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  1. The cost to society of smoking cessation.

    Article - En anglais

    Background

    Although smoking cessation is desirable from a public health perspective, its consequences with respect to health care costs are still debated.

    Smokers have more disease than nonsmokers, but nonsmokers live longer and can incur more health costs at advanced ages.

    We analyzed health care costs for smokers and nonsmokers and estimated the economic consequences of smoking cessation.

    Methods

    We used three life tables to examine the effect of smoking on health care costs-one for a mixed population of smokers and nonsmokers, one for a population of smokers, and one for a population of nonsmokers.

    We also used a dynamic method to estimate the effects ofsmoking cessation on health care costs over time.

    Results

    Health care costs for smokers at a given age are as much as 40 percent higher than those for nonsmokers, but in a population in which no one smoked the costs would be 7 percent higher among men and 4 percent higher among women than the costs in the current mixed population of smokers and nonsmokers.

    If all smokers quit, health care costs would be lower at first, but after 15 years they would become higher than at present.

    In the long term, complete smoking cessation would produce a net increase in health care costs, but it could still be seen as economically favorable under reasonable assumptions of discount rate and evaluation period.

    Conclusions

    If people stopped smoking, there would be a savings in health care costs, but only in the short term. (...)

    Mots-clés Pascal : Tabagisme, Arrêt, Coût, Economie santé, Homme, Long terme, Durée vie, Exploration, Toxicologie

    Mots-clés Pascal anglais : Tobacco smoking, Shutdown, Costs, Health economy, Human, Long term, Lifetime, Exploration, Toxicology

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0001546

    Code Inist : 002B30A01C. Création : 31/05/1999.