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The cost of secondhand smoke exposure at home in California

机译：加利福尼亚在家中二手烟暴露的成本

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Objective Healthcare and mortality costs of secondhand smoke (SHS) exposure at home among non-smokers in California were estimated for the year 2009. Methods Costs were estimated with an epidemiological model using California SHS home exposure rates and published relative risks. Healthcare costs included nine conditions, and mortality was estimated for four perinatal and three adult conditions. Three mortality-related measures were estimated: deaths, years of potential life lost (YPLL) and the value of lost productivity. Results SHS-attributable healthcare costs totalled over $241 million. The most costly conditions for children and adolescents were attention deficit hyperactivity disorder ($7.8 million) and middle ear disease ($5.6 million). For adults, the most costly conditions were ischaemic heart disease (IHD) ($130.0 million) and asthma ($67.4 million). Deaths of 821 Californians were attributable to SHS exposure in the home, including 27 infants whose mothers smoked while pregnant and 700 adults who died from IHD. These deaths represented a loss of over 13 000 YPLL and $119 million in lost productivity. Conclusions The economic impact of SHS exposure in the home totalled $360 million in California in 2009. Policies that reduce exposure to SHS at home have great potential for reducing healthcare and mortality costs.
机译：目的估计2009年加利福尼亚州非吸烟者在家中二手烟（SHS）暴露的医疗保健和死亡率成本。方法使用流行病学模型，使用加利福尼亚州SHS家庭暴露率估算成本，并公布相对风险。医疗保健费用包括九种疾病，估计了四个围产期和三个成人疾病的死亡率。估计了三项与死亡率相关的指标：死亡，潜在寿命损失年限（YPLL）和生产力损失的价值。结果SHS归属的医疗保健费用总计超过2.41亿美元。儿童和青少年最昂贵的疾病是注意力缺陷多动障碍（780万美元）和中耳疾病（560万美元）。对于成年人来说，代价最高的疾病是缺血性心脏病（IHD）（1.3亿美元）和哮喘（6740万美元）。 821名加利福尼亚人的死亡归因于家庭中的SHS暴露，包括27名婴儿在母亲怀孕时吸烟和700名因IHD死亡的成年人。这些死亡意味着超过13000 YPLL的损失和1.19亿美元的生产力损失。结论2009年在加利福尼亚，家庭中接触SHS的经济影响总计为3.6亿美元。减少在家中接触SHS的政策在降低医疗保健和死亡率方面具有巨大潜力。

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  • 来源
    《Tobacco control》 |2015年第2期|205-210|共6页
  • 作者

    Wendy Max; Hai-Yen Sung; Yanling Shi;

  • 作者单位

    Institute for Health & Aging, University of California, San Francisco, 3333 California Street, Suite 340, San Francisco, CA 94118, USA;

    Institute for Health & Aging, University of California, San Francisco, California, USA;

    Institute for Health & Aging, University of California, San Francisco, California, USA;

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