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<front>
<journal-meta>
<journal-id journal-id-type="redalyc">446</journal-id>
<journal-title-group>
<journal-title specific-use="original" xml:lang="es">Población y Salud en Mesoamérica</journal-title>
</journal-title-group>
<issn pub-type="epub">1659-0201</issn>
<publisher>
<publisher-name>Universidad de Costa Rica</publisher-name>
<publisher-loc>
<country>Costa Rica</country>
<email>revista.ccp@ucr.ac.cr</email>
</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="art-access-id" specific-use="redalyc">44676126015</article-id>
<article-id pub-id-type="doi">https://doi.org/10.15517/psm.v21i2.54567</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Artículos científicos</subject>
</subj-group>
</article-categories>
<title-group>
<article-title xml:lang="es">Tobacco consumption influence on spending patterns within Costa Rican households</article-title>
<trans-title-group>
<trans-title xml:lang="es">Influencia del consumo de tabaco en los patrones de gasto de los hogares costarricenses</trans-title>
</trans-title-group>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="no">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7895-5761</contrib-id>
<name name-style="western">
<surname>Sequeira-Benavides</surname>
<given-names>Erick</given-names>
</name>
<xref ref-type="aff" rid="aff1"/>
</contrib>
</contrib-group>
<aff id="aff1">
<institution content-type="original">Universidad de Costa Rica, COSTA RICA</institution>
<institution content-type="orgname">Universidad de Costa Rica</institution>
<country country="CR">Costa Rica</country>
<email>erick.sequeira@ucr.ac.cr</email>
</aff>
<pub-date pub-type="epub-ppub">
<season>Enero-Junio</season>
<year>2024</year>
</pub-date>
<volume>21</volume>
<issue>2</issue>
<history>
<date date-type="received" publication-format="dd mes yyyy">
<day>20</day>
<month>03</month>
<year>2023</year>
</date>
<date date-type="corrected" publication-format="dd mes yyyy">
<day>07</day>
<month>09</month>
<year>2023</year>
</date>
<date date-type="accepted" publication-format="dd mes yyyy">
<day>10</day>
<month>10</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-year>2024</copyright-year>
<copyright-holder>Población y Salud en Mesoamérica</copyright-holder>
<ali:free_to_read/>
<license xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">
<ali:license_ref>https://creativecommons.org/licenses/by-nc-nd/4.0/</ali:license_ref>
<license-p>Esta obra está bajo una Licencia Creative Commons Atribución-NoComercial-SinDerivar 4.0 Internacional.</license-p>
</license>
</permissions>
<abstract xml:lang="en">
<title>Abstract</title>
<p>Tobacco consumption implies a dilemma in the allocation of the family budget. Hence, the objective of this study is to determine the effect of tobacco consumption on expenditure patterns within Costa Rican households. The 2018 National Household Income and Expenditure Survey is used to estimate Engel curves through a Quadratic Almost Ideal Demand System, using the Seemingly Unrelated Regression model for a set of 11 expenditure categories. Due to heteroskedasticity and endogeneity, the Generalized Method of Moment Three-Stage-Least-Squares (GMM-3SLS) is used since it provides more efficient parameter estimates. Results show that tobacco consumption is associated with a crowding-out effect on health expenditure and with a crowding-in effect on restaurant and hotel expenditures. Furthermore, tobacco consumption shows a crowding-in effect on alcoholic beverages for every income quintile. This suggests that tobacco consumption could harm the country´s standard of living and not only the realm of health.</p>
</abstract>
<trans-abstract xml:lang="es">
<title>Resumen</title>
<p>El consumo de tabaco implica una disyuntiva en la asignación del presupuesto familiar. Por ende, el objetivo de este estudio es determinar el efecto del consumo de tabaco sobre los patrones de los hogares costarricenses. Este artículo utiliza datos de Costa Rica de la Encuesta Nacional de Ingresos y Gastos de los Hogares de 2018 para estimar curvas de Engel a través de un sistema cuadrático de demanda casi ideal, empleando el modelo de Ecuaciones Aparentemente No Relacionadas para 11 categorías de gasto. Debido a la presencia de problemas de heterocedasticidad y endogeneidad, se utiliza Mínimos Cuadrados en Tres Etapas por el Método Generalizado de Momentos (MC3E-MGM), ya que provee estimaciones más eficientes. Los resultados muestran que el consumo de tabaco se asocia con un efecto desplazamiento sobre el gasto en salud y con un efecto atracción sobre el gasto en restaurantes y hotelería. Además, el consumo de tabaco muestra un efecto atracción sobre el gasto en bebidas alcohólicas para cada quintil de ingreso. Esto sugiere que el consumo de tabaco puede perjudicar la calidad de vida del país y no solo el ámbito de la salud.</p>
</trans-abstract>
<kwd-group xml:lang="en">
<title>Keywords</title>
<kwd>tobacco consumption</kwd>
<kwd>alcohol expenditure</kwd>
<kwd>crowding out</kwd>
<kwd>expenditure shares</kwd>
</kwd-group>
<kwd-group xml:lang="es">
<title>Palabras clave</title>
<kwd>consumo de tabaco</kwd>
<kwd>gasto en alcohol</kwd>
<kwd>efecto desplazamiento</kwd>
<kwd>razones de gasto</kwd>
</kwd-group>
<counts>
<fig-count count="0"/>
<table-count count="4"/>
<equation-count count="1"/>
<ref-count count="24"/>
</counts>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>
<bold>1. Introduction</bold>
</title>
<p>Various effects of tobacco use have been studied, mainly related to health status and economic costs. However, neoclassical consumer theory incorporates rationality into its foundations, which assumes that utility is maximized and validates the choice of an optimal basket of goods, whatever it contains. Although it is possible to consider externalities in these models, the rationality assumption and the effectiveness of intra-familiar compensations are questionable. The full consumer sovereignty is also arguable since the humans has social needs. These are not physiological or biological but must be satisfied because innate sociability marks us (<xref ref-type="bibr" rid="redalyc_44676126015_ref5">Fernández, 2005</xref>). This allows smoking to become a transmissible habit. Moreover, there is coercive use caused by addiction to nicotine, with evidence of attempts by individuals to eliminate their consumption.</p>
<p>At the individual level, tobacco consumption is one of the leading causes of death while being preventable and is the only legal product that can cause death when used as its manufacturers indicate (<xref ref-type="bibr" rid="redalyc_44676126015_ref22">U.S. National Cancer Institute &amp; World Health Organization, 2016</xref>). However, it generates external costs. The negative externalities involve damage to health, costs for social security systems financed by taxes, material damages, and loss of human lives. Part of the externalities are considered internal if the smoker’s relatives obtain some compensation, but others remain uncompensated. For example, diseases and consumption decisions affect the capacity to acquire other goods and to invest in physical and human capital. In this sense, an externality occurs through the distribution of household income. Since resources are limited, tobacco consumption creates a dilemma: a share of the family income must be allocated to the purchase of this good and it could not be used to buy basic goods and services. Expenditure reductions on food, housing, or even health and education can occur, to the detriment of the human capital accumulation that allows the breaking of poverty circles (<xref ref-type="bibr" rid="redalyc_44676126015_ref12">John et al., 2011</xref>).</p>
<p>All these implications justify direct censorship against tobacco consumption. Thus, this study is based on a critique of consumer sovereignty and the externalities caused. It is based on a social value over the individual one. Likewise, voluntary control mechanisms tend to be ineffective, and this makes it possible to justify interventions (<xref ref-type="bibr" rid="redalyc_44676126015_ref14">López &amp; Viudes, 2009</xref>). Therefore, this paper aims to determine the effect of tobacco consumption on the expenditure patterns within Costa Rican households, through the reallocation of the expenditure to other goods and services, based on the 2018 National Household Income and Expenditure Survey (NHIES). Studies that have investigated these effects in countries such as Ghana, China, Turkey, Bangladesh, Zambia, and Chile, find that tobacco use is associated with a crowding-out effect in education, health, and housing expenditure. Moreover, it is common to find a crowding-in effect in alcoholic beverage expenditure.</p>
<p>As detailed below, the studies related to tobacco consumption in Costa Rica focus on the effects on health or the smoker profile, but there are no known studies of this nature. This is the first contribution proposed in the country that examines the effect of tobacco consumption on the expenditure share of other goods and services. This research uses information on household income and expenditure contained in the HNIES 2018 to estimate a Quadratic Almost Ideal Demand System (QUAIDS) and thereby approximate Engel curves by implementing the Seemingly Unrelated Regression (SUR) model. Given the presence of heteroskedasticity and endogeneity, it is necessary to adjust the errors and to use an instrumental variable, so that the estimate corresponds to the Generalized Method of Moment Three-Stage-Least-Squares (GMM-3SLS).</p>
<p>The results indicate that in Costa Rica tobacco-consuming households show a crowding-out effect on health expenditure. Likewise, there is evidence of a positive relationship between tobacco consumption and expenditure on alcoholic beverages, so tobacco-consuming households have a higher expenditure share on these substances. This crowding-in effect holds when analyzing every income quintile.</p>
