Titre : | Reducing the global burden of hazardous alcohol use: a comparative cost-effectiveness analysis (2004) |
Titre traduit : | (Une analyse comparative du ratio coût-efficacité des stratégies de réduction du poids financier de l'usage d'acool.) |
Auteurs : | D. CHISHOLM ; J. REHM ; VAN OMMEREN M. ; M. MONTEIRO |
Type de document : | Article : Périodique |
Dans : | Journal of Studies on Alcohol (Vol.65, n°6, November 2004) |
Article en page(s) : | 782-793 |
Langues: | Anglais |
Discipline : | SHS (Sciences humaines et sociales / Humanities and social sciences) |
Mots-clés : |
Thésaurus mots-clés ALCOOL ; CONSOMMATION ; PREVALENCE ; INTERVENTION ; EFFICACITE ; COUT ; ECONOMIE ; COMPARAISONThésaurus géographique AFRIQUE ; AMERIQUE ; EUROPE ; ASIE ; OCEANIE |
Résumé : | Objective: Intervention strategies are available for reducing the high global burden of hazardous alcohol use as a risk factor for disease, but little is known about their potential costs and effects at a population level. This study set out to estimate these costs and effects. Method: Analyses were carried out for 12 epidemiological World Health Organization subregions of the world. A population model was used to estimate the impact of evidence-based personal and nonpersonal interventions - including brief physician advice, taxation, roadside random breath testing, restricted sales access and advertising bans. Costs were measured in international dollars (I population-level intervention effects were gauged in terms of disability-adjusted life years (DALYs) averted. Average and incremental cost-effectiveness ratios (CERs) were computed. Results: The most costly interventions to implement are brief advice in primary care and roadside breath testing of drivers. In populations with a high prevalence of heavy drinkers (more than 5%, such as Europe and North America), the most effective and cost-effective intervention was taxation (more than 500 DALYs averted per 1 million population; CER |
Domaine : | Alcool / Alcohol |
Refs biblio. : | 34 |
Affiliation : | Department of Health System Financing, Expenditure and Resource Allocation, World Health Organization, Geneva, Switzerland |
Numéro Toxibase : | 208216 |
Centre Emetteur : | 02 Coordonnateur |
Cote : | Abonnement |
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