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Cost of youth tobacco-control policies in seven European countries

BACKGROUND: Tobacco-control policies have been suggested to reduce smoking among adolescents. However, there is limited evidence on the real-world costs of implementation in different settings. In this study, we aimed at estimating the costs of school smoking bans, school prevention programmes and n...

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Autores principales: Leão, Teresa, Perelman, Julian, Clancy, Luke, Hoffmann, Laura, Kinnunen, Jaana M, Mélard, Nora, Nuyts, Paulien A W, Richter, Matthias, Rimpelä, Arja, Lorant, Vincent, Kunst, Anton E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7183368/
https://www.ncbi.nlm.nih.gov/pubmed/31535140
http://dx.doi.org/10.1093/eurpub/ckz150
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author Leão, Teresa
Perelman, Julian
Clancy, Luke
Hoffmann, Laura
Kinnunen, Jaana M
Mélard, Nora
Nuyts, Paulien A W
Richter, Matthias
Rimpelä, Arja
Lorant, Vincent
Kunst, Anton E
author_facet Leão, Teresa
Perelman, Julian
Clancy, Luke
Hoffmann, Laura
Kinnunen, Jaana M
Mélard, Nora
Nuyts, Paulien A W
Richter, Matthias
Rimpelä, Arja
Lorant, Vincent
Kunst, Anton E
author_sort Leão, Teresa
collection PubMed
description BACKGROUND: Tobacco-control policies have been suggested to reduce smoking among adolescents. However, there is limited evidence on the real-world costs of implementation in different settings. In this study, we aimed at estimating the costs of school smoking bans, school prevention programmes and non-school bans (smoking bans in non-educational public settings, bans on sales to minors and bans on point-of-sale advertising), implemented in Finland, Ireland, the Netherlands, Belgium, Germany, Italy and Portugal, for 2016. METHODS: We retrospectively collected costs related to the inspection, monitoring and sanctioning activities related to bans and educational activities related to smoking prevention programmes. We used an ‘ingredients-based’ approach, identifying each resource used, quantity and unit value for one full year, under the state perspective. Costs were measured at national, regional, local and school-level and were informed by data on how these activities were performed in reality. RESULTS: Purchasing power parities adjusted-costs varied between €0.02 and €0.74 (average €0.24) per person (pp) for bans implemented outside schools. Mean costs of school smoking bans ranged from €3.31 to €34.76 (average €20.60), and mean costs of school educational programmes from €0.75 to €4.65 (average €2.92). CONCLUSIONS: It is feasible to estimate costs of health policies as implemented in different settings. Costs of the tobacco control policies evaluated here depend mainly on the number of person-hours allocated to their implementation, and on the scale of intervention. Non-school bans presented the lowest costs, and the implementation of all policies cost up to €36 pp for 1 year.
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spelling pubmed-71833682020-04-29 Cost of youth tobacco-control policies in seven European countries Leão, Teresa Perelman, Julian Clancy, Luke Hoffmann, Laura Kinnunen, Jaana M Mélard, Nora Nuyts, Paulien A W Richter, Matthias Rimpelä, Arja Lorant, Vincent Kunst, Anton E Eur J Public Health Tobacco BACKGROUND: Tobacco-control policies have been suggested to reduce smoking among adolescents. However, there is limited evidence on the real-world costs of implementation in different settings. In this study, we aimed at estimating the costs of school smoking bans, school prevention programmes and non-school bans (smoking bans in non-educational public settings, bans on sales to minors and bans on point-of-sale advertising), implemented in Finland, Ireland, the Netherlands, Belgium, Germany, Italy and Portugal, for 2016. METHODS: We retrospectively collected costs related to the inspection, monitoring and sanctioning activities related to bans and educational activities related to smoking prevention programmes. We used an ‘ingredients-based’ approach, identifying each resource used, quantity and unit value for one full year, under the state perspective. Costs were measured at national, regional, local and school-level and were informed by data on how these activities were performed in reality. RESULTS: Purchasing power parities adjusted-costs varied between €0.02 and €0.74 (average €0.24) per person (pp) for bans implemented outside schools. Mean costs of school smoking bans ranged from €3.31 to €34.76 (average €20.60), and mean costs of school educational programmes from €0.75 to €4.65 (average €2.92). CONCLUSIONS: It is feasible to estimate costs of health policies as implemented in different settings. Costs of the tobacco control policies evaluated here depend mainly on the number of person-hours allocated to their implementation, and on the scale of intervention. Non-school bans presented the lowest costs, and the implementation of all policies cost up to €36 pp for 1 year. Oxford University Press 2020-04 2019-09-18 /pmc/articles/PMC7183368/ /pubmed/31535140 http://dx.doi.org/10.1093/eurpub/ckz150 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of the European Public Health Association. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Tobacco
Leão, Teresa
Perelman, Julian
Clancy, Luke
Hoffmann, Laura
Kinnunen, Jaana M
Mélard, Nora
Nuyts, Paulien A W
Richter, Matthias
Rimpelä, Arja
Lorant, Vincent
Kunst, Anton E
Cost of youth tobacco-control policies in seven European countries
title Cost of youth tobacco-control policies in seven European countries
title_full Cost of youth tobacco-control policies in seven European countries
title_fullStr Cost of youth tobacco-control policies in seven European countries
title_full_unstemmed Cost of youth tobacco-control policies in seven European countries
title_short Cost of youth tobacco-control policies in seven European countries
title_sort cost of youth tobacco-control policies in seven european countries
topic Tobacco
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7183368/
https://www.ncbi.nlm.nih.gov/pubmed/31535140
http://dx.doi.org/10.1093/eurpub/ckz150
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