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DAUGAVPILS UNIVERSITĀTE EKONOMIKAS UN SOCIOLOĢIJAS KATEDRA DAUGAVPILS UNIVERSITY DEPARTMENT of ECONOMICS and SOCIOLOGY Mg.Oec

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DAUGAVPILS UNIVERSITĀTE EKONOMIKAS UN SOCIOLOĢIJAS KATEDRA DAUGAVPILS UNIVERSITY DEPARTMENT of ECONOMICS and SOCIOLOGY Mg.Oec DAUGAVPILS UNIVERSITĀTE EKONOMIKAS UN SOCIOLOĢIJAS KATEDRA DAUGAVPILS UNIVERSITY DEPARTMENT OF ECONOMICS AND SOCIOLOGY Mg.oec. ANITA KOKARĒVIČA SMĒĶĒŠANAS EKONOMISKAIS IZVĒRTĒJUMS LATVIJĀ ECONOMIC ASSESSMENT OF SMOKING IN LATVIA Promocijas darba KOPSAVILKUMS Ekonomikas doktora (Dr.oec.) zinātniskā grāda iegūšanai Reģionālās ekonomikas apakšnozarē SUMMARY of the thesis for obtaining the Doctoral Degree in Economics (Dr.oec.) (Speciality: Regional Economics) DAUGAVPILS 2020 PROMOCIJAS DARBS IZSTRĀDĀTS LAIKA PERIODĀ NO 2014. GADA LĪDZ 2019. GADAM. DOKTORA STUDIJU PROGRAMMA: EKONOMIKA, APAKŠNOZARE REĢIONĀLĀ EKONOMIKA. PROMOCIJAS DARBA ZINĀTNISKAIS VADĪTĀJS: Vadošā pētnice, Dr.oec. Elita Jermolajeva (Latvijas Lauksaimniecības universitāte) PROMOCIJAS DARBA ZINĀTNISKAIS KONSULTANTS: Profesors, Dr. med. Ģirts Briģis (Rīgas Stradiņa universitāte, Latvija) OFICIĀLIE RECENZENTI: Pētniece, Dr.oec. Oksana Ruža (Daugavpils Universitāte, Latvija) Akadēmiķe, profesore, Dr.habil.oec. Baiba Rivža (Latvijas Zinātņu akadēmija) Profesore, Dr.oec. Manuela Tvaronavičiene (Lietuvas Aizsardzības ministrijas Lietuvas ģenerāļa Jona Žemaiša militāra akadēmija, Viļņas Gediminasa Tehniskā Universitāte, Lietuva) PROMOCIJAS DARBA AIZSTĀVĒŠANA notiks Daugavpils Universitātes Ekonomikas zinātnes nozares Promocijas padomes atklātajā sēdē 2020. gada 3. aprīlī, Daugavpilī, Parādes ielā 1, 320. auditorijā plkst. 13.00. Ar promocijas darbu un tā kopsavilkumu var iepazīties Daugavpils Universitātes bibliotēkā, Parādes ielā 1, Daugavpilī un http://du.lv/lv/zinatne/promocija/darbi. Atsauksmes sūtīt Promocijas padomes sekretārei: Daugavpilī, Parādes ielā 1, LV-5400, tālrunis +371 65422163, e-pasts: [email protected] Padomes sekretārs: Dr.oec. Alīna Daņileviča ISBN 978-9984-14-895-3 © Anita Kokarēviča, 2020 THE PRESENT DOCTORAL THESIS HAS BEEN WORKED OUT IN THE PERIOD FROM 2014 UNTIL 2019. DOCTORAL STUDY PROGRAMME: ECONOMICS, THE SUB-BRANCH OF REGIONAL ECONOMICS. THE SCIENTIFIC ADVISOR OF THE DOCTORAL THESIS: Leading Researcher, Dr.oec. Elita Jermolajeva (Latvia University of Agriculture, Latvia) THE SCIENTIFIC CONSULTANT OF THE DOCTORAL THESIS: Professor, Dr.med. Ģirts Briģis (Rīga Stradiņš university, Latvia) OFFICIAL REVIEWERS: Researcher, Dr.oec Oksana Ruža (Daugavpils University, Latvia) Academician, professor, Dr.hab.oec. Baiba Rivža (Latvian Council of Science) Professor, Dr.oec. Manuela Tvaronavičiene (The General Jonas Žemaitis Military Academy of Lithuania, Vilnius Gediminas Technical University, Lithuania) The defence of the Doctoral Thesis will take place in Daugavpils University at the open meeting of Doctorate Council for Science of Economics on April 3, 2020, at 13.00, in Daugavpils, Parādes street 1, Room 320. The Doctoral Thesis and its summary are available at the library of Daugavpils University, Parades Street 1 in Daugavpils and from http://du.lv/lv/zinatne/promocija/darbi. Comments are welcome. Send them to the secretary of the Doctorate Council, Parādes street 1, Daugavpils, LV-5400, tel. +371 65422163; e-mail: [email protected] Secretary of the doctorate council: Dr.oec. Alīna Daņileviča 3 SATURA RĀDĪTĀJS PĒTĪJUMA REZULTĀTU APROBĀCIJA .......................................................... 6 IEVADS .............................................................................................................. 11 1. SMĒĶĒŠANAS UN TĀS SEKU TEORĒTISKĀS IZPĒTES IETVARS .... 16 1.1. Smēķēšanas ekonomiskās ietekmes uz sabiedrību skaidrojošās teorētiskās pieejas .................................................................................. 16 1.2. Smēķēšanas izplatība un sekas Latvijā un Eiropas Savienības valstīs .. 17 1.3. Smēķēšanas ierobežošanas politikas instrumenti un to pielietojums Latvijā ................................................................................................... 23 1.4. Ekspertu aptaujas par tabakas lietošanas uzraudzības pasākumu rezultativitāti analīze ............................................................................. 27 2. SMĒĶĒŠANAS EKONOMISKĀS IETEKMES NOVĒRTĒŠANAS METODOLOĢIJA ........................................................................................ 28 2.1. Epidemioloģiskā pieeja smēķēšanas ekonomiskajos izvērtējumos ....... 28 2.2. Ekonomiskās pieejas smēķēšanas ekonomiskajos izvērtējumos ........... 32 2.3. Latvijas smēķēšanas izmaksu un ieguvumu novērtēšanas modeļa izstrāde .................................................................................................. 38 3. LATVIJAS SMĒĶĒŠANAS IZMAKSU UN IEGUVUMU NOVĒRTĒŠANAS REZULTĀTI UN TO ANALĪZE ................................. 