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首页> 外文期刊>International Journal of Environmental Research and Public Health >A Cost-Effectiveness Analysis of India’s 2008 Prohibition of Smoking in Public Places in Gujarat
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A Cost-Effectiveness Analysis of India’s 2008 Prohibition of Smoking in Public Places in Gujarat

机译：印度2008年古吉拉特邦公共场所禁止吸烟的成本效益分析

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Tobacco smoking and exposure to secondhand tobacco smoke are associated with disability and premature mortality in low and middle-income countries. The aim of this study was to assess the cost-effectiveness of implementing India’s Prohibition of Smoking in Public Places Rules in the state of Gujarat, compared to implementation of a complete smoking ban. Using standard cost-effectiveness analysis methods, the cost of implementing the alternatives was evaluated against the years of life saved and cases of acute myocardial infarction averted by reductions in smoking prevalence and secondhand smoke exposure. After one year, it is estimated that a complete smoking ban in Gujarat would avert 17,000 additional heart attacks and gain 438,000 life years (LY). A complete ban is highly cost-effective when key variables including legislation effectiveness were varied in the sensitivity analyses. Without including medical treatment costs averted, the cost-effectiveness ratio ranges from $2 to $112 per LY gained and $37 to $386 per acute myocardial infarction averted. Implementing a complete smoking ban would be a cost saving alternative to the current partial legislation in terms of reducing tobacco-attributable disease in Gujarat.
机译：在中低收入国家，吸烟和接触二手烟与残疾和过早死亡有关。这项研究的目的是评估与实施全面禁烟令相比，在古吉拉特邦实施印度《禁止在公共场所吸烟的规定》的成本效益。使用标准的成本效益分析方法，根据挽救生命的年数和通过减少吸烟率和减少二手烟暴露而避免的急性心肌梗塞病例评估了实施替代方案的成本。一年后，据估计，古吉拉特邦全面禁烟将避免17,000次心脏病发作，并延长438,000个生命年（LY）。当敏感性分析中的关键变量（包括立法有效性）发生变化时，完全禁令具有很高的成本效益。在不包括避免的医疗费用的情况下，成本效益比范围为每LY获得2美元至112美元，避免了每例急性心肌梗塞37美元至386美元。就减少古吉拉特邦的烟草引起的疾病而言，实施全面的禁烟将是替代当前部分立法的一种节省成本的方法。

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