婴儿猝死综合征、孕期母亲吸烟与戒烟干预的成本效益
Sudden infant death syndrome, maternal smoking during pregnancy, and the cost-effectiveness of smoking cessation intervention.
作者信息
Pollack H A
机构信息
Department of Health Management and Policy, University of Michigan School of Public Health, 109 Observatory, Ann Arbor, MI 48109-2029, USA.
出版信息
Am J Public Health. 2001 Mar;91(3):432-6. doi: 10.2105/ajph.91.3.432.
Abstract
OBJECTIVES
This study analyzed the relationship between prenatal maternal smoking and sudden infant death syndrome (SIDS) and examined the cost-effectiveness of smoking cessation interventions.
METHODS
All recorded US singleton SIDS deaths from the 1995 birth cohort with birthweight exceeding 500 g were investigated. Infants with available maternal smoking data were matched with controls who survived to 1 year. Conditional logistic regression was used to estimate SIDS risks and accompanying cost-effectiveness.
RESULTS
A total of 23.6% of singleton SIDS deaths appear to be attributable to prenatal maternal smoking. Typical cessation services available to all pregnant smokers could avert 108 SIDS deaths annually, at an estimated cost of $210,500 per life saved.
CONCLUSIONS
Typical prenatal smoking cessation programs are highly cost-effective but have limited impact on the population incidence of SIDS.
摘要
目的
本研究分析了孕期母亲吸烟与婴儿猝死综合征（SIDS）之间的关系，并考察了戒烟干预措施的成本效益。
方法
对1995年出生队列中出生体重超过500克的所有已记录的美国单胎SIDS死亡病例进行调查。有母亲吸烟数据的婴儿与存活至1岁的对照组进行匹配。采用条件逻辑回归来估计SIDS风险及相应的成本效益。
结果
单胎SIDS死亡病例中，总计23.6%似乎可归因于孕期母亲吸烟。所有怀孕吸烟者均可获得的典型戒烟服务每年可避免108例SIDS死亡，估计每挽救一条生命的成本为210,500美元。
结论
典型的产前戒烟项目具有很高的成本效益，但对SIDS的人群发病率影响有限。
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