Ghobadi Maliheh, Farrokhi Mohammad Reza, Nakhaee Nouzar, Jafari-Sirizi Mohammad, Barouni Mohsen
Department of Policy Management and Health Economics, School of Health Management and Medical Informatics, Kerman University of Medical Sciences, Kerman, Iran.
General Practitioner, Management of Medical Treatment and Medical Documents of the Social Security Organization, Kerman, Iran.
Addict Health. 2017 Fall;9(4):190-198.
Cigarette seems to be the least valuable of addictive drugs. It is easily accessible to the public, and its harmful personal and social effects have attracted less attention. Therefore, the present research was carried out with the aim of presenting cost estimations of smoking-related diseases in smokers who aged 35 or higher in Kerman City, Iran, in 2014.
Using the prevalence approach, the direct and indirect costs of smoking-attributable diseases including lung cancer, gastric cancer, myocardial infarction, stroke, and chronic obstructive pulmonary disease (COPD) were estimated. The initial data were obtained from the information in documents of medical document units as well as the 2014 income statements of teaching hospitals of Kerman University of Medical Sciences, Kerman City.
In this research, total economic costs of diseases attributed to smoking were estimated to be 50 million dollars in 2014 in Kerman City, and calculations suggest that this figure accounts for 0.02% of Iran's gross domestic product (GDP). Total direct cost of diseases caused by smoking in Kerman City adds up to 17 million dollars, whereas the estimated indirect cost of diseases caused by smoking is 33 million dollars. The yearly per capita cost of any of the selected five diseases is 270 dollars.
Smoking places a high economic burden on health system and society as a whole. Therefore, stronger intervention measures against smoking should be taken without delay to reduce the health and financial losses caused by smoking.
香烟似乎是成瘾性药物中价值最低的。它对公众来说很容易获得，而且其对个人和社会的有害影响较少受到关注。因此，本研究旨在呈现2014年伊朗克尔曼市35岁及以上吸烟者中与吸烟相关疾病的成本估算。
采用患病率方法，估算了包括肺癌、胃癌、心肌梗死、中风和慢性阻塞性肺疾病（COPD）在内的吸烟所致疾病的直接和间接成本。初始数据来自医疗文件单位的文件信息以及克尔曼市克尔曼医科大学教学医院2014年的收入报表。
在本研究中，2014年克尔曼市吸烟所致疾病的总经济成本估计为5000万美元，计算表明这一数字占伊朗国内生产总值（GDP）的0.02%。克尔曼市吸烟所致疾病的总直接成本总计为1700万美元，而吸烟所致疾病的估计间接成本为3300万美元。所选五种疾病中任何一种的人均年成本为270美元。
吸烟给整个卫生系统和社会带来了沉重的经济负担。因此，应立即采取更强有力的控烟干预措施，以减少吸烟造成的健康和经济损失。
