Costs, health effects and cost-effectiveness of alcohol and tobacco control strategies in Estonia
Health policy
; 84(1): 75-88, Nov. 2007. ilus, tab
Artigo
em Inglês
| CidSaúde - Cidades saudáveis
| ID: cid-59962
Biblioteca responsável:
BR67.1
Localização: 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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Coleções:
Bases de dados temática
Contexto em Saúde:
ODS3 - 3A Fortalecer a implementação da estrutura da Convenção da OMS para o Controle do Tabaco
/
Agenda de Saúde Sustentável para as Américas
/
ODS3 - Saúde e Bem-Estar
/
ODS3 - Meta 3.5 Prevenção e tratamento do consumo de substâncias psicoativas
Problema de saúde:
Medidas não Relacionadas ao Preço
/
Objetivo 4: Financiamento para a saúde
/
Meta 3.5 Prevenção e tratamento do consumo de substâncias psicoativas
/
Álcool
Base de dados:
CidSaúde - Cidades saudáveis
Assunto principal:
Consumo de Bebidas Alcoólicas
/
Abandono do Hábito de Fumar
/
Análise Custo-Benefício
/
Comportamento de Redução do Risco
/
Promoção da Saúde
Tipo de estudo:
Estudo de etiologia
/
Avaliação econômica em saúde
Aspecto:
Preferência do paciente
País/Região como assunto:
Europa
Idioma:
Inglês
Revista:
Health policy
Ano de publicação:
2007
Tipo de documento:
Artigo
Instituição/País de afiliação:
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