Trade and Health: A Cross-National Study of Global Economic Integration, Smoking Prevalence, and Gender, 2000 to 2015

Prior reviews have discussed the potential relationship between global economic integration and smoking prevalence, but for the most part, these non-empirical studies have only offered speculative observations. This cross-national study employs two-way fixed effects regression models and a three-way interaction to test whether integration into the global economy, measured as imports (% of GDP), affects male and female smoking prevalence across country income groups (developed vs. less developed nations) and time from 2000 to 2015. We observe that the effect of global economic integration on female smoking prevalence increased in magnitude over time in both income groups, but we see no such effect on male smoking prevalence. The effect does not differ by income group. We conclude by discussing the theoretical implications of our findings, along with policy recommendations.