scholarly journals Social cost-benefit analysis of tobacco control policies in the Netherlands

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
R J A de Kinderen ◽  
B F M Wijnen ◽  
S M A A Evers ◽  
M Hiligsmann ◽  
A T G Paulus ◽  
...  
Keyword(s):  
Public Health ◽  
The Netherlands ◽  
Tobacco Control ◽  
Cost Benefit Analysis ◽  
World Health ◽  
Costs And Benefits ◽  
Control Policies ◽  
Main Research ◽  
Percentage Points ◽  
Tobacco Control Policies

Abstract Background In the Netherlands approximately 23% of the population of 15 years and older smokes. The main research questions were to identify what social costs- and benefits can be expected when various tobacco control policies would be implemented in The Netherlands, how do costs and benefits change over time, and which sectors in society could expect to incur costs and in which sectors accrue profits. Methods A SCBA was conducted using a combination of the Chronic Disease Model developed by the National Institute for Public Health and the Environment (RIVM), the SimSmoke model and a specially designed excel model. Policies included both tax increases (i.e. increase of excise tax on tobacco of 5% or 10% each year) and a policy package as proposed by the World Health Organization (i.e. including mass media campaigns and mediabans). Results When no new policy measures are implemented, the prevalence of smoking will decrease by 2.3 percentage points over the next 35 years. The policies reviewed in this report have the potential to decrease smoking prevalence by 14.2 percentage points (and in a ‘smoking-free society scenario, by as much as 17.4 percentage points). Furthermore, the results show that the intervention costs for all scenarios are minimal, and that investing in health is beneficial as seen from both the public health and fiscal perspective. Conclusions This study demonstrated that reducing the prevalence of smoking has beneficial effects for various stakeholders within the Dutch society: such as employers (e.g. increased productivity) and consumers (e.g. increase quality of life).

scholarly journals Economic Evaluation of Five Tobacco Control Policies Across Seven European Countries

2019 ◽  
Vol 22 (7) ◽  
pp. 1202-1209
Author(s):  
Teresa Leão ◽  
Julian Perelman ◽  
Luke Clancy ◽  
Martin Mlinarić ◽  
Jaana M Kinnunen ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Tobacco Control ◽  
Large Scale ◽  
Cost Effective ◽  
World Health ◽  
Economic Evaluations ◽  
Short Term ◽  
Healthy Life ◽  
Control Policies ◽  
Tobacco Control Policies

Abstract Introduction Economic evaluations of tobacco control policies targeting adolescents are scarce. Few take into account real-world, large-scale implementation costs; few compare cost-effectiveness of different policies across different countries. We assessed the cost-effectiveness of five tobacco control policies (nonschool bans, including bans on sales to minors, bans on smoking in public places, bans on advertising at points-of-sale, school smoke-free bans, and school education programs), implemented in 2016 in Finland, Ireland, the Netherlands, Belgium, Germany, Italy, and Portugal. Methods Cost-effectiveness estimates were calculated per country and per policy, from the State perspective. Costs were collected by combining quantitative questionnaires with semi-structured interviews on how policies were implemented in each setting, in real practice. Short-term effectiveness was based on the literature, and long-term effectiveness was modeled using the DYNAMO-HIA tool. Discount rates of 3.5% were used for costs and effectiveness. Sensitivity analyses considered 1%–50% short-term effectiveness estimates, highest cost estimates, and undiscounted effectiveness. Findings Nonschool bans cost up to €253.23 per healthy life year, school smoking bans up to €91.87 per healthy life year, and school education programs up to €481.35 per healthy life year. Cost-effectiveness depended on the costs of implementation, short-term effectiveness, initial smoking rates, dimension of the target population, and weight of smoking in overall mortality and morbidity. Conclusions All five policies were highly cost-effective in all countries according to the World Health Organization thresholds for public health interventions. Cost-effectiveness was preserved even when using the highest costs and most conservative effectiveness estimates. Implications Economic evaluations using real-world data on tobacco control policies implemented at a large scale are scarce, especially considering nonschool bans targeting adolescents. We assessed the cost-effectiveness of five tobacco control policies implemented in 2016 in Finland, Ireland, the Netherlands, Belgium, Germany, Italy, and Portugal. This study shows that all five policies were highly cost-effective considering the World Health Organization threshold, even when considering the highest costs and most conservative effectiveness estimates.

