Rezaei Satar, Akbari Sari Ali, Arab Mohammad, Majdzadeh Reza, Mohammadpoorasl Asghar
Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Department of Global Health and Public Policy, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
J Res Health Sci. 2015 Fall;15(4):228-33.
There is a broad consensus among health policy-makers that smoking has a significant impact on both heath system and society. The purpose of this study was to estimate the economic burden of major cancer deaths caused by smoking in Iran in 2012.
Number of major cancer deaths due to smoking by sex and age groups in 2012 was obtained from GLOBCAN database. The life expectancy and retirement age were used to estimate years of potential life lost (YPLL) and cost of productive lost attributable to smoking, respectively. Data on prevalence of smoking, relative risk of smoking, life expectancy table, annual wage and employment rate were extracted from the various resources such as previous studies, WHO database and Iranian statistic centers. The data analysis was conducted by Excel software.
Smoking was responsible for 4,623 cancer deaths, 80808 YPLL and $US 83,019,583 cost of productivity lost. Lung cancer accounts for largest proportion of total cancer deaths, YPLL and cost of productivity lost attributable to smoking. Males account for 86.6% of cancer deaths, 82.6% of YPLL and 85.3% of cost of productivity lost caused by smoking.
Smoking places a high economic burden on health system and society as a whole. In addition, if no one had been smokers in Iran, approximately two out of ten cancer deaths could be prevented.
卫生政策制定者们已达成广泛共识，即吸烟对卫生系统和社会均有重大影响。本研究旨在估算2012年伊朗因吸烟导致的主要癌症死亡的经济负担。
2012年按性别和年龄组划分的因吸烟导致的主要癌症死亡人数来自全球癌症负担数据库（GLOBCAN）。预期寿命和退休年龄分别用于估算潜在寿命损失年数（YPLL）以及因吸烟导致的生产性损失成本。吸烟流行率、吸烟相对风险、预期寿命表、年工资和就业率的数据取自以往研究、世界卫生组织数据库和伊朗统计中心等各种来源。数据分析通过Excel软件进行。
吸烟导致4623例癌症死亡、80808潜在寿命损失年数以及83,019,583美元的生产性损失成本。肺癌在因吸烟导致的癌症死亡总数、潜在寿命损失年数和生产性损失成本中占比最大。男性占吸烟导致的癌症死亡人数的86.6%、潜在寿命损失年数的82.6%以及生产性损失成本的85.3%。
吸烟给卫生系统和整个社会带来了沉重的经济负担。此外，在伊朗，如果无人吸烟，大约十分之二的癌症死亡可得到预防。
