Historique
Article de Périodique
What is the potential cost-effectiveness of enforcing a prohibition on the sale of tobacco to minors? (2001)
Auteur(s) :
DiFRANZA, J. R. ;
PECK, R. M. ;
RADECKI, T. E. ;
SAVAGEAU, J. A.
Année
2001
Page(s) :
168-174
Langue(s) :
Anglais
Refs biblio. :
45
Domaine :
Tabac / Tobacco / e-cigarette
Discipline :
LOI (Loi et son application / Law enforcement)
Thésaurus mots-clés
AGE MINIMUM LEGAL
;
TABAC
;
MINEUR
;
EFFICACITE
;
COUT
;
VENTE
;
LEGISLATION
;
EVALUATION
;
DEBIT DE TABAC
;
PREVENTION
Thésaurus 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.
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.
Affiliation :
Department of Family Medicine and Community Health, University of Massachusetts Medical Center, Worcester, MA, USA