Smoke-free air interventions in Seven Latin American Countries: Health and Financial Impact to Inform Evidence-Based Policy Implementation

Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco
Ariel BardachAndrés Pichón-Riviere

Abstract

Disease burden due to tobacco smoking in Latin America remains very high. The objective of this study was to evaluate potential impact of implementing smoke-free air interventions on health and cost outcomes in Argentina, Bolivia, Brazil, Chile, Colombia, Mexico, and Peru, using a mathematical model. We built a probabilistic Montecarlo microsimulation model, considering natural history, direct health system costs and quality of life impairment associated with main tobacco-related diseases. We followed individuals in hypothetical cohorts and calculated health outcomes on an annual basis to obtain aggregated 10-year population health outcomes (deaths, events) and costs. To populate the model, we completed an overview and systematic review of literature. Also, we calibrated the model comparing the predicted disease-specific mortality rates with those coming from local national statistics. With current policies, over 10 years, of 137,121 deaths and 917,210 events could be averted, adding 3.84 million years of healthy life and saving USD 9.2 billion in these seven countries. If countries fully implemented smoke-free air strategies, it would be possible avert nearly 180,000 premature deaths and 1,2 million events, adding 5 million he...Continue Reading

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Citations

Oct 14, 2020·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Mariam A Khokhar, Kamran Siddiqi
Jun 3, 2021·International Journal of Environmental Research and Public Health·Ariel BardachAndrés Pichon-Riviere

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