Cost-Effectiveness of Four Tobacco Control Interventions in Mongolia.,Nicotine & Tobacco Research

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Cost-Effectiveness of Four Tobacco Control Interventions in Mongolia.
Nicotine & Tobacco Research ( IF 3.0 ) Pub Date : 2023-09-04 , DOI: 10.1093/ntr/ntad111
Ariuntuya Tuvdendorj _{1,

2} , Talitha Feenstra _{2,

3,

4} , Erik Buskens ₂

Affiliation

INTRODUCTION The aim of this study is to quantify the cost-effectiveness of four tobacco control interventions: Tobacco taxation, mass media campaigns, school programs, and cessation support, and to illustrate how available evaluation tools can be adapted to the local setting. AIMS AND METHODS We used the dynamic population health modeling-health impact assessment tool to project the future smoking prevalence associated with the interventions and to simulate the resulting smoking-related disease burden over time. Applying the most recent available national Mongolian data as input, the costs and effects of four interventions were compared to a business-as-usual scenario, resulting in costs per life year gained and per disability-adjusted life years (DALYs) averted. RESULTS Three years after implementation, all interventions reduce the prevalence of current smoking, with the strongest reduction observed with the increase in tobacco tax (5.1% points), followed by mass media campaigns (1.6% points), school programs (1.3% points), and cessation support interventions (0.6% points). School programs were a cost-saving tobacco control intervention compared to current practice in Mongolia, while the other programs resulted in additional costs compared to business as usual. Compared to the World Health Organization (WHO) thresholds, all interventions would be considered "very cost-effective" in terms of cost per DALY averted (below US$ 4295 per DALY averted) in Mongolia. CONCLUSIONS Large-scale interventions such as taxation and mass media campaigns result in both cost-effectiveness and important health benefits in relation to intervention costs. Reducing the prevalence of smoking among the male population would be particularly worthwhile in Mongolia. IMPLICATIONS This study shows that in Mongolia school programs were a cost-saving intervention, while the cost-effectiveness ratios were US$ 25 per disability-adjusted life year (DALY) averted for mass media campaigns, US$ 74 for taxation, and US$ 1961 for cessation support interventions. Compared to the WHO thresholds, all interventions would be considered "very cost-effective" in terms of expenses per DALY averted (

中文翻译：

蒙古四项烟草控制干预措施的成本效益。

引言本研究的目的是量化四种烟草控制干预措施的成本效益：烟草税、大众媒体宣传、学校计划和戒烟支持，并说明如何使可用的评估工具适应当地环境。目的和方法我们使用动态人口健康模型-健康影响评估工具来预测与干预措施相关的未来吸烟率，并模拟随着时间的推移所产生的与吸烟相关的疾病负担。应用最新可用的蒙古国数据作为输入，将四项干预措施的成本和效果与一切照旧情景进行比较，得出每增加生命年和避免每残疾调整生命年 (DALY) 的成本。结果实施三年后，所有干预措施均降低了当前吸烟率，其中烟草税的增加（5.1% 分）降幅最大，其次是大众媒体宣传活动（1.6% 分）、学校项目（1.3% 分），以及戒烟支持干预措施（0.6%）。与蒙古目前的做法相比，学校计划是一种节省成本的烟草控制干预措施，而其他计划与照常相比会产生额外成本。与世界卫生组织 (WHO) 的阈值相比，就蒙古每避免 DALY 的成本而言（每避免 DALY 低于 4295 美元），所有干预措施都将被视为“非常具有成本效益”。结论税收和大众媒体宣传等大规模干预措施可带来成本效益和与干预成本相关的重要健康效益。在蒙古，降低男性吸烟率尤其值得。影响这项研究表明，在蒙古，学校项目是一种节省成本的干预措施，而大众媒体宣传活动的成本效益比为每个伤残调整生命年 (DALY) 25 美元，税收 74 美元，以及1961 年进行戒烟支持干预。与世界卫生组织的阈值相比，就每个伤残调整生命年所避免的费用而言，所有干预措施都将被视为“非常具有成本效益”（

更新日期：2023-09-04

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