印度一项基于学校的预防吸烟项目的成本效益分析。
The cost-effectiveness of a school-based smoking prevention program in India.
机构信息
University of Texas School of Public Health, University of Texas Administration Building (UTA) and Michael and Susan Dell Center for Healthy Living, 1616 Guadalupe Street, Suite 6.300, Austin, TX 78701, USA.
出版信息
Health Promot Int. 2013 Jun;28(2):178-86. doi: 10.1093/heapro/dar095. Epub 2012 Jan 23.
Intervention programs aimed at preventing tobacco use among youth have been shown to be effective in curbing tobacco use onset and progression. However, the effects of even very successful tobacco prevention programs may not always impress policy-makers and lay audiences. Economic analysis potentially strengthens the case. In this paper, we evaluate the cost-effectiveness of a youth tobacco use prevention program which has been translated and implemented in India, a developing country. Although programs like these are inexpensive to implement in the USA, they are even less expensive in India due to low labor costs. Our results show that the costs per quality-adjusted life-year added, due to averted smoking, was $2057, even without including averted medical costs. If we ignore student time, cost-effectiveness improves by roughly 10%. To put the cost-effectiveness of this smoking prevention program into context, it is over 24 times more cost-effective than dialysis in the USA, which costs $50,000 for a life-year.
干预项目旨在预防青少年吸烟，这些项目已被证明在遏制吸烟开始和发展方面是有效的。然而，即使是非常成功的烟草预防项目的效果，可能并不总是能打动政策制定者和普通大众。经济分析可能会增强这一观点。在本文中，我们评估了一项青少年烟草使用预防计划的成本效益，该计划已在印度（一个发展中国家）进行了翻译和实施。尽管在美国实施这样的项目成本低廉，但由于劳动力成本低，在印度甚至更便宜。我们的研究结果表明，由于避免了吸烟，每增加一个质量调整生命年的成本为 2057 美元，甚至没有包括避免的医疗费用。如果我们忽略学生的时间，成本效益会提高约 10%。为了将这种预防吸烟的计划的成本效益放在背景下考虑，它在美国比透析的成本效益高 24 倍以上，透析每获得一年的生命需要花费 5 万美元。
Zotero 插件