Cost-effectiveness of a community anti-smoking campaign targeted at a high risk group in London
Cost-effectiveness of a community anti-smoking campaign targeted at a high risk group in London
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DOI：
10.1093/heapro/17.1.43
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发表时间：
2002-03-01
影响因子：
2.7
通讯作者：
Kayikki, S
中科院分区：
文献类型：
--
作者：
Stevens, W;Thorogood, M;Kayikki, S
对伦敦土耳其语人群的调查发现，74% 的男性和 45% 的女性是吸烟者，而且人们对吸烟对健康影响的了解很少。卡姆登和伊斯灵顿卫生局拥有大量土耳其社区。我们报告了由卡姆登和伊斯灵顿健康促进机构针对土耳其社区开展的社区戒烟干预措施的经济评估。该干预措施旨在强调吸烟的危害，并减少吸烟量和当前吸烟者的数量。它包括一部戏剧、一张海报和媒体宣传活动，以及专门设计的传单。对土耳其人口进行的一项小组调查确定了基线和 12 个月的吸烟习惯、对吸烟的态度以及对健康影响的了解。干预效果是根据基线和最终调查之间的变化来估计的。为了考虑到对第二次调查没有答复的情况，我们通过两种方式分析了有效性：首先假设答复者代表了陈腐的情况，其次做出了更悲观的假设，即未答复者没有变化。基线时，57% 的土耳其人口是吸烟者，而卡姆登和伊斯灵顿的总人口中这一比例为 39%。年轻女性的水平尤其高。随访时，响应者中吸烟者净减少了 6.4% [95% 置信区间 (CI) 0-13.6%]。当纳入所有研究对象时，净减少率为 2.9% (CI 0-6.3%)。大多数戒烟者一开始都是轻度吸烟者。随访时，51% 的受访者至少认可一种土耳其语干预措施。该干预措施的估计成本效益为每延长生命年 105 英镑（范围为 33-391 英镑）。针对吸烟率高的群体的运动可能比一般人群的运动更具成本效益。
Surveys of Turkish speaking people in London found 74% of men and 45% of women were smokers, and knowledge of the health effects of smoking was low. Camden and Islington Health Authority has a substantial Turkish community. We report an economic evaluation of a community smoking cessation intervention, aimed at the Turkish community, undertaken by Camden and Islington Health Promotion Agency. The intervention aimed to highlight the dangers of smoking, and to reduce the amount smoked and the number of current smokers. It included a play, a poster and media campaign, and purpose-designed leaflets. A panel survey of the Turkish population determined smoking habits, attitudes to smoking and knowledge about the health effects at baseline and 12 months. The intervention effect was estimated from the changes between baseline and final surveys. To allow for the non-response to the second survey we analysed effectiveness in two ways: first by assuming that the responders represented the trite situation, and secondly by making a more pessimistic assumption that there was no change in the non-responders. Fifty-seven per cent of the Turkish population were smokers at baseline, compared with 39% in the general population of Camden and Islington. Levels were particularly high in younger women. At follow-up there was a net reduction in smokers of 6.4% [95% confidence interval (CI) 0-13.6%] in responders. When all study subjects were included the net reduction was 2.9% (CI 0-6.3%). Most quitters were light smokers to start with. At follow-up, 51% of respondents recognized at least one of the Turkish language interventions, The estimated cost-effectiveness of this intervention was pound105 (range pound33-391) per life year gained. Campaigns targeted at groups with high smoking prevalence may be more cost-effective than general population campaigns.