</sec>
<sec sec-type="materials">
<title>
<bold>2. Literature review</bold>
</title>
<p>Economic literature has addressed tobacco consumption and its effects from different perspectives. On the one hand, there are theoretical developments that model smoking as a rational decision by incorporating externalities. For instance, Becker &amp; Murphy (<xref ref-type="bibr" rid="redalyc_44676126015_ref2">1988</xref>) proposed a model of rational addiction, and Gruber &amp; Köszegi (<xref ref-type="bibr" rid="redalyc_44676126015_ref7">2001</xref>) proposed a model in which agents act with temporal inconsistency; that is, while making the decision, they value the immediate benefit of consuming tobacco more than the future health benefit. Nevertheless, there are also criticisms related to the market failures, such as that of López and Viudes (<xref ref-type="bibr" rid="redalyc_44676126015_ref14">2009</xref>): assuming that smokers are aware of the costs and that they consider them is incompatible with the efforts made by consumers themselves to quit smoking. On the other hand, there are empirical studies that analyze the crowding-out generated by tobacco consumption. The latter studies base their methodology on empirical analyses that approximate demand curves in cases in which there is no information on prices and use appropriate curves for the data according to the several types of goods, as well as empirical studies that analyze the household expenditure structure.</p>
<p>In Costa Rica, there are studies on the possible impacts of restricting tobacco consumption and the factors that influence it. Monge (<xref ref-type="bibr" rid="redalyc_44676126015_ref16">2012</xref>) described the Costa Rican tobacco market and the implications of strict tobacco control on employment and consumption. Fonseca et al. (<xref ref-type="bibr" rid="redalyc_44676126015_ref6">2017</xref>) found that the susceptibility and prevalence of smoking have decreased, but also found an increase in the proportion of young people with tobacco addiction. Additionally, being a woman, and living with children under 15 years old or with older adults are factors that reduce the probability of consuming tobacco (<xref ref-type="bibr" rid="redalyc_44676126015_ref4">Espinoza et al., 2020</xref>). Even so, there is no research on the crowding-out effect of tobacco consumption over the family budget allocation.</p>
<p>In contrast, there are empirical studies in other countries that analyze this relationship. Nevertheless, they use previous literature associated with Engel curves and QUAIDS. More specifically, Engel (<xref ref-type="bibr" rid="redalyc_44676126015_ref3">1857</xref>) studied the behavior of families and the allocation of income in various categories of goods, using the expenditure share in these groups as a proxy for welfare; however, there was no established specification for the equation. Later, Working (<xref ref-type="bibr" rid="redalyc_44676126015_ref24">1943</xref>) and Leser (<xref ref-type="bibr" rid="redalyc_44676126015_ref13">1963</xref>) proposed a linear form that relates the expenditure share of one good in the family budget to the natural logarithm of total expenditure. Subsequently, Banks et al. (<xref ref-type="bibr" rid="redalyc_44676126015_ref1">1997</xref>) observed that for some commodities the data did not fit precisely and then developed the QUAIDS, which consists of including a quadratic term for the logarithm of total expenditure. Thus, it is possible to obtain Engel curves consistent with consumer behavior. This considers goods and services that are a luxury for certain income levels and a necessity for others, which adapts the curves for budget shares whose relationship is strongly non-linear.</p>
<p>Several studies use the QUAIDS to estimate conditional Engel curves. The theoretical framework that justifies this implementation is summarized in the difficulty to estimate conditional demand functions since it is necessary a specification of a utility function and information on prices (<xref ref-type="bibr" rid="redalyc_44676126015_ref10">John, 2008</xref>; <xref ref-type="bibr" rid="redalyc_44676126015_ref17">Nguyen &amp; Nguyen, 2020</xref>; <xref ref-type="bibr" rid="redalyc_44676126015_ref23">Wang et al., 2006</xref>). In the literature, it is common to use the SUR model, but the estimation method may vary. The usual one is to implement Three-Stages-Least-Squares (3SLS), although some authors use methods such as Fractional Logit (<xref ref-type="bibr" rid="redalyc_44676126015_ref20">Pu et al., 2008</xref>; <xref ref-type="bibr" rid="redalyc_44676126015_ref23">Wang et al. 2006</xref>) or the combination of 3SLS with a Probit model (<xref ref-type="bibr" rid="redalyc_44676126015_ref15">Chelwa &amp; Walbeek, 2014</xref>).</p>
<p>John (<xref ref-type="bibr" rid="redalyc_44676126015_ref10">2008</xref>) and San &amp; Chaloupka (<xref ref-type="bibr" rid="redalyc_44676126015_ref21">2016</xref>) included tobacco expenditure and total non-tobacco expenditure as covariates but found an endogeneity issue; this was solved through the instrumental variable (IV) method, using the ratio of adult men to adult women and total expenditure or income as instruments. Then, a 3SLS was implemented. Other studies found heteroskedasticity issues, so to correct the errors they used Feasible Generalized Least Squares (<xref ref-type="bibr" rid="redalyc_44676126015_ref8">Husain et al., 2018</xref>; <xref ref-type="bibr" rid="redalyc_44676126015_ref12">John et al., 2011</xref>). In cases where both endogeneity and heteroscedasticity problems arose, authors use GMM-3SLS (<xref ref-type="bibr" rid="redalyc_44676126015_ref15">Masa et al., 2020</xref>;<xref ref-type="bibr" rid="redalyc_44676126015_ref17"> Nguyen &amp; Nguyen 2020</xref>).</p>
<p>It is also common to consider the effects according to different income levels. Although John (<xref ref-type="bibr" rid="redalyc_44676126015_ref10">2008</xref>) found that tobacco expenditure had a crowding-out effect on per capita food intake, education, and entertainment expenditure, the estimated effect was similar for low-income and high-income households. On the other hand, Pu et al. (<xref ref-type="bibr" rid="redalyc_44676126015_ref20">2008</xref>) found that low-income households are most vulnerable since they are more affected in terms of food and health. John et al. (<xref ref-type="bibr" rid="redalyc_44676126015_ref12">2011</xref>) found a crowding-out effect in education and clothing expenditure at the country level, and in food in low and middle-income households. Nguyen &amp; Nguyen (<xref ref-type="bibr" rid="redalyc_44676126015_ref17">2020</xref>) found a modest decline in the education expenditure share, but mainly in low-income households. Finally, Paraje &amp; Araya (<xref ref-type="bibr" rid="redalyc_44676126015_ref19">2018</xref>) obtained similar results: a lower expenditure share allocated to education and health for poorer households.</p>
<p>For some studies, the most affected categories were food, health, and education (<xref ref-type="bibr" rid="redalyc_44676126015_ref23">Wang et al., 2006</xref>; <xref ref-type="bibr" rid="redalyc_44676126015_ref21">San &amp; Chaloupka, 2015</xref>; <xref ref-type="bibr" rid="redalyc_44676126015_ref15">Masa et al., 2020</xref>), but in some cases, the crowding-out also occurred in categories such as recreation, transportation, communication, housing, clothing, and financial security (<xref ref-type="bibr" rid="redalyc_44676126015_ref23">Wang et al., 2006</xref>; <xref ref-type="bibr" rid="redalyc_44676126015_ref8">Husain et al., 2018</xref>; <xref ref-type="bibr" rid="redalyc_44676126015_ref15">Masa et al., 2020</xref>). However, a crowding-in effect is also possible, as Husain et al. (2018) found; this crowding-in was in food and health, while others found it in alcohol (<xref ref-type="bibr" rid="redalyc_44676126015_ref15">Masa et al., 2020</xref>; <xref ref-type="bibr" rid="redalyc_44676126015_ref17">Nguyen &amp; Nguyen, 2020</xref>; <xref ref-type="bibr" rid="redalyc_44676126015_ref19">Paraje &amp; Araya, 2017</xref>; <xref ref-type="bibr" rid="redalyc_44676126015_ref23">Wang et al., 2006</xref>). Chelwa &amp; Walbeek (<xref ref-type="bibr" rid="redalyc_44676126015_ref15">2014</xref>), on the other hand, did not find any category in which tobacco implied a crowding-in effect.</p>
</sec>
<sec sec-type="methods">
<title>
<bold>3. Methodology</bold>
</title>
<sec>
<title>
<bold>3.1. Approach</bold>
</title>
<p>This study follows a quantitative and empirical approach. The primary focus is to determine the effect of tobacco consumption on the expenditure patterns within Costa Rican households. This investigation does not delve into the broader health or social implications of tobacco consumption but instead focuses on understanding how households prioritize spending when tobacco is consumed, through the estimation of Engel curves. In other words, it identifies which categories are influenced by tobacco consumption. Besides, since cross-sectional data is used, the aim is not to explain how individuals` behavior changes over time, nor is it intended to explain the mechanism through which expenditure in these categories changes.</p>
</sec>
<sec>
<title>
<bold>3.2. Data</bold>
</title>
