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APHA Scientific Session and Event Listing

Jennifer W. Kahende, PhD¹, Brett R. Loomis², Hana Ross², Mark Engelen², and Robert Merritt³. (1) National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, Centers for Disease Control and Prevention, 4770 Buford Highway, NE., Mailstop K-50, Atlanta, GA 30341, (2) Health, Social, and Economic Research, RTI International, 3040 Cornwallis Road, Research Triangle Park, NC 27709, 919-485-2737, loomis@rti.org, (3) Office on Smoking and Health, Centers for Disease Control and Prevention, 4770 Buford Highway NE (MS-K50), Atlanta, GA 30341

Objective: Review the literature on the cost effectiveness of tobacco use interventions to summarize major results, identify gaps in the literature, and suggest future research. Methods: Systematic review of 40 peer-reviewed articles on cost-effectiveness of various tobacco use interventions, including cessation, tax and price increases, media campaigns, quit lines, provider reminders, youth access prevention, and community interventions. Results: Across the full spectrum of tobacco use interventions, the median cost per life year saved is $1,400 and the median cost per quality-adjusted life year saved is $4,400, which compares favorably with other public health interventions. Cessation interventions, including nicotine replacement therapy, are the most heavily studied group of tobacco use interventions. Much less work has been done establishing the cost-effectiveness of other interventions. Conclusions: Tobacco use interventions of all kinds are some of the most cost-effective public health interventions. Tobacco control professionals can use these beneficial cost-effectiveness results to argue for sustaining tobacco control programs. More work needs to be done to establish the cost-effectiveness of common interventions, such as media campaigns and clean indoor air laws.

Learning Objectives: At the conclusion of the presentation, the participant will be able to

• Cite evidence on the cost-effectiveness of a variety of tobacco control interventions
• Understand where future research is needed

Keywords: Tobacco Control, Economic Analysis

Presenting author's disclosure statement:

Any relevant financial relationships? No