Fishman Paul A, Ebel Beth E, Garrison Michelle M, Christakis Dimitri A, Wiehe Sarah E, Rivara Frederick P
Center for Health Studies, Group Health Cooperative of Puget Sound, Seattle, Washington 98101, USA.
Am J Prev Med. 2005 Jul;29(1):19-26. doi: 10.1016/j.amepre.2005.03.004.
Tobacco use results in 500,000 premature deaths annually. Most smokers begin using tobacco before age 21, so the greatest impact on preventing smoking-related mortality is likely to come from campaigns targeting youths. This study estimates the cost-effectiveness of an anti-smoking media campaign and dollar 1 per pack increase in cigarette taxes on the lifetime decrease in smoking-attributable mortality among the cohort of all 18-year-olds in the United States during the year 2000.
Cost-effectiveness analysis conducted from a societal perspective.
The combined effects of a media campaign and dollar 1 per pack tax increase will result in a societal savings of between dollar 590,000 per life-year saved, at a 3% discount rate and dollar 1.4 million per life year saved, at a 7% discount rate.
A media campaign and $1 per pack cigarette tax increase will reduce overall smoking prevalence, significantly decrease smoking-attributable mortality, and decrease net societal costs.
烟草使用每年导致50万人过早死亡。大多数吸烟者在21岁之前开始使用烟草，因此预防与吸烟相关的死亡率的最大影响可能来自针对年轻人的运动。本研究估计了反吸烟媒体运动以及每包香烟税提高1美元对2000年美国所有18岁人群中吸烟所致死亡率终生降低的成本效益。
从社会角度进行成本效益分析。
媒体运动和每包税提高1美元的综合效果将带来社会节省，按3%的贴现率计算，每挽救一个生命年节省59万美元，按7%的贴现率计算，每挽救一个生命年节省140万美元。
媒体运动和每包香烟税提高1美元将降低总体吸烟率，显著降低吸烟所致死亡率，并降低社会净成本。