<p>This research uses the 2018 Encuesta Nacional de Ingresos y Gastos de los Hogares (National Household Income and Expenditure Survey  or NHIES), carried out by the Instituto Nacional de Estadística y Censos (<xref ref-type="bibr" rid="redalyc_44676126015_ref9">INEC or National Institute of Statistics and Censuses</xref>), whose effective sample corresponds to 7,046 households selected through a probabilistic design of areas, stratified, two-staged, and replicated, with immediately captured interviews that included sociodemographic and socioeconomic characteristics, purchasing and consumption habits, and personal expenditures (<xref ref-type="bibr" rid="redalyc_44676126015_ref9">INEC, 2020</xref>). This data is divided into three distinct datasets: expenditures, individuals, and households. However, only the household dataset is used, which consists of 341 variables and 7,046 observations and gathers information on expenditures and socioeconomic characteristics for each household.<xref ref-type="fn" rid="fn5">[1]</xref> Of the total, there are 184 households with reports of having consumed tobacco through cigarettes, tobacco cigars, chewing tobacco or snuff, pipe, and other tobacco products.</p>
</sec>
<sec>
<title>
<bold>3.3. Selected variables</bold>
</title>
<p>It is necessary to define the total household expenditure and its composition to divide it into various expenditure categories. In this case, the selected variable is total monthly consumption expenditure. This is made up of total expenditure on food and non-alcoholic beverages; alcoholic beverages; tobacco; clothing; housing; water and electricity, grouped as utilities; furniture and home maintenance, renamed as equipment; communication; recreation and culture; education; restaurants and hotels; and, finally, miscellaneous expenditures. All of these, except for total consumption and tobacco expenditure, are divided by net expenditure on tobacco (total consumption expenditure minus tobacco expenditure) so that the expenditure share can be obtained in every category.</p>
<p>As covariates, and following Banks et al. (<xref ref-type="bibr" rid="redalyc_44676126015_ref1">1997</xref>), it is necessary to include the logarithm and the squared logarithm of total consumption expenditure, but this expenditure is eventually instrumented by current gross income. Moreover, control variables are essential. The age and years of education of the household head do not receive any transformation; the number of household members is log-transformed; marital status is converted into a set of dummy variables for each status except married; the number of older adults members is also transformed into a dummy, taking value 1 to indicate the presence of older adults and 0 if not; the number of minors is converted into a dummy to indicate their presence; and, finally, the gender variable is recoded so it takes the value 1 for women and 0 for men.</p>
</sec>
<sec>
<title>
<bold>3.4. Estimation</bold>
</title>
<p>To estimate the effect of tobacco consumption on expenditure shares, it must be possible to establish a statistical relationship between every expenditure category and a set of explanatory variables. In addition, the expenditure of every group does not have the same behavior, since there are goods that represent luxuries at certain income levels and necessities at other levels. For this reason, this research follows the empirical demand curves used by Engel (<xref ref-type="bibr" rid="redalyc_44676126015_ref3">1857</xref>), which are presented in the form of a quadratic equation system by including a linear and a quadratic term for the logarithm of the expenditure, as developed by Banks et al. (<xref ref-type="bibr" rid="redalyc_44676126015_ref1">1997</xref>). This makes it possible to simultaneously model household decisions and control for sociodemographic characteristics, and thus determine whether there is a different budget allocation among the distinct groups of goods and services in those tobacco-consuming households.</p>
<p>To estimate the Engel curves for the various categories, the functional form is specified as follows:</p>
<p>
<disp-formula id="e1">
<label>(1)</label>
<alternatives><mml:math xmlns:mml="http://www.w3.org/1998/Math/MathML">     <mml:msub>         <mml:mrow>             <mml:mi>w</mml:mi>         </mml:mrow>         <mml:mrow>             <mml:mi>i</mml:mi>             <mml:mi>h</mml:mi>         </mml:mrow>     </mml:msub>     <mml:mo>=</mml:mo>     <mml:msub>         <mml:mi>&#x3B2;</mml:mi>         <mml:mrow>             <mml:mi>i</mml:mi>             <mml:mn>0</mml:mn>         </mml:mrow>     </mml:msub>     <mml:mo>+</mml:mo>     <mml:msub>         <mml:mi>&#x3B2;</mml:mi>         <mml:mrow>             <mml:mi>i</mml:mi>             <mml:mn>1</mml:mn>         </mml:mrow>     </mml:msub>     <mml:mo>&#xB7;</mml:mo>     <mml:msub>         <mml:mi>T</mml:mi>         <mml:mi>h</mml:mi>     </mml:msub>     <mml:mo>+</mml:mo>     <mml:msub>         <mml:mi>&#x3B2;</mml:mi>         <mml:mrow>             <mml:mn>2</mml:mn>             <mml:mi>i</mml:mi>         </mml:mrow>     </mml:msub>     <mml:mo>&#xB7;</mml:mo>     <mml:mrow>         <mml:mrow>             <mml:mi>ln</mml:mi>             <mml:msup>                 <mml:mrow>                     <mml:mo>(</mml:mo>                     <mml:msub>                         <mml:mi>M</mml:mi>                         <mml:mi>h</mml:mi>                     </mml:msub>                     <mml:mo>)</mml:mo>                 </mml:mrow>                 <mml:mn>2</mml:mn>             </mml:msup>         </mml:mrow>     </mml:mrow>     <mml:mo>+</mml:mo>     <mml:msub>         <mml:mi>B</mml:mi>         <mml:mrow>             <mml:mi>i</mml:mi>             <mml:mn>4</mml:mn>         </mml:mrow>     </mml:msub>     <mml:mo>&#xB7;</mml:mo>     <mml:msub>         <mml:mi>X</mml:mi>         <mml:mi>h</mml:mi>     </mml:msub>     <mml:mo>+</mml:mo>     <mml:msub>         <mml:mrow>             <mml:mi>&#x3B5;</mml:mi>         </mml:mrow>         <mml:mrow>             <mml:mi>x</mml:mi>             <mml:mi>i</mml:mi>             <mml:mi>h</mml:mi>         </mml:mrow>     </mml:msub> </mml:math>
<graphic xlink:href="44676126015_ee2.png" position="anchor" orientation="portrait"/>
</alternatives>
</disp-formula>
</p>
<p>where <inline-graphic xlink:href="44676126015_gi2.png"/>  represents the expenditure share excluding tobacco of category <inline-graphic xlink:href="44676126015_gi3.png"/>  for household <inline-graphic xlink:href="44676126015_gi4.png"/>  . <inline-graphic xlink:href="44676126015_gi5.png"/>  is a dummy variable that indicates whether the household consumed tobacco and equals 1 if the household was observed with positive tobacco expenditure. <inline-graphic xlink:href="44676126015_gi6.png"/>  is total household expenditure excluding tobacco. <inline-graphic xlink:href="44676126015_gi7.png"/>  is a vector of characteristics that includes gender; age; years of education; marital status of the head of household (in 5 dummies terms: free union, divorced, separated, widowed, or single); a dummy that indicates the presence of minors and another for older adults. Finally, <inline-graphic xlink:href="44676126015_gi8.png"/> corresponds to the error term.</p>
<p>There is evidence of endogeneity across <inline-graphic xlink:href="44676126015_gi9.png"/> , since the expenditure structure changes as total expenditure increases (<xref ref-type="bibr" rid="redalyc_44676126015_ref20">Pu et al., 2008</xref>). In this case, the Durbin-Wu-Hausmann test rejects the null hypothesis of exogeneity so total current income is used as the instrumental variable, following Banks et al. (<xref ref-type="bibr" rid="redalyc_44676126015_ref1">1997</xref>) and Masa et al. (<xref ref-type="bibr" rid="redalyc_44676126015_ref15">2020</xref>). Moreover, it is important to test the validity of this instrument since it can lead to inconsistent estimates; in particular, the first stage and the F statistic support that this is a valid instrument.</p>
<p>Due to the nature of these data, it is necessary to test for heteroskedasticity. The Breusch-Pagan test rejects the null hypothesis of homoscedasticity, so it is required to correct the standard errors. Besides, the allocation of household expenditure in one category is correlated with the other categories since households make these decisions simultaneously. This implies that it is likely that the error term of the various categories in <xref ref-type="disp-formula" rid="e1">(1)</xref> is also correlated. The common approach to resolve this is through an equation system using the SUR model. Nevertheless, to consider both heteroskedasticity and endogeneity, the estimation is via GMM-3SLS.</p>
<p>The idea is to determine whether there are categories affected by tobacco use through budget reallocation, considering the income levels. Specific categories are food; clothing; utilities; equipment; communication; recreation and culture; education; restaurants and hotels; and miscellaneous expenditures. This estimation is performed both for the total number of households and for every income quintile. However, all regression equations are estimated simultaneously, so the miscellaneous category is dropped to ensure the adding up restriction and, thus, to avoid collinearity issues.</p>
<p>In equation <xref ref-type="disp-formula" rid="e1">(1)</xref> the dependent variable corresponds to the expenditure share in the previous categories. The coefficient <inline-graphic xlink:href="44676126015_gi10.png"/>  measures the effect of tobacco consumption on the specific share. Thus, <inline-graphic xlink:href="44676126015_gi11.png"/>  is understood as the difference between the mean of the expenditure share in category <inline-graphic xlink:href="44676126015_gi12.png"/>  of tobacco-consuming households and the non-tobacco-consuming households. Considering that <inline-graphic xlink:href="44676126015_gi13.png"/>  is expressed as a percentage, the coefficient <inline-graphic xlink:href="44676126015_gi14.png"/> says how the expenditure share for category . changes in percentage points when the household consumes tobacco.</p>
<p>As a hypothesis, a crowding-out effect is expected in food, health, and education expenditures. Yet, this effect is expected to be higher in the first income quintiles. Similarly, a particular interest presumes to demonstrate whether there is indeed a crowding-in effect in alcoholic beverages; this relationship is expected to be positive regardless of income level.</p>
