Costs, health effects and cost-effectiveness of alcohol and tobacco control strategies in Estonia.
Health Policy
; 84(1): 75-88, 2007 Nov.
Article
em En
| MEDLINE
| ID: mdl-17403551
ABSTRACT
OBJECTIVE:
To assess the population-level costs, effects and cost-effectiveness of different alcohol and tobacco control strategies in Estonia.DESIGN:
A WHO cost-effectiveness modelling framework was used to estimate the total costs and effects of interventions. Costs were assessed in Estonian Kroon (EEK) for the year 2000, while effects were expressed in disability-adjusted life years (DALYs) averted. Regional cost-effectiveness estimates for Eastern Europe, were used as baseline and were contextualised by including country-specific input data.RESULTS:
Increased excise taxes are the most cost-effective intervention to reduce both hazardous alcohol consumption and smoking 759 EEK (euro 49) and 218 EEK (euro 14) per DALY averted, respectively. Imposing additional advertising bans would cost 1331 EEK (euro 85) per DALY averted to reduce hazardous alcohol consumption and 304 EEK (euro 19) to reduce smoking. Compared to WHO-CHOICE regional estimates, interventions were less costly and thereby more cost-effective in Estonia.CONCLUSIONS:
Interventions in alcohol and tobacco control are cost-effective, and broad implementation of these interventions to upgrade current situation is warranted from the economic point of view. First priority is an increase in taxation, followed by advertising bans and other interventions. The differences between WHO-CHOICE regional cost-effectiveness estimates and contextualised results underline the importance of the country level analysis.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Consumo de Bebidas Alcoólicas
/
Abandono do Hábito de Fumar
/
Promoção da Saúde
Tipo de estudo:
Etiology_studies
/
Health_economic_evaluation
Aspecto:
Patient_preference
Limite:
Humans
País/Região como assunto:
Europa
Idioma:
En
Revista:
Health Policy
Assunto da revista:
PESQUISA EM SERVICOS DE SAUDE
/
SAUDE PUBLICA
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
Estônia
País de publicação:
IE
/
IRELAND
/
IRLANDA