Healthcare costs attributable to secondhand smoke exposure at home for U.S. adults

Preventive Medicine
Tingting YaoWendy Max

Abstract

To estimate healthcare costs attributable to secondhand smoke (SHS) exposure at home among nonsmoking adults (18+) in the U.S. We analyzed data on nonsmoking adults (N=67,735) from the 2000, 2005, and 2010 (the latest available data on SHS exposure at home) U.S. National Health Interview Surveys. This study was conducted from 2015 to 2017. We examined hospital nights, home care visits, doctor visits, and emergency room (ER) visits. For each, we analyzed the association of SHS exposure at home with healthcare utilization with a Zero-Inflated Poisson regression model controlling for socio-demographic and other risk characteristics. Excess healthcare utilization attributable to SHS exposure at home was determined and multiplied by unit costs derived from the 2014 Medical Expenditures Panel Survey to determine annual SHS-attributable healthcare costs. SHS exposure at home was positively associated with hospital nights and ER visits, but was not statistically associated with home care visits and doctor visits. Exposed adults had 1.28 times more hospital nights and 1.16 times more ER visits than non-exposed adults. Annual SHS-attributable healthcare costs totaled $4.6 billion (including $3.8 billion for hospital nights and $0.8 billi...Continue Reading

References

Feb 7, 2009·American Journal of Public Health·Hugh R WatersJonathan Samet
Jun 23, 2009·International Journal of Environmental Research and Public Health·Wendy MaxYanling Shi
Nov 22, 2011·American Journal of Preventive Medicine·Kai-Wen ChengJames M Lightwood
Sep 22, 2012·American Journal of Public Health·Wendy MaxYanling Shi
Mar 9, 2013·Journal of Public Health Management and Practice : JPHMP·Robert M SaywellMiranda H Spitznagle
Oct 12, 2013·Tobacco Control·Kai-Wen ChengStanton A Glantz
Feb 7, 2014·Tobacco Control·Wendy MaxYanling Shi
Oct 23, 2014·Tobacco Control·Tingting YaoWendy Max
Dec 4, 2014·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Catrina ChambersWendy Max
Jul 18, 2016·American Journal of Preventive Medicine·Kimberly H NguyenBrian A King

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Citations

Aug 14, 2019·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Jonathan D KleinElissa A Resnick
Mar 12, 2019·Journal of Environmental and Public Health·Michael ZhangDavid F Jativa

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