</sec>
</sec>
<sec sec-type="results">
<title>
<bold>4. Results</bold>
</title>
<p>
<xref ref-type="table" rid="gt1">Table 1</xref> and <xref ref-type="table" rid="gt2">Table 2</xref> provide the mean values and the corresponding standard deviations (s.d.) for the variables used in the estimation. These values are presented for three distinct groups: the entire country, households that do not consume tobacco, and households that do consume tobacco.</p>
<p>
<table-wrap id="gt1">
<label>Table 1</label>
<caption>
<title>Descriptive measures of household and household head characteristics</title>
</caption>
<alt-text>Table 1 Descriptive measures of household and household head characteristics</alt-text>
<alternatives>
<graphic xlink:href="44676126015_gt6.png" position="anchor" orientation="portrait"/>
<table style="width:461.45pt;border-collapse:collapse;border:none;" id="gt2-526564616c7963">
<tbody>
<tr>
<td style="width:177.2pt;border:none;border-top:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">
<bold>Variable</bold>
</td>
<td style="width:11.8pt;border:none;border-top:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:73.25pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt" colspan="2">
<bold>Country</bold>
</td>
<td style="width:11.8pt;border:none;border-top:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:90.45pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt" colspan="2">
<bold>Non-</bold>
<bold>consuming</bold>
<bold/>
</td>
<td style="width:11.8pt;border:none;border-top:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:85.15pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt" colspan="2">
<bold>Consuming</bold>
<bold/>
</td>
</tr>
<tr>
<td style="width:177.2pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:11.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:37.8pt;border:none;border-bottom:solid windowtext 1.0pt;      padding:0in 5.4pt 0in 5.4pt">
<bold>Mean</bold>
</td>
<td style="width:35.45pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt">
<bold>s.d.</bold>
</td>
<td style="width:11.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:44.9pt;border:none;border-bottom:solid windowtext 1.0pt;      padding:0in 5.4pt 0in 5.4pt">
<bold>Mean</bold>
</td>
<td style="width:45.55pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt">
<bold>s.d.</bold>
</td>
<td style="width:11.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:40.15pt;border:none;border-bottom:solid windowtext 1.0pt;      padding:0in 5.4pt 0in 5.4pt">
<bold>Mean</bold>
</td>
<td style="width:45.0pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt">
<bold>s.d.</bold>
</td>
</tr>
<tr>
<td style="width:177.2pt;border:none;padding:0in 5.4pt 0in 5.4pt">
<bold>Head of household age</bold>
</td>
<td style="width:11.8pt;border:none;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:37.8pt;border:none;padding:0in 5.4pt 0in 5.4pt">50.47</td>
<td style="width:35.45pt;border:none;padding:0in 5.4pt 0in 5.4pt">15.71</td>
<td style="width:11.8pt;border:none;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:44.9pt;border:none;padding:0in 5.4pt 0in 5.4pt">50.45</td>
<td style="width:45.55pt;border:none;padding:0in 5.4pt 0in 5.4pt">15.73</td>
<td style="width:11.8pt;border:none;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:40.15pt;border:none;padding:0in 5.4pt 0in 5.4pt">51.24</td>
<td style="width:45.0pt;border:none;padding:0in 5.4pt 0in 5.4pt">14,81</td>
</tr>
<tr>
<td style="width:177.2pt;padding:0in 5.4pt 0in 5.4pt">
<bold>Years of education</bold>
</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:37.8pt;padding:0in 5.4pt 0in 5.4pt">7.89</td>
<td style="width:35.45pt;padding:0in 5.4pt 0in 5.4pt">4.42</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:44.9pt;padding:0in 5.4pt 0in 5.4pt">7.88</td>
<td style="width:45.55pt;padding:0in 5.4pt 0in 5.4pt">4.42</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:40.15pt;padding:0in 5.4pt 0in 5.4pt">8.08</td>
<td style="width:45.0pt;padding:0in 5.4pt 0in 5.4pt">4,50</td>
</tr>
<tr>
<td style="width:177.2pt;padding:0in 5.4pt 0in 5.4pt">
<bold>Number of household members</bold>
</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:37.8pt;padding:0in 5.4pt 0in 5.4pt">3.22</td>
<td style="width:35.45pt;padding:0in 5.4pt 0in 5.4pt">1.63</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:44.9pt;padding:0in 5.4pt 0in 5.4pt">3.22</td>
<td style="width:45.55pt;padding:0in 5.4pt 0in 5.4pt">1.63</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:40.15pt;padding:0in 5.4pt 0in 5.4pt">3.21</td>
<td style="width:45.0pt;padding:0in 5.4pt 0in 5.4pt">1,86</td>
</tr>
<tr>
<td style="width:177.2pt;padding:0in 5.4pt 0in 5.4pt">
<bold>Female-headed households</bold>
</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:37.8pt;padding:0in 5.4pt 0in 5.4pt">0.38</td>
<td style="width:35.45pt;padding:0in 5.4pt 0in 5.4pt">-</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:44.9pt;padding:0in 5.4pt 0in 5.4pt">0.39</td>
<td style="width:45.55pt;padding:0in 5.4pt 0in 5.4pt">-</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:40.15pt;padding:0in 5.4pt 0in 5.4pt">0.37</td>
<td style="width:45.0pt;padding:0in 5.4pt 0in 5.4pt">0,48</td>
</tr>
<tr>
<td style="width:177.2pt;padding:0in 5.4pt 0in 5.4pt">
<bold>Tobacco-consuming households</bold>
</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:37.8pt;padding:0in 5.4pt 0in 5.4pt">0.03</td>
<td style="width:35.45pt;padding:0in 5.4pt 0in 5.4pt">-</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:44.9pt;padding:0in 5.4pt 0in 5.4pt">0.00</td>
<td style="width:45.55pt;padding:0in 5.4pt 0in 5.4pt">-</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:40.15pt;padding:0in 5.4pt 0in 5.4pt">1.00</td>
<td style="width:45.0pt;padding:0in 5.4pt 0in 5.4pt">-</td>
</tr>
<tr>
<td style="width:177.2pt;padding:0in 5.4pt 0in 5.4pt">
<bold>Older adults’ presence</bold>
</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:37.8pt;padding:0in 5.4pt 0in 5.4pt">0.25</td>
<td style="width:35.45pt;padding:0in 5.4pt 0in 5.4pt">-</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:44.9pt;padding:0in 5.4pt 0in 5.4pt">0.25</td>
<td style="width:45.55pt;padding:0in 5.4pt 0in 5.4pt">-</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:40.15pt;padding:0in 5.4pt 0in 5.4pt">0.27</td>
<td style="width:45.0pt;padding:0in 5.4pt 0in 5.4pt">-</td>
</tr>
<tr>
<td style="width:177.2pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">
<bold>Minors’ presence</bold>
</td>
<td style="width:11.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:37.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">0.50</td>
<td style="width:35.45pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">-</td>
<td style="width:11.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:44.9pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">0.50</td>
<td style="width:45.55pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">-</td>
<td style="width:11.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:40.15pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">0.40</td>
<td style="width:45.0pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">-</td>
</tr>
</tbody>
</table>
</alternatives>
<attrib>the author, based on NHIES 2018.</attrib>
<table-wrap-foot>
<fn-group>
<fn id="fn1" fn-type="other">
<p>since the last four variables are dummies, the mean represents the percentage of households that meet that characteristic.</p>
</fn>
</fn-group>
</table-wrap-foot>
</table-wrap>
</p>
<p>
<table-wrap id="gt2">
<label>Table 2</label>
<caption>
<title>Descriptive measures of income and the various expenditures in colones</title>
</caption>
<alt-text>Table 2 Descriptive measures of income and the various expenditures in colones</alt-text>
<alternatives>
<graphic xlink:href="44676126015_gt7.png" position="anchor" orientation="portrait"/>
<table style="width:6.35in;border-collapse:collapse;border:none;" id="gt3-526564616c7963">
<tbody>
<tr>
<td style="width:92.15pt;border:none;border-top:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">
<bold>Variable</bold>
</td>
<td style="width:11.8pt;border:none;border-top:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:104.45pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt" colspan="2">
<bold>Country</bold>
</td>
<td style="width:11.8pt;border:none;border-top:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:110.6pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt" colspan="2">
<bold>Non-</bold>
<bold>consuming</bold>
<bold/>
</td>
<td style="width:11.8pt;border:none;border-top:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:114.6pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt" colspan="2">
<bold>Consuming</bold>
<bold/>
</td>
</tr>
<tr>
<td style="width:92.15pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:11.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:49.65pt;border:none;border-bottom:solid windowtext 1.0pt;      padding:0in 5.4pt 0in 5.4pt">
<bold>Mean</bold>
</td>
<td style="width:54.8pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt">
<bold>s.d.</bold>
</td>
<td style="width:11.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:.65in;border:none;border-bottom:solid windowtext 1.0pt;      padding:0in 5.4pt 0in 5.4pt">
<bold>Mean</bold>
</td>
<td style="width:63.8pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt">
<bold>s.d.</bold>
</td>
<td style="width:11.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:52.0pt;border:none;border-bottom:solid windowtext 1.0pt;      padding:0in 5.4pt 0in 5.4pt">
<bold>Mean</bold>
</td>
<td style="width:62.6pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt">
<bold>s.d.</bold>
</td>
</tr>
<tr>
