Centre for Health Systems Research, National Institute of Public Health, Cuernavaca, Mexico.
Value Health. 2012 Jul-Aug;15(5):750-8. doi: 10.1016/j.jval.2012.03.1384. Epub 2012 Jun 7.
To estimate the maximum willingness to pay (WTP) for an effective smoking cessation treatment among smokers in Mexico and to identify the environmental, demographic, and socioeconomic factors associated with the WTP.
A cross-sectional study was conducted. The sample contained 777 smokers (willingness to quit using a WTP of >0) who had responded to the 2009 Global Adult Tobacco Survey conducted in Mexico. Statistical associations and descriptive analyses were conducted to describe smokers and their WTP by using tobacco-related environmental, socioeconomic, and demographic variables.
Overall, 74.4% of the smokers were men and 51.4% were daily smokers. On average, the smokers had been consuming tobacco for more than 15 years, 58.6% had made cessation attempts in the past, and around 10.0% knew about the existence of centers to aid in smoking cessation. The average WTP for an effective cessation method was US $191. Among men, the WTP was US $152 lower than among women. In all the estimated models, the higher an individual's education and socioeconomic level, the higher his or her WTP.
This study suggests that Mexican smokers interested in quitting smoking attribute a high monetary value to an effective cessation method. Male smokers demonstrated less altruistic behavior than did female smokers. Mexico requires the implementation of more policies designed to support smoking cessation and to limit tobacco addiction. Expanding the availability of cessation programs and access to pharmacological treatments may contribute to reaching universal coverage by integrating new pharmacological alternatives into the health sector's medicine formulary.
估算墨西哥吸烟者对有效戒烟治疗的最大意愿支付（WTP），并确定与 WTP 相关的环境、人口统计学和社会经济因素。
进行了一项横断面研究。该样本包含 777 名吸烟者（愿意通过 WTP 支付>0 来戒烟），他们对 2009 年在墨西哥进行的全球成人烟草调查做出了回应。通过使用与烟草相关的环境、社会经济和人口统计学变量，对吸烟者及其 WTP 进行了统计关联和描述性分析。
总体而言，74.4%的吸烟者为男性，51.4%为每日吸烟者。平均而言，吸烟者吸烟超过 15 年，58.6%过去曾尝试戒烟，约 10.0%知道存在帮助戒烟的中心。对有效戒烟方法的平均 WTP 为 191 美元。男性的 WTP 比女性低 152 美元。在所有估计的模型中，个体的教育和社会经济水平越高，他或她的 WTP 就越高。
本研究表明，对戒烟感兴趣的墨西哥吸烟者对有效戒烟方法赋予了很高的货币价值。男性吸烟者的利他行为表现不如女性吸烟者。墨西哥需要实施更多旨在支持戒烟和限制烟草成瘾的政策。通过将新的药理学替代品纳入卫生部门的药物处方中，扩大戒烟计划的可用性并获得药理学治疗，可能有助于通过整合新的药理学替代品来实现全民覆盖。
