Smoking-related costs among 25 to 59 year-old males in a 19-year individual follow-up
Objective: To estimate the health care expenditure and productivity losses due to smoking. Design: A retrospective cohort study of a random population sample of 5,247 men aged 25–59 years from the provinces of Kuopio and North Karelia in eastern Finland. Subjects initially surveyed in 1972 were link...
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2002
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fthighwire:oai:open-archive.highwire.org:eurpub:12/2/145 2023-05-15T17:00:22+02:00 Smoking-related costs among 25 to 59 year-old males in a 19-year individual follow-up Kiiskinen, Urpo Vartiainen, Erkki Puska, Pekka Pekurinen, Markku 2002-06-01 00:00:00.0 text/html http://eurpub.oxfordjournals.org/cgi/content/short/12/2/145 https://doi.org/10.1093/eurpub/12.2.145 en eng Oxford University Press http://eurpub.oxfordjournals.org/cgi/content/short/12/2/145 http://dx.doi.org/10.1093/eurpub/12.2.145 Copyright (C) 2002, Oxford University Press Articles TEXT 2002 fthighwire https://doi.org/10.1093/eurpub/12.2.145 2007-06-25T04:35:04Z Objective: To estimate the health care expenditure and productivity losses due to smoking. Design: A retrospective cohort study of a random population sample of 5,247 men aged 25–59 years from the provinces of Kuopio and North Karelia in eastern Finland. Subjects initially surveyed in 1972 were linked to a set of national registers through their social security identification numbers and followed for 19 years. The difference in the number of life years and work years lost, the costs of drugs and hospitalization, and the value of productivity lost due to disability and premature mortality between smokers, former smokers and never‐smokers was analysed. Results: The difference in mean life expectancy between current smokers and never‐smokers was 3.0 years, and the difference in mean lost work time was 2.6 years over the 19 years of follow‐up. Between current smokers and former smokers, the difference in mean life expectancy was 1.8 years, and the difference in mean lost work time was 1.6 years. The mean difference between a current smoker and a never‐smoker in health service costs was Euro 2,900, and the difference in mean total costs was Euro 69,300 (an increase of 86%). No difference in mean health care costs between current smokers and former‐smokers was found, while the difference in mean total cost was Euro 44,000. Conclusions: Smokers incurred excess costs in terms of both direct health care expenditure and indirect productivity losses in comparison to the never‐smoking population. Most importantly, quitting smoking could save at least 60% of the losses related to excess mortality and disability of smokers. Text karelia* HighWire Press (Stanford University) The European Journal of Public Health 12 2 145 151 |
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Articles Kiiskinen, Urpo Vartiainen, Erkki Puska, Pekka Pekurinen, Markku Smoking-related costs among 25 to 59 year-old males in a 19-year individual follow-up |
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Objective: To estimate the health care expenditure and productivity losses due to smoking. Design: A retrospective cohort study of a random population sample of 5,247 men aged 25–59 years from the provinces of Kuopio and North Karelia in eastern Finland. Subjects initially surveyed in 1972 were linked to a set of national registers through their social security identification numbers and followed for 19 years. The difference in the number of life years and work years lost, the costs of drugs and hospitalization, and the value of productivity lost due to disability and premature mortality between smokers, former smokers and never‐smokers was analysed. Results: The difference in mean life expectancy between current smokers and never‐smokers was 3.0 years, and the difference in mean lost work time was 2.6 years over the 19 years of follow‐up. Between current smokers and former smokers, the difference in mean life expectancy was 1.8 years, and the difference in mean lost work time was 1.6 years. The mean difference between a current smoker and a never‐smoker in health service costs was Euro 2,900, and the difference in mean total costs was Euro 69,300 (an increase of 86%). No difference in mean health care costs between current smokers and former‐smokers was found, while the difference in mean total cost was Euro 44,000. Conclusions: Smokers incurred excess costs in terms of both direct health care expenditure and indirect productivity losses in comparison to the never‐smoking population. Most importantly, quitting smoking could save at least 60% of the losses related to excess mortality and disability of smokers. |
format |
Text |
author |
Kiiskinen, Urpo Vartiainen, Erkki Puska, Pekka Pekurinen, Markku |
author_facet |
Kiiskinen, Urpo Vartiainen, Erkki Puska, Pekka Pekurinen, Markku |
author_sort |
Kiiskinen, Urpo |
title |
Smoking-related costs among 25 to 59 year-old males in a 19-year individual follow-up |
title_short |
Smoking-related costs among 25 to 59 year-old males in a 19-year individual follow-up |
title_full |
Smoking-related costs among 25 to 59 year-old males in a 19-year individual follow-up |
title_fullStr |
Smoking-related costs among 25 to 59 year-old males in a 19-year individual follow-up |
title_full_unstemmed |
Smoking-related costs among 25 to 59 year-old males in a 19-year individual follow-up |
title_sort |
smoking-related costs among 25 to 59 year-old males in a 19-year individual follow-up |
publisher |
Oxford University Press |
publishDate |
2002 |
url |
http://eurpub.oxfordjournals.org/cgi/content/short/12/2/145 https://doi.org/10.1093/eurpub/12.2.145 |
genre |
karelia* |
genre_facet |
karelia* |
op_relation |
http://eurpub.oxfordjournals.org/cgi/content/short/12/2/145 http://dx.doi.org/10.1093/eurpub/12.2.145 |
op_rights |
Copyright (C) 2002, Oxford University Press |
op_doi |
https://doi.org/10.1093/eurpub/12.2.145 |
container_title |
The European Journal of Public Health |
container_volume |
12 |
container_issue |
2 |
container_start_page |
145 |
op_container_end_page |
151 |
_version_ |
1766053034811457536 |