<td style="width:92.15pt;border:none;padding:0in 5.4pt 0in 5.4pt">
<bold>Current income</bold>
</td>
<td style="width:11.8pt;border:none;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:49.65pt;border:none;padding:0in 5.4pt 0in 5.4pt">841 966</td>
<td style="width:54.8pt;border:none;padding:0in 5.4pt 0in 5.4pt">1 106 432</td>
<td style="width:11.8pt;border:none;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:.65in;border:none;padding:0in 5.4pt 0in 5.4pt">840 010</td>
<td style="width:63.8pt;border:none;padding:0in 5.4pt 0in 5.4pt">1 107 859</td>
<td style="width:11.8pt;border:none;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:52.0pt;border:none;padding:0in 5.4pt 0in 5.4pt">914 375</td>
<td style="width:62.6pt;border:none;padding:0in 5.4pt 0in 5.4pt">1 052 539</td>
</tr>
<tr>
<td style="width:92.15pt;padding:0in 5.4pt 0in 5.4pt">
<bold>Consumption </bold>
</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:49.65pt;padding:0in 5.4pt 0in 5.4pt">524 650</td>
<td style="width:54.8pt;padding:0in 5.4pt 0in 5.4pt">480 724</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:.65in;padding:0in 5.4pt 0in 5.4pt">522 817</td>
<td style="width:63.8pt;padding:0in 5.4pt 0in 5.4pt">479 277</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:52.0pt;padding:0in 5.4pt 0in 5.4pt">592 517</td>
<td style="width:62.6pt;padding:0in 5.4pt 0in 5.4pt">528 588</td>
</tr>
<tr>
<td style="width:92.15pt;padding:0in 5.4pt 0in 5.4pt">
<bold>Tobacco</bold>
</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:49.65pt;padding:0in 5.4pt 0in 5.4pt">578</td>
<td style="width:54.8pt;padding:0in 5.4pt 0in 5.4pt">5 377</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:.65in;padding:0in 5.4pt 0in 5.4pt">-</td>
<td style="width:63.8pt;padding:0in 5.4pt 0in 5.4pt">-</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:52.0pt;padding:0in 5.4pt 0in 5.4pt">21 989</td>
<td style="width:62.6pt;padding:0in 5.4pt 0in 5.4pt">25 134</td>
</tr>
<tr>
<td style="width:92.15pt;padding:0in 5.4pt 0in 5.4pt">
<bold>Net tobacco</bold>
</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:49.65pt;padding:0in 5.4pt 0in 5.4pt">524 072</td>
<td style="width:54.8pt;padding:0in 5.4pt 0in 5.4pt">480 558</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:.65in;padding:0in 5.4pt 0in 5.4pt">522 817</td>
<td style="width:63.8pt;padding:0in 5.4pt 0in 5.4pt">479 274</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:52.0pt;padding:0in 5.4pt 0in 5.4pt">570 528</td>
<td style="width:62.6pt;padding:0in 5.4pt 0in 5.4pt">525 203</td>
</tr>
<tr>
<td style="width:92.15pt;padding:0in 5.4pt 0in 5.4pt">
<bold>Food</bold>
</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:49.65pt;padding:0in 5.4pt 0in 5.4pt">130 661</td>
<td style="width:54.8pt;padding:0in 5.4pt 0in 5.4pt">107 259</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:.65in;padding:0in 5.4pt 0in 5.4pt">130 590</td>
<td style="width:63.8pt;padding:0in 5.4pt 0in 5.4pt">107 228</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:52.0pt;padding:0in 5.4pt 0in 5.4pt">133 279</td>
<td style="width:62.6pt;padding:0in 5.4pt 0in 5.4pt">108 644</td>
</tr>
<tr>
<td style="width:92.15pt;padding:0in 5.4pt 0in 5.4pt">
<bold>Alcohol</bold>
</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:49.65pt;padding:0in 5.4pt 0in 5.4pt">2 033</td>
<td style="width:54.8pt;padding:0in 5.4pt 0in 5.4pt">12 186</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:.65in;padding:0in 5.4pt 0in 5.4pt">1 859</td>
<td style="width:63.8pt;padding:0in 5.4pt 0in 5.4pt">11 872</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:52.0pt;padding:0in 5.4pt 0in 5.4pt">8 493</td>
<td style="width:62.6pt;padding:0in 5.4pt 0in 5.4pt">19 689</td>
</tr>
<tr>
<td style="width:92.15pt;padding:0in 5.4pt 0in 5.4pt">
<bold>Clothing</bold>
</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:49.65pt;padding:0in 5.4pt 0in 5.4pt">24 234</td>
<td style="width:54.8pt;padding:0in 5.4pt 0in 5.4pt">44 437</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:.65in;padding:0in 5.4pt 0in 5.4pt">24 215</td>
<td style="width:63.8pt;padding:0in 5.4pt 0in 5.4pt">44 518</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:52.0pt;padding:0in 5.4pt 0in 5.4pt">24 948</td>
<td style="width:62.6pt;padding:0in 5.4pt 0in 5.4pt">41 418</td>
</tr>
<tr>
<td style="width:92.15pt;padding:0in 5.4pt 0in 5.4pt">
<bold>Utilities</bold>
</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:49.65pt;padding:0in 5.4pt 0in 5.4pt">63 358</td>
<td style="width:54.8pt;padding:0in 5.4pt 0in 5.4pt">81 851</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:.65in;padding:0in 5.4pt 0in 5.4pt">63 213</td>
<td style="width:63.8pt;padding:0in 5.4pt 0in 5.4pt">82 220</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:52.0pt;padding:0in 5.4pt 0in 5.4pt">68 699</td>
<td style="width:62.6pt;padding:0in 5.4pt 0in 5.4pt">66 738</td>
</tr>
<tr>
<td style="width:92.15pt;padding:0in 5.4pt 0in 5.4pt">
<bold>Equipment </bold>
</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:49.65pt;padding:0in 5.4pt 0in 5.4pt">30 808</td>
<td style="width:54.8pt;padding:0in 5.4pt 0in 5.4pt">55 581</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:.65in;padding:0in 5.4pt 0in 5.4pt">30 786</td>
<td style="width:63.8pt;padding:0in 5.4pt 0in 5.4pt">55 724</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:52.0pt;padding:0in 5.4pt 0in 5.4pt">31 613</td>
<td style="width:62.6pt;padding:0in 5.4pt 0in 5.4pt">50 127</td>
</tr>
<tr>
<td style="width:92.15pt;padding:0in 5.4pt 0in 5.4pt">
<bold>Health</bold>
</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:49.65pt;padding:0in 5.4pt 0in 5.4pt">26 757</td>
<td style="width:54.8pt;padding:0in 5.4pt 0in 5.4pt">72 296</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:.65in;padding:0in 5.4pt 0in 5.4pt">26 588</td>
<td style="width:63.8pt;padding:0in 5.4pt 0in 5.4pt">70 461</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:52.0pt;padding:0in 5.4pt 0in 5.4pt">33 008</td>
<td style="width:62.6pt;padding:0in 5.4pt 0in 5.4pt">122 319</td>
</tr>
<tr>
<td style="width:92.15pt;padding:0in 5.4pt 0in 5.4pt">
<bold>Transportation</bold>
</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:49.65pt;padding:0in 5.4pt 0in 5.4pt">82 401</td>
<td style="width:54.8pt;padding:0in 5.4pt 0in 5.4pt">176 759</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:.65in;padding:0in 5.4pt 0in 5.4pt">82 289</td>
<td style="width:63.8pt;padding:0in 5.4pt 0in 5.4pt">176 483</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:52.0pt;padding:0in 5.4pt 0in 5.4pt">86 559</td>
<td style="width:62.6pt;padding:0in 5.4pt 0in 5.4pt">187 140</td>
</tr>
<tr>
<td style="width:92.15pt;padding:0in 5.4pt 0in 5.4pt">
<bold>Communication</bold>
</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:49.65pt;padding:0in 5.4pt 0in 5.4pt">32 286</td>
<td style="width:54.8pt;padding:0in 5.4pt 0in 5.4pt">31 560</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:.65in;padding:0in 5.4pt 0in 5.4pt">32 172</td>
<td style="width:63.8pt;padding:0in 5.4pt 0in 5.4pt">31 503</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:52.0pt;padding:0in 5.4pt 0in 5.4pt">36 494</td>
<td style="width:62.6pt;padding:0in 5.4pt 0in 5.4pt">33 407</td>
</tr>
<tr>
<td style="width:92.15pt;padding:0in 5.4pt 0in 5.4pt">
<bold>Recreation</bold>
</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:49.65pt;padding:0in 5.4pt 0in 5.4pt">32 111</td>
<td style="width:54.8pt;padding:0in 5.4pt 0in 5.4pt">59 022</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:.65in;padding:0in 5.4pt 0in 5.4pt">32 026</td>
<td style="width:63.8pt;padding:0in 5.4pt 0in 5.4pt">58 906</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:52.0pt;padding:0in 5.4pt 0in 5.4pt">35 272</td>
<td style="width:62.6pt;padding:0in 5.4pt 0in 5.4pt">63 282</td>
</tr>
<tr>
<td style="width:92.15pt;padding:0in 5.4pt 0in 5.4pt">
<bold>Education</bold>
</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:49.65pt;padding:0in 5.4pt 0in 5.4pt">22 137</td>
<td style="width:54.8pt;padding:0in 5.4pt 0in 5.4pt">80 282</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:.65in;padding:0in 5.4pt 0in 5.4pt">22 114</td>
<td style="width:63.8pt;padding:0in 5.4pt 0in 5.4pt">80 319</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:52.0pt;padding:0in 5.4pt 0in 5.4pt">22 979</td>
<td style="width:62.6pt;padding:0in 5.4pt 0in 5.4pt">79 127</td>
</tr>
<tr>
<td style="width:92.15pt;padding:0in 5.4pt 0in 5.4pt">
<bold>Rest. /Hotels</bold>
</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:49.65pt;padding:0in 5.4pt 0in 5.4pt">38 108</td>
<td style="width:54.8pt;padding:0in 5.4pt 0in 5.4pt">68 417</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:.65in;padding:0in 5.4pt 0in 5.4pt">37 799</td>
<td style="width:63.8pt;padding:0in 5.4pt 0in 5.4pt">68 094</td>
<td style="width:11.8pt;padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:52.0pt;padding:0in 5.4pt 0in 5.4pt">49 569</td>
<td style="width:62.6pt;padding:0in 5.4pt 0in 5.4pt">78 842</td>
</tr>
<tr>
<td style="width:92.15pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">
<bold>Miscellaneous</bold>
</td>
<td style="width:11.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:49.65pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">39 177</td>
<td style="width:54.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">59 371</td>
<td style="width:11.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:.65in;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">39 165</td>
<td style="width:63.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">59 618</td>
<td style="width:11.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:52.0pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">39 614</td>
<td style="width:62.6pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">49 546</td>
</tr>
</tbody>
</table>
</alternatives>
<attrib>the author, based on NHIES 2018</attrib>
<table-wrap-foot>
