The impact of investment liberalisation and privatisation of state owned tobacco companies on patterns of tobacco use and tobacco control has not previously been studied, timely, accurate data on smoking patterns in the former Soviet Union are scarce and there has been no formal research on TTC activities there. This thesis capitalises on the unique social experiment provided by the Soviet Union’s transformation to address these research gaps through a combination of data and methodologies: analysis of routine and ad hoc data on investments and consumption; survey data on patterns and determinants of smoking behaviour in the region; and internal tobacco industry documents.

The importance of this work is underlined by the fact that tobacco industry privatisation continues to be promoted by international actors who have seemingly given no consideration to its potential impacts, and that tobacco control policies are most effective when informed by accurate data on patterns and determinants of smoking and by information on industry tactics and actions.

The thesis finds that between 1992 and 2000 the TTCs made significant investments in ten countries of the region. These investments have exponentially increased cigarette production rates and fuelled cigarette consumption without favourably influencing trade figures. Smoking prevalence rates in men remain amongst the highest in the world, with rates over 60% recorded in three of the eight countries surveyed. Smoking rates in women are far lower, but their pattern appears to reflect TTC activity. Tobacco industry documents outline the major negative influence TTCs have had on tobacco control.

The thesis concludes that investment liberalisation and tobacco industry privatisation pose major threats to public health and makes recommendations for action.