestyles and health study. Am J Public Health. 2004 Dec;94(12):2177–2187. [PMC free article] [PubMed]
  • Shkolnikov V, McKee M, Leon D, Chenet L. Why is the death rate from lung cancer falling in the Russian Federation? Eur J Epidemiol. 1999 Mar;15(3):203–206. [PubMed]
  • Gilmore AB, McKee M, Rose R. Prevalence and determinants of smoking in Belarus: a national household survey, 2000. Eur J Epidemiol. 2001;17(3):245–253. [PubMed]
  • McKee M, Bobak M, Rose R, Shkolnikov V, Chenet L, Leon D. Patterns of smoking in Russia. Tob Control. 1998 Spring;7(1):22–26. [PMC free article] [PubMed]
  • Murray CJ, Lopez AD. Mortality by cause for eight regions of the world: Global Burden of Disease Study. Lancet. 1997 May 3;349(9061):1269–1276. [PubMed]

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