Shrestha Sundar S, Davis Kevin, Mann Nathan, Taylor Nathaniel, Nonnemaker James, Murphy-Hoefer Rebecca, Trivers Katrina F, King Brian A, Babb Stephen D, Armour Brian S
Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Center for Health Policy Science and Tobacco Research, RTI International, Research Triangle Park, North Carolina.
Am J Prev Med. 2021 Mar;60(3):406-410. doi: 10.1016/j.amepre.2020.10.009. Epub 2021 Jan 14.
Since 2012, the Centers for Disease Control and Prevention has conducted the national Tips From Former Smokers® public education campaign, which motivates smokers to quit by featuring people living with the real-life health consequences of smoking. Cost effectiveness, from the healthcare sector perspective, of the Tips From Former Smokers® campaign was compared over 2012-2018 with that of no campaign.
A combination of survey data from a nationally representative sample of U.S. adults that includes cigarette smokers and literature-based lifetime relapse rates were used to calculate the cumulative number of Tips From Former Smokers® campaign‒associated lifetime quits during 2012-2018. Then, lifetime health benefits (premature deaths averted, life years saved, and quality-adjusted life years gained) and healthcare sector cost savings associated with these quits were assessed. All the costs were adjusted for inflation in 2018 U.S. dollars. The Tips From Former Smokers® campaign was conducted and the survey data were collected during 2012-2018. Analyses were conducted in 2019.
During 2012-2018, the Tips From Former Smokers® campaign was associated with an estimated 129,100 premature deaths avoided, 803,800 life years gained, 1.38 million quality-adjusted life years gained, and $7.3 billion in healthcare sector cost savings on the basis of an estimated 642,200 campaign-associated lifetime quits. The Tips From Former Smokers® campaign was associated with cost savings per lifetime quit of $11,400, per life year gained of $9,100, per premature deaths avoided of $56,800, and per quality-adjusted life year gained of $5,300.
Mass-reach health education campaigns, such as Tips From Former Smokers®, can help smokers quit, improve health outcomes, and potentially reduce healthcare sector costs.
自2012年以来,美国疾病控制与预防中心开展了全国性的“前吸烟者的提示”(Tips From Former Smokers®)公众教育活动,该活动通过展示因吸烟而面临现实健康后果的人们来激励吸烟者戒烟。从医疗保健部门的角度,将2012年至2018年期间“前吸烟者的提示”活动的成本效益与未开展活动的情况进行了比较。
使用来自具有全国代表性的美国成年人样本(包括吸烟者)的调查数据以及基于文献的终生复发率,来计算2012年至2018年期间与“前吸烟者的提示”活动相关的终生戒烟累计数量。然后,评估了与这些戒烟相关的终生健康益处(避免的过早死亡、挽救的生命年数以及获得的质量调整生命年数)和医疗保健部门的成本节约。所有成本均按照2018年美元进行了通货膨胀调整。“前吸烟者的提示”活动于2012年至2018年期间开展,调查数据于该期间收集。分析于2019年进行。
在2012年至2018年期间,基于估计的642,200次与活动相关的终生戒烟,“前吸烟者的提示”活动估计避免了129,100例过早死亡,获得了803,800个生命年,获得了138万个质量调整生命年,并在医疗保健部门节省了73亿美元的成本。“前吸烟者的提示”活动与每次终生戒烟成本节约11,400美元、每个获得的生命年成本节约9,100美元、每次避免的过早死亡成本节约56,800美元以及每个获得的质量调整生命年成本节约5,300美元相关。
像“前吸烟者的提示”这样的大规模健康教育活动可以帮助吸烟者戒烟,改善健康结果,并有可能降低医疗保健部门的成本。