Dataset Information

The costs of smoking and secondhand smoke exposure in Taiwan: a prevalence-based annual cost approach.

ABSTRACT: To assess the costs of the health effects of cigarette smoking and secondhand smoke (SHS) exposure to society.Prevalence-based, disease-specific cost-of-illness study. We used an epidemiological population-attributable risk method to determine the costs that can be attributed to smoking and SHS exposure.Taiwan.All adult population aged 35 and older.Direct costs of healthcare expenditures spent for treating tobacco-related diseases, indirect mortality costs measured by the value of lost productivity due to tobacco-related premature deaths and indirect morbidity costs measured by the value of time lost from work due to tobacco-related illness.In 2010, direct costs of smoking and SHS exposure amounted to US$828 million, accounting for 3.4% of Taiwan's total personal healthcare expenditures. Smoking and SHS exposure also contributed to 15?555 premature deaths-corresponding to a loss of 284?765?years of life and US$820 million in productivity-and US$22 million in indirect morbidity costs. These direct and indirect costs totalled US$1670 million, representing 0.4% of Taiwan's gross domestic product and averaging about US$720/adult smoker. The share of the total costs was greater from active smoking (92%) than SHS exposure (8%), and greater for men (92%) than women (8%).Smoking and SHS exposure impose a huge financial loss in Taiwan. Sustained tobacco control efforts to encourage people to quit smoking, prevent smoking uptake by children and young adults and protect all people from SHS exposure are needed.

SUBMITTER: Sung HY

PROVIDER: S-EPMC4091540 | biostudies-literature | 2014

REPOSITORIES: biostudies-literature

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The costs of smoking and secondhand smoke exposure in Taiwan: a prevalence-based annual cost approach.

Sung Hai-Yen HY Chang Li-Chuan LC Wen Yu-Wen YW Tsai Yi-Wen YW

BMJ open 20140709 7

<h4>Objectives</h4>To assess the costs of the health effects of cigarette smoking and secondhand smoke (SHS) exposure to society.<h4>Design</h4>Prevalence-based, disease-specific cost-of-illness study. We used an epidemiological population-attributable risk method to determine the costs that can be attributed to smoking and SHS exposure.<h4>Setting</h4>Taiwan.<h4>Participants</h4>All adult population aged 35 and older.<h4>Primary outcome measures</h4>Direct costs of healthcare expenditures spent ...[more]

PMID: 25009135

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Project description:INTRODUCTION:Currently, 40.7% of women in China are exposed daily to secondhand smoke (SHS); however, research on SHS exposure among women in Inner Mongolia is limited. We aimed to investigate the prevalence of SHS exposure, knowledge about the harms of smoking and SHS, and the association between sociodemographic factors and SHS exposure among never-smoking women in Inner Mongolia, Northern China. METHODS:This study was based on a survey of chronic disease and nutrition conducted among Chinese adults in Inner Mongolia during 2015, a cross-sectional study with multi-stage stratified cluster sampling. A total 2293 never-smoking women aged ?18 years were included in the study. Face-to-face interviews were used to collect data of sociodemographic characteristics, SHS exposure, and related knowledge. Questionnaires were administered by trained investigators, and the reliability and validity of the questionnaires were high. We performed descriptive analysis and logistic regression. All analyses were performed by IBM SPSS Statistics version 19.0. RESULTS:Of the total, 69% of young women in Inner Mongolia in 2015 reported that they were exposed to SHS, the highest rate in comparison with older and middle-aged women. A total 49.90% of young women reported being exposed to SHS every day. Respondents had insufficient knowledge regarding smoking and SHS exposure. Compared with older never-smoking women, their young counterparts had a higher risk of SHS exposure, with an odds ratio of 2.143 (95% CI: 1.647-2.787). Education level and ethnicity were also significantly associated with SHS exposure. CONCLUSIONS:This study showed that the highest rates of SHS exposure were among young never-smoking women in Inner Mongolia, and women with high education levels were less likely to be exposed to SHS. Improved public health information is needed that prioritizes SHS exposure among young women in Inner Mongolia. Health education regarding SHS exposure should be widely implemented throughout communities in this region.

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Dataset Information

The costs of smoking and secondhand smoke exposure in Taiwan: a prevalence-based annual cost approach.

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The costs of smoking and secondhand smoke exposure in Taiwan: a prevalence-based annual cost approach.

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