Historique
Article de Périodique
Reducing the global burden of hazardous alcohol use: a comparative cost-effectiveness analysis (2004)
(Une analyse comparative du ratio coût-efficacité des stratégies de réduction du poids financier de l'usage d'acool.)
Auteur(s) :
CHISHOLM, D. ;
REHM, J. ;
VAN OMMEREN M. ;
MONTEIRO, M.
Année :
2004
Page(s) :
782-793
Langue(s) :
Anglais
Refs biblio. :
34
Domaine :
Alcool / Alcohol
Thésaurus mots-clés
ALCOOL
;
CONSOMMATION
;
PREVALENCE
;
INTERVENTION
;
EFFICACITE
;
COUT
;
ECONOMIE
;
COMPARAISON
Thésaurus 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
Affiliation :
Department of Health System Financing, Expenditure and Resource Allocation, World Health Organization, Geneva, Switzerland
Cote :
Abonnement