Program, Policy, and Price Interventions for Tobacco Control: Quantifying the Return on Investment of a State Tobacco Control Program

Details

• Personal Author:
  Boysun MJ ; Dilley JA ; Harris JR ; Reid TR
• Description:
  Objectives. We examined health effects associated with 3 tobacco control interventions in Washington State: a comprehensive state program, a state policy banning smoking in public places, and price increases. Methods. We used linear regression models to predict changes in smoking prevalence and specific tobacco-related health conditions associated with the interventions. We estimated dollars saved over 10 years (2000-2009) by the value of hospitalizations prevented, discounting for national trends. Results. Smoking declines in the state exceeded declines in the nation. Of the interventions, the state program had the most consistent and largest effect on trends for heart disease, cerebrovascular disease, respiratory disease, and cancer. Over 10 years, implementation of the program was associated with prevention of nearly 36,000 hospitalizations, at a value of about $1.5 billion. The return on investment for the state program was more than $5 to $1. Conclusions. The combined program, policy, and price interventions resulted in reductions in smoking and related health effects, while saving money. Public health and other leaders should continue to invest in tobacco control, including comprehensive programs. [Description provided by NIOSH]
• Subjects:
  Occupational Health Public Health Safety Smoke Smokers Tobacco Products
• Keywords:
  Intervention Intervention Effectiveness Public Health Smoking Tobacco Smoke
• ISSN:
  0090-0036
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Oregon ; OSHA Region 10 ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  102
• Issue:
  2
• NIOSHTIC Number:
  nn:20056233
• Citation:
  Am J Public Health 2012 Feb; 102(2):e22-e28
• Contact Point Address:
  Julia A. Dilley, PhD, MES, Multnomah County Health Department and Oregon Health Authority Public Health Division, 827 NE Oregon St, Suite 250, Portland, OR 97232
• Email:
  julia.dilley@state.or.us
• Federal Fiscal Year:
  2012
• Performing Organization:
  University of Washington
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  American Journal of Public Health
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:16d8f1d9b19372bee3a81cb2ce64f4640d3ac5024c8d25a1e46da2bfdd17f42e1ecd8bb5e991cdb9a1c4a4edf4ce6281fd8c28e5f34c310142ce85eadfd564e1
• Download URL:
  https://stacks.cdc.gov/view/cdc/213879/cdc_213879_DS1.pdf
• File Type:
  [PDF - 650.59 KB ]