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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Decreasing smoking during pregnancy: Potential economic benefit of reducing sudden unexpected infant death
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Decreasing smoking during pregnancy: Potential economic benefit of reducing sudden unexpected infant death

机译：怀孕期间减少吸烟：减少突发意外婴儿死亡的潜在经济效益

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Sudden Unexpected Infant Death (SUID) remains the leading cause of death among U.S. infants age 1-12 months. Extensive epidemiological evidence documents maternal prenatal cigarette smoking as a major risk factor for SUID, but leaves unclear whether quitting reduces risk. This Commentary draws attention to a report by Anderson et al. (Pediatrics. 2019, 143[4]) that represents a breakthrough on this question and uses their data on SUID risk reduction to delineate potential economic benefits. Using a five-year (2007-11) U.S. CDC Birth Cohort Linked Birth/Infant Death dataset, Anderson et al. demonstrated that compared to those who continued smoking, women who quit or reduced smoking by third trimester decreased the adjusted odds of SUID risk by 23% (95% CI, 13%-33%) and 12% (95% CI, 2%-21%), respectively. We applied these reductions to the U.S. Department of Health and Human Services' recommended value of a statistical life in 2020 ($10.1 million). Compared to continued smoking during pregnancy, the economic benefits per woman of quitting or reducing smoking are $4700 (95% CI $2700-$6800) and $2500 (95% CI, $400-$4300), respectively. While the U.S. obtained aggregate annual economic benefits of $0.58 (95% CI, 0.35-0.82) billion from pregnant women who quit or reduced smoking, it missed an additional $1.16 (95%CI 0.71-1.60) billion from the women who con-tinued smoking. Delineating the health and economic impacts of decreasing smoking during pregnancy using large epidemiological studies like Anderson et al. is critically important for conducting meaningful economic analyses of the benefits-costs of developing more effective interventions for decreasing smoking during pregnancy.
机译：婴儿猝死（SUID）仍然是美国1-12个月婴儿的主要死因。大量流行病学证据表明，孕期吸烟是SUID的主要风险因素，但目前尚不清楚戒烟是否能降低风险。本评论提请注意Anderson等人（Pediatrics.2019，143[4]）的一份报告，该报告代表了这个问题的突破，并使用他们关于SUID风险降低的数据来描述潜在的经济效益。安德森等人利用美国疾病控制与预防中心（CDC）一个五年（2007-11）出生队列相关的出生/婴儿死亡数据集证明，与那些继续吸烟的人相比，在妊娠晚期戒烟或减少吸烟的妇女的SUID风险调整后的几率分别降低了23%（95%CI，13%-33%）和12%（95%CI，2%-21%）。我们将这些减少应用于美国卫生和公共服务部2020年统计生命的建议值（1010万美元）。与怀孕期间继续吸烟相比，每位女性戒烟或减少吸烟的经济效益分别为4700美元（95%可信区间2700-6800美元）和2500美元（95%可信区间400-4300美元）。虽然美国从戒烟或减少吸烟的孕妇那里获得了58亿美元（95%可信区间，0.35-0.82）的年度经济效益，但从继续吸烟的孕妇那里又损失了11.6亿美元（95%可信区间，0.71-1.60）。利用安德森等大型流行病学研究来描述怀孕期间减少吸烟对健康和经济的影响，对于进行有意义的经济分析，以了解制定更有效的干预措施以减少怀孕期间吸烟的益处和成本至关重要。

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