HTP and e-cigarette use in North Macedonia – an exploratory study

Analytica Think Tank, in collaboration with the World Bank North Macedonia - Светска банка Северна Македонија, has published a study on the use of heated
tobacco products (HTPs) and e-cigarettes in North Macedonia.

  • Key Findings

Young People are the primary users:
HTPs and e-cigarettes are more popular among younger individuals, while older users prefer traditional cigarettes. Flavors and the ability to use them in public places are important determinants of their popularity.

  • Financial Burden:

Dual users, those who use both e-cigarettes and manufactured cigarettes spend most on their addiction: 5,034 MKD per month on average representing 12% of the average wage and 22% of the minimum wage in North Macedonia. 

 

Policy Challenges:
HTPs and e-cigarettes benefit from:
• Favorable tax policies
• Fewer restrictions on public use compared to manufactured cigarettes and traditional tobacco products


The report emphasizes the need for:
• Flavor bans to reduce youth appeal
• Stricter restrictions on public use to reduce consumption and make the dual use less attractive
• Revisions to tax policies in line with WHO recommendations

Public Awareness:
HTPs and e-cigarettes are often perceived as HTPs and e-cigarettes are often perceived as "healthier" alternatives, which is misleading. The report recommends public education campaigns to address this issue.

Access the Full Report
The full report is available here:

 

2024  

HTP and e-cigarette use in North Macedonia  – an exploratory study