A mass media programme to prevent smoking among adolescents: costs and cost effectiveness.
A mass media programme to prevent smoking among adolescents: costs and cost effectiveness.
复制标题
预防青少年吸烟的大众媒体计划：成本和成本效益。
DOI：
10.1136/tc.6.3.207
复制
发表时间：
1997
期刊：
影响因子：
5.2
通讯作者：
Detsky,AS
中科院分区：
文献类型：
--
作者：
Secker-Walker,RH;Worden,JK;Holland,RR;Flynn,BS;Detsky,AS
为了检验一项为期四年的大众媒体计划的成本和成本效益比，该计划以前曾被证明可以预防青少年吸烟。美国.研究对象10 - 12年级学生（15 - 18岁）。一年的大众媒体运动，以防止吸烟的开始。主要结果测量成本每名学生可能接触到大众媒体运动;成本每名学生吸烟者可能避免;和每生命年的成本。以1996年美元计算，发展和传播大众媒体宣传运动的成本为759，436美元，每个学生（n = 18，600）潜在暴露于宣传运动的成本为41美元。每名学生吸烟者避免的成本（n = 1023）为754（95%可信区间（CI）= 531 - 1296）。在所有209个美国媒体市场上开发和广播一个类似的四年大众媒体运动的估计成本约为8450万美元，每个学生可能接触到一个全国性的运动的成本为8美元，每个学生避免吸烟的成本为162美元，和138（95%CI = 88 - 252）。结论这项大众传媒宣传运动在预防吸烟方面的成效比率显示，它在经济上具有吸引力，而且与其他预防和治疗策略相比，效果更佳。
OBJECTIVETo examine costs and cost-effectiveness ratios of a four-year mass media programme previously shown to prevent the onset of smoking among adolescents.DESIGNA matched control design.SETTINGTwo cities in Montana, one in New York and one in Vermont, USA.SUBJECTSStudents in grades 10-12 (ages 15-18).INTERVENTIONA four-year mass media campaign to prevent the onset of smoking.MAIN OUTCOME MEASURESCost per student potentially exposed to the mass media campaign; cost per student smoker potentially averted; and cost per life-year gained. Cost estimates were also made for a similar campaign that would be broadcast nationally in the United States.RESULTSIn 1996 dollars, the cost of developing and broadcasting the mass media campaign was 759,436,andthecostperstudentpotentiallyexposedtothecampaign(n=18,600)was 41. The cost per student smoker averted (n= 1023) was 754(95%confidenceinterval(CI)= 531-1296).Thecostperlife-yeargaineddiscountedat3%overthelifeexpectancyforyoungadultsmokerswas 696 (95% CI= 445- 1269). The estimated cost of developing and broadcasting a similar four-year mass media campaign in all 209 American media markets would be approximately 84.5million,atacostof 8 per student potentially exposed to a national campaign, 162perstudentsmokeraverted,and 138 (95% CI= 88- 252) per life-year gained.CONCLUSIONEstimates of the cost-effectiveness ratios of this mass media campaign in preventing the onset of smoking showed it to be economically attractive and to compare favourably with other preventive and therapeutic strategies.