<fn-group>
<fn id="fn2" fn-type="other">
<p>all amounts are rounded and expressed in colones</p>
</fn>
</fn-group>
</table-wrap-foot>
</table-wrap>
</p>
<p>
<xref ref-type="table" rid="gt1">Table 1</xref> shows that around 3 % of households reported tobacco consumption during the survey period. Additionally, as seen in <xref ref-type="table" rid="gt2">Table 2</xref>, both the average current income and the average of the several types of consumption expenditure are higher for tobacco-consuming households. The same occurs with the average age of household heads, but not with years of education. Concerning the number of household members, the average is the same, but tobacco-consuming households have a lower average number of minors. In contrast, the presence of older adults is similar, although it is higher in tobacco-consuming households. Finally, most households are headed by men, but the percentage headed by women is lower for tobacco-consuming households.</p>
<p>
<xref ref-type="table" rid="gt3">Table 3</xref> shows the expenditure share in every category for the country and for every income quintile. In categories such as food and utilities, a reduction is observed as the income quintile increases. However, others such as alcohol, equipment, health, transportation, communication, recreation, education, restaurants, and miscellaneous expenditures rise as the quintile increases. The expenditure share on tobacco and clothing remains similar.</p>
<p>
<table-wrap id="gt3">
<label>Table 3</label>
<caption>
<title>Expenditure by category as a percentage of total net tobacco expenditure by income quintile</title>
</caption>
<alt-text>Table 3 Expenditure by category as a percentage of total net tobacco expenditure by income quintile</alt-text>
<alternatives>
<graphic xlink:href="44676126015_gt8.png" position="anchor" orientation="portrait"/>
<table style="width:477.85pt;border-collapse:collapse;border:none;" id="gt4-526564616c7963">
<tbody>
<tr style="page-break-inside:avoid;   height:56.7pt">
<td style="width:35.3pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt;height:56.7pt"/>
<td style="width:32.25pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt;height:56.7pt">
<bold>Tobacco</bold>
</td>
<td style="width:38.35pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt;height:56.7pt">
<bold>Food</bold>
</td>
<td style="width:32.25pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt;height:56.7pt">
<bold>Alcohol</bold>
</td>
<td style="width:32.25pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt;height:56.7pt">
<bold>Clothing</bold>
</td>
<td style="width:38.35pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt;height:56.7pt">
<bold>Utilities</bold>
</td>
<td style="width:32.25pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt;height:56.7pt">
<bold>Equip.</bold>
</td>
<td style="width:32.25pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt;height:56.7pt">
<bold>Health</bold>
</td>
<td style="width:43.35pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt;height:56.7pt">
<bold>Trans.</bold>
</td>
<td style="width:32.25pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt;height:56.7pt">
<bold>Comm.</bold>
</td>
<td style="width:32.25pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt;height:56.7pt">
<bold>Rec.</bold>
</td>
<td style="width:32.25pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt;height:56.7pt">
<bold>Educ.</bold>
</td>
<td style="width:32.25pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt;height:56.7pt">
<bold>Rest. / Hotels</bold>
</td>
<td style="width:32.25pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt;height:56.7pt">
<bold>Misc.</bold>
</td>
</tr>
<tr>
<td style="width:35.3pt;border:none;padding:0in 5.4pt 0in 5.4pt">
<bold>Total</bold>
</td>
<td style="width:32.25pt;border:none;padding:0in 5.4pt 0in 5.4pt">0.15</td>
<td style="width:38.35pt;border:none;padding:0in 5.4pt 0in 5.4pt">30.00</td>
<td style="width:32.25pt;border:none;padding:0in 5.4pt 0in 5.4pt">0.28</td>
<td style="width:32.25pt;border:none;padding:0in 5.4pt 0in 5.4pt">4.58</td>
<td style="width:38.35pt;border:none;padding:0in 5.4pt 0in 5.4pt">14.96</td>
<td style="width:32.25pt;border:none;padding:0in 5.4pt 0in 5.4pt">5.33</td>
<td style="width:32.25pt;border:none;padding:0in 5.4pt 0in 5.4pt">4.30</td>
<td style="width:43.35pt;border:none;padding:0in 5.4pt 0in 5.4pt">11.99</td>
<td style="width:32.25pt;border:none;padding:0in 5.4pt 0in 5.4pt">6.78</td>
<td style="width:32.25pt;border:none;padding:0in 5.4pt 0in 5.4pt">5.81</td>
<td style="width:32.25pt;border:none;padding:0in 5.4pt 0in 5.4pt">2.45</td>
<td style="width:32.25pt;border:none;padding:0in 5.4pt 0in 5.4pt">6.67</td>
<td style="width:32.25pt;border:none;padding:0in 5.4pt 0in 5.4pt">6.85</td>
</tr>
<tr>
<td style="width:35.3pt;padding:0in 5.4pt 0in 5.4pt">
<bold>Q1</bold>
</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">0.13</td>
<td style="width:38.35pt;padding:0in 5.4pt 0in 5.4pt">39.40</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">0.10</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">4.42</td>
<td style="width:38.35pt;padding:0in 5.4pt 0in 5.4pt">17.06</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">4.51</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">2.81</td>
<td style="width:43.35pt;padding:0in 5.4pt 0in 5.4pt">8.67</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">5.84</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">5.77</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">0.83</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">4.27</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">6.36</td>
</tr>
<tr>
<td style="width:35.3pt;padding:0in 5.4pt 0in 5.4pt">
<bold>Q2</bold>
</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">0.16</td>
<td style="width:38.35pt;padding:0in 5.4pt 0in 5.4pt">33.66</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">0.15</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">4.66</td>
<td style="width:38.35pt;padding:0in 5.4pt 0in 5.4pt">16.05</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">5.02</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">3.78</td>
<td style="width:43.35pt;padding:0in 5.4pt 0in 5.4pt">10.20</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">6.73</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">5.45</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">1.92</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">5.70</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">6.68</td>
</tr>
<tr>
<td style="width:35.3pt;padding:0in 5.4pt 0in 5.4pt">
<bold>Q3</bold>
</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">0.15</td>
<td style="width:38.35pt;padding:0in 5.4pt 0in 5.4pt">29.83</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">0.24</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">4.73</td>
<td style="width:38.35pt;padding:0in 5.4pt 0in 5.4pt">14.97</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">5.43</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">4.53</td>
<td style="width:43.35pt;padding:0in 5.4pt 0in 5.4pt">11.84</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">7.08</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">5.41</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">2.17</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">6.91</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">6.87</td>
</tr>
<tr>
<td style="width:35.3pt;padding:0in 5.4pt 0in 5.4pt">
<bold>Q4</bold>
</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">0.21</td>
<td style="width:38.35pt;padding:0in 5.4pt 0in 5.4pt">24.07</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">0.41</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">4.42</td>
<td style="width:38.35pt;padding:0in 5.4pt 0in 5.4pt">14.28</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">5.47</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">4.92</td>
<td style="width:43.35pt;padding:0in 5.4pt 0in 5.4pt">14.27</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">7.52</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">5.54</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">3.74</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">8.55</td>
<td style="width:32.25pt;padding:0in 5.4pt 0in 5.4pt">6.79</td>
</tr>
<tr>
<td style="width:35.3pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">
<bold>Q5</bold>
</td>
<td style="width:32.25pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">0.13</td>
<td style="width:38.35pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">18.58</td>
<td style="width:32.25pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">0.58</td>
<td style="width:32.25pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">4.71</td>
<td style="width:38.35pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">11.28</td>
<td style="width:32.25pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">6.71</td>
<td style="width:32.25pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">6.13</td>
<td style="width:43.35pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">16.72</td>
<td style="width:32.25pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">7.05</td>
<td style="width:32.25pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">7.11</td>
<td style="width:32.25pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">4.33</td>
<td style="width:32.25pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">9.00</td>
<td style="width:32.25pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">7.77</td>
</tr>
</tbody>
</table>
</alternatives>
<attrib>the author, based on NHIES 2018.</attrib>
<table-wrap-foot>
<fn-group>
<fn id="fn3" fn-type="other">
<p>Q1, Q2, Q3, Q4, and Q5 represent every income quintile, ordered from the lowest to the highest income, while the total represents the entire sample.</p>
</fn>
