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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...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
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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. |
format | Online Article Text |
id | pubmed-7183368 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
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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