Prevalence of second-hand tobacco smoke in relation to smoke-free legislation in the European Union

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Schiavone ◽  
C Anderson ◽  
U Mons ◽  
V Winkler
Keyword(s):  
Public Health ◽  
European Union ◽  
Tobacco Control ◽  
Smoking Status ◽  
Public Health Problem ◽  
Second Hand Smoke ◽  
The European Union ◽  
Control Policies ◽  
Tobacco Control Policies ◽  
Shs Exposure

Abstract Background Second-hand smoke (SHS) is still an important public health problem. With joining the Framework Convention on Tobacco Control (FCTC), all parties acknowledged the health risks of SHS and agreed to implement policies to protect their populations from SHS in public places. The aim of this study was to explore the SHS exposure in restaurants and bars as well as its associations with smoke-free legislation in the European Union. Methods Data of Eurobarometer surveys 2014 and 2017 were used to estimate prevalence of SHS exposure. We also extracted data on individual confounders such as smoking status, gender, sex, age and information on social economic status. Additionally, we collected data on country specific data on smoking regulations in restaurants and bars from the Tobacco Control Scale to analyse associations with SHS exposure using multilevel logistic regression. Smoking regulations were categorized into the following three categories: partial ban, comprehensive ban with minor exceptions, and complete ban. Results Preliminary results on the prevalence of SHS in restaurants showed a decrease from 11.8% (95% confidence intervals (CI) 11.2-12.5) in 2014 to 8.8% (95% CI 8.3-9.3) in 2017. The crude multilevel model controlling only for smoking prevalence resulted in an odds ratio of 0.39 (95% CI 0.19-0.77) for comprehensive ban with minor exceptions and 0.28 (95% CI 0.16-0.50) for complete ban versus partial ban. Odds ratios remained at significant levels when controlling for all available confounders. Conclusions Between 2014 and 2017, SHS exposure in restaurants decreased significantly. Furthermore, strong associations with smoking regulations were observed suggesting a high compliance. Many tobacco control policies have been introduced during the last years but several countries need to strengthen their smoke-free tobacco control policies to further reduce SHS exposure preventing death, disease and disability. Key messages SHS exposure remains a significant public health challenge. The implementation of effective measures could be strengthened through a convergence of tobacco control strategies and policies among European Union member states.

scholarly journals Effect of Tobacco Control Policies on Information Seeking for Smoking Cessation in the Netherlands: A Google Trends Study

PLoS ONE ◽  
2016 ◽  
Vol 11 (2) ◽  
pp. e0148489 ◽  
Author(s):  
Sigrid A. Troelstra ◽  
Jizzo R. Bosdriesz ◽  
Michiel R. de Boer ◽  
Anton E. Kunst
Keyword(s):  
Smoking Cessation ◽  
The Netherlands ◽  
Tobacco Control ◽  
Information Seeking ◽  
Google Trends ◽  
Control Policies ◽  
Tobacco Control Policies

scholarly journals Tribunales superiores en Latinoamérica y su respaldo a las medidas de control de tabaco como forma de proteger el derecho humano a la salud Latin American high courts and their support for tobacco control policies as a way to protect the human right to he

2018 ◽  
pp. 95-112
Author(s):  
Juan Carballo ◽  
Gianella Severini ◽  
Luciana Severini
Keyword(s):  
Tobacco Control ◽  
Latin American ◽  
World Health ◽  
Human Right ◽  
Health States ◽  
Control Policies ◽  
High Courts ◽  
Tobacco Control Policies ◽  
Health Organization ◽  
The Right

Frente al fuerte impacto del tabaquismo en la salud pública, la obligación de los Estados de proteger el derecho humano a la salud exige la implementación de ciertas medidas de control de tabaco. En el último tiempo, altos tribunales de la región ratificaron la necesidad de avanzar en estas medidas, marcando la fuerte conexión entre los derechos humanos y las políticas de control de tabaco como mecanismo de protección de la salud y reconociendo el importante rol del Convenio Marco para el Control de Tabaco de la Organización Mundial de la Salud.   Taking into account tobacco epidemic’s impact on public health, States’ obligations to protect the right to health call for the implementation of certain tobacco control policies. In recent times, high courts from Latin America ratified the need to advance on these policies, highlighting the strong link between human rights and tobacco control policies as mechanisms for the protection of health and stressing the key role of the World Health Organization Framework Convention on Tobacco Control.

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