</fn-group>
</table-wrap-foot>
</table-wrap>
</p>
<p>As mentioned before, the coefficient of interest in equation <xref ref-type="disp-formula" rid="e1">(1)</xref> is <inline-graphic xlink:href="44676126015_gi15.png"/> , since it allows estimating the effect of consuming tobacco on the expenditure shares. Thus, <xref ref-type="table" rid="gt4">Table 4</xref> presents the estimated effect in percentage points (p.p.) for every category, both for the country and for every quintile income. This shows that in most groups (food, clothing, services, furniture, transportation, communications, recreation, and education) there is no significant effect. However, at the country level, expenditure share on alcohol, health, and restaurants and hotels show statistically significant relationships with tobacco consumption in Costa Rican households.</p>
<p>
<table-wrap id="gt4">
<label>Table 4</label>
<caption>
<title>Effect of tobacco consumption on every expenditure category by income quintile in percentage points</title>
</caption>
<alt-text>Table 4 Effect of tobacco consumption on every expenditure category by income quintile in percentage points</alt-text>
<alternatives>
<graphic xlink:href="44676126015_gt9.png" position="anchor" orientation="portrait"/>
<table style="width:517.3pt;border-collapse:collapse;border:none;" id="gt5-526564616c7963">
<tbody>
<tr style="page-break-inside:avoid;   height:56.7pt">
<td style="width:35.3pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt;height:56.7pt"/>
<td style="width:46.85pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt;height:56.7pt">
<bold>Food</bold>
</td>
<td style="width:41.75pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt;height:56.7pt">
<bold>Alcohol</bold>
</td>
<td style="width:48.5pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt;height:56.7pt">
<bold>Clothing</bold>
</td>
<td style="width:39.55pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt;height:56.7pt">
<bold>Utilities</bold>
</td>
<td style="width:40.8pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt;height:56.7pt">
<bold>Equip.</bold>
</td>
<td style="width:46.95pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt;height:56.7pt">
<bold>Health</bold>
</td>
<td style="width:47.9pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt;height:56.7pt">
<bold>Trans.</bold>
</td>
<td style="width:39.55pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt;height:56.7pt">
<bold>Comm.</bold>
</td>
<td style="width:39.55pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt;height:56.7pt">
<bold>Rec.</bold>
</td>
<td style="width:49.8pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt;height:56.7pt">
<bold>Educ.</bold>
</td>
<td style="width:40.8pt;border-top:solid windowtext 1.0pt;   border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;      padding:0in 5.4pt 0in 5.4pt;height:56.7pt">
<bold>Rest. / Hotels</bold>
</td>
</tr>
<tr>
<td style="width:35.3pt;border:none;padding:0in 5.4pt 0in 5.4pt">
<bold>Total</bold>
</td>
<td style="width:46.85pt;border:none;padding:0in 5.4pt 0in 5.4pt">0.10</td>
<td style="width:41.75pt;border:none;padding:0in 5.4pt 0in 5.4pt">
<bold>1.34***</bold>
</td>
<td style="width:48.5pt;border:none;padding:0in 5.4pt 0in 5.4pt">-0.49</td>
<td style="width:39.55pt;border:none;padding:0in 5.4pt 0in 5.4pt">0.38</td>
<td style="width:40.8pt;border:none;padding:0in 5.4pt 0in 5.4pt">-0.30</td>
<td style="width:46.95pt;border:none;padding:0in 5.4pt 0in 5.4pt">
<bold>-0.97**</bold>
</td>
<td style="width:47.9pt;border:none;padding:0in 5.4pt 0in 5.4pt">-0.42</td>
<td style="width:39.55pt;border:none;padding:0in 5.4pt 0in 5.4pt">0.01</td>
<td style="width:39.55pt;border:none;padding:0in 5.4pt 0in 5.4pt">-0.11</td>
<td style="width:49.8pt;border:none;padding:0in 5.4pt 0in 5.4pt">-0.45</td>
<td style="width:40.8pt;border:none;padding:0in 5.4pt 0in 5.4pt">
<bold>1.47*</bold>
</td>
</tr>
<tr>
<td style="width:35.3pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:46.85pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(1.04)</td>
<td style="width:41.75pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.28)</td>
<td style="width:48.5pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.34)</td>
<td style="width:39.55pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.88)</td>
<td style="width:40.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.44)</td>
<td style="width:46.95pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.49)</td>
<td style="width:47.9pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.88)</td>
<td style="width:39.55pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.41)</td>
<td style="width:39.55pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.44)</td>
<td style="width:49.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.48)</td>
<td style="width:40.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.86)</td>
</tr>
<tr>
<td style="width:35.3pt;border:none;padding:0in 5.4pt 0in 5.4pt">
<bold>Q1</bold>
</td>
<td style="width:46.85pt;border:none;padding:0in 5.4pt 0in 5.4pt">0.90</td>
<td style="width:41.75pt;border:none;padding:0in 5.4pt 0in 5.4pt">
<bold>0.50*</bold>
</td>
<td style="width:48.5pt;border:none;padding:0in 5.4pt 0in 5.4pt">
<bold>-1.31**</bold>
</td>
<td style="width:39.55pt;border:none;padding:0in 5.4pt 0in 5.4pt">0.80</td>
<td style="width:40.8pt;border:none;padding:0in 5.4pt 0in 5.4pt">-0.17</td>
<td style="width:46.95pt;border:none;padding:0in 5.4pt 0in 5.4pt">-0.53</td>
<td style="width:47.9pt;border:none;padding:0in 5.4pt 0in 5.4pt">1.53</td>
<td style="width:39.55pt;border:none;padding:0in 5.4pt 0in 5.4pt">-0.01</td>
<td style="width:39.55pt;border:none;padding:0in 5.4pt 0in 5.4pt">-0.51</td>
<td style="width:49.8pt;border:none;padding:0in 5.4pt 0in 5.4pt">-0.28</td>
<td style="width:40.8pt;border:none;padding:0in 5.4pt 0in 5.4pt">1.03</td>
</tr>
<tr>
<td style="width:35.3pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:46.85pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(2.53)</td>
<td style="width:41.75pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.30)</td>
<td style="width:48.5pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.63)</td>
<td style="width:39.55pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(1.87)</td>
<td style="width:40.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.67)</td>
<td style="width:46.95pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.70)</td>
<td style="width:47.9pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(2.26)</td>
<td style="width:39.55pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.89)</td>
<td style="width:39.55pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(1.05)</td>
<td style="width:49.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.40)</td>
<td style="width:40.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(1.31)</td>
</tr>
<tr>
<td style="width:35.3pt;border:none;padding:0in 5.4pt 0in 5.4pt">
<bold>Q2</bold>
</td>
<td style="width:46.85pt;border:none;padding:0in 5.4pt 0in 5.4pt">0.47</td>
<td style="width:41.75pt;border:none;padding:0in 5.4pt 0in 5.4pt">
<bold>1.06***</bold>
</td>
<td style="width:48.5pt;border:none;padding:0in 5.4pt 0in 5.4pt">-0.08</td>
<td style="width:39.55pt;border:none;padding:0in 5.4pt 0in 5.4pt">0.48</td>
<td style="width:40.8pt;border:none;padding:0in 5.4pt 0in 5.4pt">-0.37</td>
<td style="width:46.95pt;border:none;padding:0in 5.4pt 0in 5.4pt">
<bold>-1.53*</bold>
</td>
<td style="width:47.9pt;border:none;padding:0in 5.4pt 0in 5.4pt">2.22</td>
<td style="width:39.55pt;border:none;padding:0in 5.4pt 0in 5.4pt">-0.86</td>
<td style="width:39.55pt;border:none;padding:0in 5.4pt 0in 5.4pt">-0.92</td>
<td style="width:49.8pt;border:none;padding:0in 5.4pt 0in 5.4pt">-0.33</td>
<td style="width:40.8pt;border:none;padding:0in 5.4pt 0in 5.4pt">-0.56</td>
</tr>
<tr>
<td style="width:35.3pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:46.85pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(2.34)</td>
<td style="width:41.75pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.40)</td>
<td style="width:48.5pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.91)</td>
<td style="width:39.55pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(2.07)</td>
<td style="width:40.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.91)</td>
<td style="width:46.95pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.91)</td>
<td style="width:47.9pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(2.31)</td>
<td style="width:39.55pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(1.13)</td>
<td style="width:39.55pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.73)</td>
<td style="width:49.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(1.31)</td>
<td style="width:40.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(1.72)</td>
</tr>
<tr>
<td style="width:35.3pt;border:none;padding:0in 5.4pt 0in 5.4pt">
<bold>Q3</bold>
</td>
<td style="width:46.85pt;border:none;padding:0in 5.4pt 0in 5.4pt">1.54</td>
<td style="width:41.75pt;border:none;padding:0in 5.4pt 0in 5.4pt">
<bold>0.70**</bold>
</td>
<td style="width:48.5pt;border:none;padding:0in 5.4pt 0in 5.4pt">-0.43</td>
<td style="width:39.55pt;border:none;padding:0in 5.4pt 0in 5.4pt">0.68</td>
<td style="width:40.8pt;border:none;padding:0in 5.4pt 0in 5.4pt">-0.77</td>
<td style="width:46.95pt;border:none;padding:0in 5.4pt 0in 5.4pt">-0.86</td>
<td style="width:47.9pt;border:none;padding:0in 5.4pt 0in 5.4pt">
<bold>-2.55*</bold>
</td>
<td style="width:39.55pt;border:none;padding:0in 5.4pt 0in 5.4pt">0.00</td>
<td style="width:39.55pt;border:none;padding:0in 5.4pt 0in 5.4pt">-0.64</td>
<td style="width:49.8pt;border:none;padding:0in 5.4pt 0in 5.4pt">
<bold>-1.87***</bold>
</td>
<td style="width:40.8pt;border:none;padding:0in 5.4pt 0in 5.4pt">3.75</td>
</tr>
<tr>
