Costs, health effects and cost-effectiveness of alcohol and tobacco control strategies in Estonia
Health policy
; 84(1): 75-88, Nov. 2007. ilus, tab
Artículo
en Inglés
| CidSaúde - Ciudades saludables
| ID: cid-59962
Biblioteca responsable:
BR67.1
Ubicación: BR67.1
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. (AU)
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Colección:
Bases de datos temática
Contexto en salud:
ODS3 - Meta 3A Fortalecer la implementación de la estructura de la Convención de la Organización Mundial de la Salud para el Control del Tabaco
/
Agenda de Salud Sostenible para las Américas
/
ODS3 - Salud y Bienestar
/
ODS3 - Meta 3.5 Prevención y tratamiento del consumo de sustancias psicoactivas
Problema de salud:
Medidas no Relacionadas con el Precio
/
Objetivo 4: Financiamiento de la salud
/
Meta 3.5: Prevención y tratamiento del consumo de sustancias psicoactivas
/
Alcohol
Base de datos:
CidSaúde - Ciudades saludables
Asunto principal:
Consumo de Bebidas Alcohólicas
/
Cese del Hábito de Fumar
/
Análisis Costo-Beneficio
/
Conducta de Reducción del Riesgo
/
Promoción de la Salud
Tipo de estudio:
Estudio de etiología
/
Evaluación económica en salud
Aspecto:
Preferencia del paciente
País/Región como asunto:
Europa
Idioma:
Inglés
Revista:
Health policy
Año:
2007
Tipo del documento:
Artículo
Institución/País de afiliación:
World Health Organization Regional Office for Europe/Estonia
/
Ministry of Social Affairs/Estonia
/
Radboud University Nijmegen Center/The Netherlands
/
University of Tartu/Estonia
/
World Health Organization/sp