46 3.1. Smēķēšanas izmaksu un ieguvumu rādītāji Latvijā ............................... 46 3.2. Latvijas rezultāti Eiropas Savienības valstu kontekstā .......................... 51 NOBEIGUMS ..................................................................................................... 54 Galvenie secinājumi un atzinumi ................................................................... 54 Galvenās problēmas un iespējamie risinājumi ............................................... 57 PROMOCIJAS DARBA KOPSAVILKUMĀ IZMANTOTĀ LITERATŪRA/ REFERENCES/ LITERATURE USED IN THE SUMMARY OF THE DOCTORAL THESIS ....................................................................................... 107 4 TABLE OF CONTENTS INTRODUCTION .............................................................................................. 59 1. INTHEORETICAL RESEARCH FRAMEWORK FOR SMOKING AND ITS CONSEQUENCES ....................................................................... 66 1.1. Explanatory theoretical approaches to the economic impact of smoking on society ............................................................................... 64 1.2. Prevalence and consequences of smoking in Latvia and European Union countries ..................................................................................... 65 1.3. Smoking control policy instruments and their application in Latvia .... 71 1.4. Analysis of the expert survey on the effectiveness of tobacco control measures ............................................................................................... 75 2. METHODOLOGY FOR ASSESSING THE ECONOMIC IMPACT OF SMOKING .................................................................................................... 76 2.1. Epidemiological approach to the economic assessment of smoking..... 76 2.2. Economic approaches to economic assessment of smoking .................. 80 2.3. Development of a Latvian Cost-Benefit Model for Smoking ................ 86 3. RESULTS AND ANALYSIS of SMOKING COSTS AND BENEFITS EVALUATION in Latvia .............................................................................. 93 3.1. Smoking costs and benefits indicators in Latvia ................................... 93 3.2. Latvian results in the context of the European nion countries .............. 98 CONCLUSION ................................................................................................. 101 Main conclusions and resolutions ............................................................... 101 Main problems and possible solutions ........................................................ 104 PROMOCIJAS DARBA KOPSAVILKUMĀ IZMANTOTĀ LITERATŪRA/ REFERENCES/ LITERATURE USED IN THE SUMMARY OF THE DOCTORAL THESIS ...................................................................................... 107 5 PĒTĪJUMA REZULTĀTU APROBĀCIJA Publikācijas Latvijas un ārzemju starptautiskajos izdevumos 1. Kokarevica, A., Ludzeniece, A. Cost-Benefit Analysis of Smoking in Latvia. In: SHS Web of Conferences: Proceedings. 7th International Interdisciplinary Scientific Conference 'Society. Health. Welfare. Part II, Riga: Rīga Stradiņš University. Acknowledgment, 2019. 2. Kokarevica, A., Jermolajeva, E. (2019) Economic Aspects of Tobacco Product Consumption. Reģionālais ziņojums. No: Pētījumu materiāli / A regional Review. Research papers. 14 (2018/2019), Daugavpils: Daugavpils Universitātes Akadēmiskais apgāds “Saule”, 2019, 72. – 83.lpp. ISSN 1691-6115. Pieejams: https://du.lv/wp- content/uploads/2019/12/Regionalais-Zinojums-14_DRUKA.pdf (ind. in EBSCO, ProQuest, WINIR. 3. Kokarēviča, A. (2016) The prevalence and the socio-economic costs of smoking among the working age population in Latvia. In: SHS Web of Conferences: Proceedings. 5th International Interdisciplinary Scientific Conference “Society. Health. Welfare”, Riga, Nov. 26–28. Riga: Rīga Stradiņš University, 2016, 00017 p. 1–00025. ISBN 978-2-7598-9007-1. Available from: https://doi.org/10.1051/shsconf/20163000025 (ind. in Web of Science). 4. Kokarēviča, A. (2015) The economic burden of tobacco use and the life quality among the Latvian working age population. In: Latvia University of Agriculture, Proceedings of the 8th International Scientific Conference 'Rural Environment. Education. Personality. 2015, pp. 222–229. ISBN 978-9984-48-178-4. Available from: http://bit.ly/REEP_2015_proceedings (ind. in Web of Science, AGRIS). 5. Razgale,I., Kokarēviča, A., Bolšteina, G. (2014) Agrīna sociālā darba intervence sociālo risku mazināšanai : sociālekonomiskais aspekts. No: DU 55. Starptautiskās Zinātniskās Konferences Materiāli. Daugavpils: Daugavpils Universitātes Akadēmiskais apgāds “Saule”, 2014, - Daugavpils, 2014, 417. - 426.lpp. ISBN 978-9984-14-665-2. Pieejams: https://dukonference.lv/files/proceedings_of_conf/DU_55_starpt_zinatn_ko nf_rakstu_kraj.pdf (ind. in EBSCO). 6. Kokaревичa, А. (2013) Оценка факторов, влияющих на формирование зависимости у молодежи.
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