Public Health Impact of Changes in Smoking Behavior

Results From the Tobacco Policy Model

Datos Bibliográficos

ID9102854
AutoresTammy O Tengs (University of California, Irvine, autor de correspondencia), Nathaniel D Osgood, Nathaniel Osgood (0000-0002-3994-3298), Ting Hsiang Lin (0000-0002-6696-9792)
Año2001
Volumen39
Número10
Páginas1131-1141
Fecha de publicación2001-10-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaMedical Care (JOURNAL)
Identificadores de la revistaISSN: 0025-7079 • E-ISSN: 1537-1948
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-200110000-00010
PMID11567175
OpenAlexW2315043337
IdiomaEN
Citas recibidas6
Referencias citadas8

OBJECTIVES: The relative magnitude of the public health gains from preventing smoking initiation versus encouraging cessation or avoiding relapse in different ages and genders is estimated and compared. METHODS: Health gains are defined as the predicted increase in Quality-Adjusted Life-Years (QALYs) to the US population during a century. To estimate QALYs, we developed the Tobacco Policy Model. The model simulates a 10% reduction in the annual probability of initiation versus a 10% increase in cessation versus a 10% reduction in relapse in males and females in six age groups: 10 to 19, 20 to 29, 30 to 39, 40 to 49, 50 to 59 and 60 to 69. RESULTS: Among youth and young adults, reducing initiation yields far more QALYs than encouraging cessation or averting relapse. In middle-aged adults, cessation yields the most QALYs, followed by averting relapse and reducing initiation. In the oldest age group, averting relapse yields the most QALYs followed by cessation and reducing initiation. In general, increasing cessation and reducing relapse is more beneficial in males than in females whereas reducing initiation is more beneficial in females. CONCLUSIONS: The relative value of preventing initiation, encouraging cessation, and averting relapse differs by age and gender. Reducing initiation in youth is likely to offer the largest public health impact during the next century

Environmental health · Population · Public health · Smoking cessation · Demography · Health disparities and outcomes · Health Systems, Economic Evaluations, Quality of Life · Medicine · Smoking Behavior and Cessation · Gerontology