How cost-effective is 'No Smoking Day'?
How cost-effective is 'No Smoking Day'?
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DOI：
10.1136/tc.2009.034397
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发表时间：
2011-07-01
期刊：
影响因子：
5.2
通讯作者：
West, R.
中科院分区：
文献类型：
--
作者：
Kotz, D.;Stapleton, J. A.;West, R.
目的对英国每年一度的戒烟日活动的成本效益进行更严格的评估，研究设计：采用重复的全国性戒烟尝试调查，对连续三年NSD后一个月内报告的戒烟尝试与相邻月份的戒烟尝试进行比较。在NSD后的一个月内（2007年4月至2009年）和2672名在过去一年中吸烟的成年人在相邻的两个月内（2007年3月和5月至2009年）回答了调查。主要结果测量NSD后永久戒烟的额外吸烟者人数从调查结果中估计。增量成本效果比（ICER）的计算方法是将该估计值与已建立的生命年估计值和NSD的已知成本相结合。结果NSD后数月内尝试戒烟率高出2.8个百分点（120/1309）与相邻月份（170/2672; 95% CI 0.99%至4.62%）相比，导致英格兰850万吸烟者中估计额外0.07%因NSD而永久戒烟。每名吸烟者的NSD成本为0.088。在35-44岁的模式年龄组中，每名吸烟者获得的贴现生命年为0.00107，导致ICER为82.24（95% CI 49.7至231.6）。其他年龄组的ICER估计是similar.Conclusions NSD出现作为一个极具成本效益的公共卫生干预。
Objective To obtain a more rigorous estimate of the cost-effectiveness of No Smoking Day (NSD), an annual UK-wide campaign to encourage smokers to quit, than has been possible hitherto.Design Comparison of reported quit attempts in the month following NSD for three consecutive years with adjacent months using repeated national surveys of quit attempts.Setting England.Participants A total of 1309 adults who had smoked in the past year who responded to the surveys in the month following NSD (April 2007-2009) and a comparison group of 2672 adults who smoked in the past year who responded to the survey in the two adjacent months (March and May 2007-2009).Main outcome measures The number of additional smokers who quit permanently in response to NSD was estimated from the survey results. The incremental cost-effectiveness ratio (ICER) was calculated by combining this estimate with established estimates of life years gained and the known costs of NSD.Results The rate of quit attempts was 2.8 percentage points higher in the months following NSD (120/1309) compared with the adjacent months (170/2672; 95% CI 0.99% to 4.62%), leading to an estimated additional 0.07% of the 8.5 million smokers in England quitting permanently in response to NSD. The cost of NSD per smoker was (sic)0.088. The discounted life years gained per smoker in the modal age group 35-44 years was 0.00107, resulting in an ICER of (sic)82.24 (95% CI 49.7 to 231.6). ICER estimates for other age groups were similar.Conclusions NSD emerges as an extremely cost-effective public health intervention.