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Economic costs of diseases and deaths attributable to bidi smoking in India, 2017

机译：2017年印度贝迪吸烟的疾病与死亡经济成本

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Objective To estimate the economic burden of diseases and deaths attributable to bidi smoking in India for persons aged 30-69 years. Methods The National Sample Survey data on healthcare expenditures, data on bidi smoking prevalence from the Global Adult Tobacco Survey and relative risks of all-cause mortality from bidi smoking are used to estimate the economic burden of diseases and deaths attributable to bidi smoking in India using a prevalence-based attributable-risk approach. Costs are estimated under the following heads: (1) direct medical expenditure of treating diseases; (2) indirect morbidity costs and (3) indirect mortality costs of premature deaths. Findings The total economic costs attributable to bidi smoking from all diseases and deaths in India in the year 2017 for persons aged 30-69 years amount to INR805.5 billion (US$12.4 billion), of which 20.9% is direct and 79.1% is indirect cost. Men bear 93.7% of the total costs. Conclusion The total annual economic costs of bidi smoking amount to approximately 0.5% of India's gross domestic product, while the excise tax revenue from bidi is only half a per cent of its economic costs. The direct medical costs of bidi smoking amount to 2.24% of total health expenditure. Since the poor bear a disproportionately large share of the economic costs of bidi smoking, the unregulated use of bidi would potentially push more households in India, which incur heavy out-of-pocket expenditures on healthcare, into poverty.
机译：目的估算印度30-69岁的人造成贝迪吸烟的疾病和死亡的经济负担。方法了解关于医疗支出的国家样本调查数据，关于来自全球成人烟草调查和来自Bidi吸烟的全球成人烟草调查和相对风险的关于Bidi吸烟的相对风险的数据用于估计归因于印度的Bidi吸烟的疾病和死亡的经济负担一种基于流行的可归因风险方法。在以下领导下估计成本：（1）直接治疗疾病的医疗费用; （2）间接发病率和（3）间接死亡的间接死亡率。调查占2017年印度的所有疾病和死亡人员的经济成本归因于30-69岁的人数为805.5亿元（124亿美元），其中20.9％是直接的，79.1％是间接的成本。男性占总成本的93.7％。结论BIDI吸烟的年度经济成本总额约占印度国内生产总值的0.5％，而Bidi的消费税收收入只占其经济成本的一半。 BIDI吸烟的直接医疗费用占卫生总支出的2.24％。由于穷人持有不成比例地占BIDI吸烟的经济成本，因此出价的不受管制使用可能会推动印度的更多家庭，这些家庭在医疗保健上遭受重创的备用支出。

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