Economic evaluation of five tobacco control policies across seven European countries

Detalhes bibliográficos
Autor(a) principal: Leão, Teresa
Data de Publicação: 2019
Outros Autores: Perelman, Julian, Clancy, Luke, Mlinarić, Martin, Kinnunen, Jaana M, Nuyts, Paulien A W, Mélard, Nora, Rimpela, Arja, Lorant, Vincent, Kunst, Anton E
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/88141
Resumo: © The Author(s) 2019. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
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spelling Economic evaluation of five tobacco control policies across seven European countriesSDG 3 - Good Health and Well-being© The Author(s) 2019. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.INTRODUCTION: Economic evaluations of tobacco control policies targeting adolescents are scarce. Few take into account real-world, large-scale implementation costs; few compare cost-effectiveness of different policies across different countries. We assessed the cost-effectiveness of five tobacco control policies (non-school bans, including bans on sales to minors, bans on smoking in public places, bans on advertising at points-of-sale, school smoke-free bans, and school education programmes), implemented in 2016 in Finland, Ireland, the Netherlands, Belgium, Germany, Italy, and Portugal. METHODS: Cost-effectiveness estimates were calculated per country and per policy, from the State perspective. Costs were collected by combining quantitative questionnaires with semi-structured interviews on how policies were implemented in each setting, in real practice. Short-term effectiveness was based on the literature, and long-term effectiveness was modelled using the DYNAMO-HIA tool. Discount rates of 3.5% were used for costs and effectiveness. Sensitivity analyses considered 1% to 50% short-term effectiveness estimates, highest cost estimates, and undiscounted effectiveness. FINDINGS: Non-school bans cost up to €253.23 per healthy life year, school smoking bans up to €91.87 per healthy life year, and school education programmes up to €481.35 per healthy life year. Cost-effectiveness depended on the costs of implementation, short-term effectiveness, initial smoking rates, dimension of the target population, and weight of smoking in overall mortality and morbidity. CONCLUSIONS: All five policies were highly cost-effective in all countries according to the World Health Organization thresholds for public health interventions. Cost-effectiveness was preserved even when using the highest costs and most conservative effectiveness estimates. IMPLICATIONS: Economic evaluations using real-world data on tobacco control policies implemented at a large scale are scarce, especially considering non-school bans targeting adolescents. We assessed the cost-effectiveness of five tobacco control policies implemented in 2016 in Finland, Ireland, the Netherlands, Belgium, Germany, Italy, and Portugal. This study shows that all five policies were highly cost effective considering the WHO threshold, even when considering the highest costs and most conservative effectiveness estimates.Centro de Investigação em Saúde Pública (CISP/PHRC)Escola Nacional de Saúde Pública (ENSP)RUNLeão, TeresaPerelman, JulianClancy, LukeMlinarić, MartinKinnunen, Jaana MNuyts, Paulien A WMélard, NoraRimpela, ArjaLorant, VincentKunst, Anton E2019-11-22T23:18:36Z20202020-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/88141eng1462-2203PURE: 15539598https://doi.org/10.1093/ntr/ntz124info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:39:16Zoai:run.unl.pt:10362/88141Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:36:50.175460Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Economic evaluation of five tobacco control policies across seven European countries
title Economic evaluation of five tobacco control policies across seven European countries
spellingShingle Economic evaluation of five tobacco control policies across seven European countries
Leão, Teresa
SDG 3 - Good Health and Well-being
title_short Economic evaluation of five tobacco control policies across seven European countries
title_full Economic evaluation of five tobacco control policies across seven European countries
title_fullStr Economic evaluation of five tobacco control policies across seven European countries
title_full_unstemmed Economic evaluation of five tobacco control policies across seven European countries
title_sort Economic evaluation of five tobacco control policies across seven European countries
author Leão, Teresa
author_facet Leão, Teresa
Perelman, Julian
Clancy, Luke
Mlinarić, Martin
Kinnunen, Jaana M
Nuyts, Paulien A W
Mélard, Nora
Rimpela, Arja
Lorant, Vincent
Kunst, Anton E
author_role author
author2 Perelman, Julian
Clancy, Luke
Mlinarić, Martin
Kinnunen, Jaana M
Nuyts, Paulien A W
Mélard, Nora
Rimpela, Arja
Lorant, Vincent
Kunst, Anton E
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Centro de Investigação em Saúde Pública (CISP/PHRC)
Escola Nacional de Saúde Pública (ENSP)
RUN
dc.contributor.author.fl_str_mv Leão, Teresa
Perelman, Julian
Clancy, Luke
Mlinarić, Martin
Kinnunen, Jaana M
Nuyts, Paulien A W
Mélard, Nora
Rimpela, Arja
Lorant, Vincent
Kunst, Anton E
dc.subject.por.fl_str_mv SDG 3 - Good Health and Well-being
topic SDG 3 - Good Health and Well-being
description © The Author(s) 2019. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
publishDate 2019
dc.date.none.fl_str_mv 2019-11-22T23:18:36Z
2020
2020-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/88141
url http://hdl.handle.net/10362/88141
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1462-2203
PURE: 15539598
https://doi.org/10.1093/ntr/ntz124
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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