Stephens T, Kaiserman M J, McCall D J, Sutherland-Brown C
Thomas Stephens, Thomas Stephens and Associates, Manotick, Ontario, K4M 1A7, Canada.
Chronic Dis Can. 2000;21(2):62-7.
The objective of this study was to conduct a cost-benefit analysis to compare the costs of developing and delivering an effective school-based smoking prevention program with the savings to be expected from reducing the prevalence of smoking in the Canadian population over time. A smoking prevention program that meets published criteria for effectiveness, implemented nationally in Canada, would cost $67 per student (1996 dollars). Assuming such a program would reduce smoking by 6% initially and 4% indefinitely, lifetime savings on health care would be $3,400 per person and on productivity, almost $14,000. The benefit-cost ratio would be 15.4 and the net savings $619 million annually. Sensitivity analyses reveal that considerable economic benefits could accrue from an effective smoking prevention program under a wide range of conditions.
本研究的目的是进行成本效益分析，以比较制定和实施一项有效的校内吸烟预防计划的成本，与随着时间推移加拿大人口吸烟率降低所带来的预期节省。一项符合已公布有效性标准、在加拿大全国实施的吸烟预防计划，每位学生的成本为67加元（1996年币值）。假设这样一个计划最初能使吸烟率降低6%，并长期降低4%，那么每人在医疗保健方面的终生节省将为3400加元，在生产力方面的节省近14000加元。效益成本比将为15.4，每年的净节省为6.19亿加元。敏感性分析表明，在广泛的条件下，一项有效的吸烟预防计划可带来可观的经济效益。
