Titre : | What is the potential cost-effectiveness of enforcing a prohibition on the sale of tobacco to minors? (2001) |
Auteurs : | J. R. DiFRANZA ; R. M. PECK ; T. E. RADECKI ; J. A. SAVAGEAU |
Type de document : | Article : Périodique |
Dans : | Preventive Medicine (Vol.32, n°2, February 2001) |
Article en page(s) : | 168-174 |
Langues: | Anglais |
Discipline : | LOI (Loi et son application / Law enforcement) |
Mots-clés : |
Thésaurus mots-clés AGE MINIMUM LEGAL ; TABAC ; MINEUR ; EFFICACITE ; COUT ; VENTE ; LEGISLATION ; EVALUATION ; DEBIT DE TABAC ; PREVENTIONThésaurus géographique ETATS-UNIS |
Résumé : |
BACKGROUND: Enforcement programs to halt the sale of tobacco to youths have been implemented across the United States. The potential cost-effectiveness of enforcement was evaluated under a range of assumptions regarding cost and impact.
METHODS: An enforcement model was constructed incorporating quarterly inspections of all tobacco vendors. The cost of discounted years of life saved was calculated using reported values regarding cost and a range of assumptions regarding the impact on youth tobacco use. RESULTS: Inspecting an estimated 543,000 tobacco outlets would cost up to $190 million annually. Costs range from $44 to $8,200 per year of life saved depending on the discount rate and assumptions regarding cost, and efficacy. To compete in cost-effectiveness with implementing smoking cessation guidelines, enforcement would have to produce a 5% reduction in adolescent smoking at a cost of no more than $250 per vendor. CONCLUSION: At this level of cost and effectiveness an enforcement program could save 10 times as many lives as the same amount spent on mammography or screening for colorectal carcinoma. A one-cent per pack cigarette tax could fully fund enforcement. Enforcement of tobacco sales laws deserves further study as one component of a multifaceted approach to tobacco use prevention. |
Domaine : | Tabac / Tobacco / e-cigarette |
Refs biblio. : | 45 |
Affiliation : | Department of Family Medicine and Community Health, University of Massachusetts Medical Center, Worcester, MA, USA |
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