<td style="width:35.3pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:46.85pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(2.55)</td>
<td style="width:41.75pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.34)</td>
<td style="width:48.5pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.81)</td>
<td style="width:39.55pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(2.19)</td>
<td style="width:40.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.72)</td>
<td style="width:46.95pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.75)</td>
<td style="width:47.9pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(1.50)</td>
<td style="width:39.55pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.98)</td>
<td style="width:39.55pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.71)</td>
<td style="width:49.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.50)</td>
<td style="width:40.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(2.29)</td>
</tr>
<tr>
<td style="width:35.3pt;border:none;padding:0in 5.4pt 0in 5.4pt">
<bold>Q4</bold>
</td>
<td style="width:46.85pt;border:none;padding:0in 5.4pt 0in 5.4pt">0.84</td>
<td style="width:41.75pt;border:none;padding:0in 5.4pt 0in 5.4pt">
<bold>2.46***</bold>
</td>
<td style="width:48.5pt;border:none;padding:0in 5.4pt 0in 5.4pt">-0.49</td>
<td style="width:39.55pt;border:none;padding:0in 5.4pt 0in 5.4pt">-0.37</td>
<td style="width:40.8pt;border:none;padding:0in 5.4pt 0in 5.4pt">0.08</td>
<td style="width:46.95pt;border:none;padding:0in 5.4pt 0in 5.4pt">-1.16</td>
<td style="width:47.9pt;border:none;padding:0in 5.4pt 0in 5.4pt">
<bold>-3.75**</bold>
</td>
<td style="width:39.55pt;border:none;padding:0in 5.4pt 0in 5.4pt">-1.12</td>
<td style="width:39.55pt;border:none;padding:0in 5.4pt 0in 5.4pt">-0.85</td>
<td style="width:49.8pt;border:none;padding:0in 5.4pt 0in 5.4pt">0.32</td>
<td style="width:40.8pt;border:none;padding:0in 5.4pt 0in 5.4pt">
<bold>5.02**</bold>
</td>
</tr>
<tr>
<td style="width:35.3pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:46.85pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(2.01)</td>
<td style="width:41.75pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.91)</td>
<td style="width:48.5pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.66)</td>
<td style="width:39.55pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(1.86)</td>
<td style="width:40.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(1.22)</td>
<td style="width:46.95pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.92)</td>
<td style="width:47.9pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(1.87)</td>
<td style="width:39.55pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.72)</td>
<td style="width:39.55pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.73)</td>
<td style="width:49.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(1.42)</td>
<td style="width:40.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(2.48)</td>
</tr>
<tr>
<td style="width:35.3pt;padding:0in 5.4pt 0in 5.4pt">
<bold>Q5</bold>
</td>
<td style="width:46.85pt;padding:0in 5.4pt 0in 5.4pt">
<bold>-3.85**</bold>
</td>
<td style="width:41.75pt;padding:0in 5.4pt 0in 5.4pt">
<bold>1.67***</bold>
</td>
<td style="width:48.5pt;padding:0in 5.4pt 0in 5.4pt">0.04</td>
<td style="width:39.55pt;padding:0in 5.4pt 0in 5.4pt">-0.97</td>
<td style="width:40.8pt;padding:0in 5.4pt 0in 5.4pt">-0.57</td>
<td style="width:46.95pt;padding:0in 5.4pt 0in 5.4pt">-0.15</td>
<td style="width:47.9pt;padding:0in 5.4pt 0in 5.4pt">1.90</td>
<td style="width:39.55pt;padding:0in 5.4pt 0in 5.4pt">1.75</td>
<td style="width:39.55pt;padding:0in 5.4pt 0in 5.4pt">
<bold>2.64*</bold>
</td>
<td style="width:49.8pt;padding:0in 5.4pt 0in 5.4pt">-0.62</td>
<td style="width:40.8pt;padding:0in 5.4pt 0in 5.4pt">-1.50</td>
</tr>
<tr>
<td style="width:35.3pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt"/>
<td style="width:46.85pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(1.52)</td>
<td style="width:41.75pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.63)</td>
<td style="width:48.5pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.94)</td>
<td style="width:39.55pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(1.86)</td>
<td style="width:40.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(1.17)</td>
<td style="width:46.95pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(1.95)</td>
<td style="width:47.9pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(2.32)</td>
<td style="width:39.55pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(0.97)</td>
<td style="width:39.55pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(1.45)</td>
<td style="width:49.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(1.26)</td>
<td style="width:40.8pt;border:none;border-bottom:solid windowtext 1.0pt;   padding:0in 5.4pt 0in 5.4pt">(1.32)</td>
</tr>
</tbody>
</table>
</alternatives>
<attrib>author, based on the estimation using NHIES 2018</attrib>
<table-wrap-foot>
<fn-group>
<fn id="fn4" fn-type="other">
<p>Q1, Q2, Q3, Q4, and Q5 represent every income quintile, ordered from lowest to highest income, while the total represents the entire sample. *p &lt;0.10; **p &lt;0.05; ***p &lt;0.01</p>
</fn>
</fn-group>
</table-wrap-foot>
</table-wrap>
</p>
<p>A striking result is a crowding-in effect in the expenditure share allocated to alcoholic beverages, which is 1.34 p.p. This means that, if the household consumes tobacco, the alcohol expenditure increases 478 %.<xref ref-type="fn" rid="fn6">[2]</xref> Moreover, this crowding-in is not only shown at the country level but in every income quintile. In the first one, the crowding-in effect is 0.5 p.p., a 500 % increase. In the second one, it is 1.06 p.p., a 707 % increase. In the third one, it is 0.7 p.p., a 292 % increase. In the fourth one, there is an increase of 2.46 p.p., a 600 % increase. Finally, in the fifth one, the increase is 1.67 p.p., a 288 % increase. Thus, a strong relationship between tobacco and alcohol consumption is evident, and it remains consistent across every income level. This can be reasonable explained by considering factors such as social habits, psychological interactions, and addictive tendencies.</p>
<p>Tobacco consumption shows a -0.97 p.p. effect in the health expenditure share, a 22.6 % decrease when the household consumes tobacco. However, this crowding-out is not found when analyzing every quintile except for the -1.53 p.p. effect in the second quintile, which is a 40.5 % decrease.</p>
<p>In restaurants and hotels, the effect is positive and reaches 1.47 p.p.; tobacco consumption leads to an increase of approximately 21.9 % in the expenditure share dedicated to restaurants and hotels. Similarly, this crowding-in is not found in every quintile but only in the fourth one; the effect is 5.02 p.p. or a 58.7 % increase.</p>
<p>In the first quintile, the tobacco consumption effect in the clothing expenditure share is -1.31 p.p., a 29.7 % decrease in the presence of tobacco consumption. In the second quintile, as mentioned, the only crowding-out effect is in the health expenditure share. In the third quintile, there is a result that stands out: the crowding-out in the transportation expenditure share, that is a -2.55 p.p. effect or a 21.5 % decrease, and the crowding-out in the education expenditure share, that is a -1.87 p.p. effect or an 86 % decrease. In the fourth quintile, there is a crowding-out in the transportation expenditure share, a -3.75 p.p. effect or a 26.3 % decrease. In the fifth quintile, the tobacco consumption effect in the food expenditure share is -3.85 p.p. or a 20,7 % decrease. This stands out because for these households there is a crowding-in effect in alcoholic beverages and recreation expenditure shares (2.64 p.p. or a 37.1 % increase), while other categories are not affected.</p>
<p>When comparing the hypotheses and the effects of tobacco consumption shown in <xref ref-type="table" rid="gt4">table 4</xref>, there are mixed results. First, the literature indicates that tobacco involves a crowding-out effect in the expenditure share on food, education, health, and clothing, with special emphasis on the first three categories. This effect was expected to be observed in the expenditure share on education and health in lower-income households. However, this crowding-out effect was found mainly at the country level and in the health expenditure share but not in the food or education expenditure share. Second, the literature shows a crowding-in effect in the alcoholic beverages’ expenditure, which is, in this case, confirmed, and it even holds for the different income levels. Finally, there is no effect in categories such as utilities and equipment, neither at the country level nor in the income quintiles.</p>
</sec>
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<fn-group>
<title>Notas</title>
<fn id="fn5" fn-type="other">
<label>[1]</label>
<p>There were 51 negative consumption expenditure observations, as a result of automatic calculations in furniture and transportation expenditure. To avoid altering the construction method of variables and to avoid adding noise to the estimation, the decision was to eliminate those negative observations. Furthermore, it was necessary to eliminate 5 more observations due to missing values. Thus, 6,990 observations remain. None of the eliminated ones affects the total of tobacco-consuming households.</p>
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<label>[2]</label>
<p>Note that there is a significant difference between the effect measured by percentage points and by percentages. The first one could seem to be low due to the expenditure structure, so the impact is more evident when considering the effect relative to the expenditure shares in <xref ref-type="table" rid="gt3">Table 3</xref>.</p>
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