Full Citation
Title: Budgetary impact from multiple perspectives of sustained antitobacco national media campaigns to reduce the harms of cigarette smoking
Citation Type: Journal Article
Publication Year: 2021
ISBN:
ISSN: 14683318
DOI: 10.1136/tobaccocontrol-2019-055482
NSFID:
PMCID:
PMID:
Abstract: Background: High-intensity antitobacco media campaigns are a proven strategy to reduce the harms of cigarette smoking. While buy-in from multiple stakeholders is needed to launch meaningful health policy, the budgetary impact of sustained media campaigns from multiple payer perspectives is unknown. Methods: We estimated the budgetary impact and time to breakeven from societal, all-payer, Medicare, Medicaid and private insurer perspectives of national antitobacco media campaigns in the USA. Campaigns of 1, 5 and 10 years of durations were assessed in a microsimulation model to estimate the 10 and 20-year health and budgetary impact. Simulation model inputs were obtained from literature and both pubic use and proprietary data sets. Results: The microsimulation predicts that a 10-year national smoking cessation campaign would produce net savings of $10.4, $5.1.4.6 and .2 billion from the societal, all-payer, Medicare, Medicaid and private insurer perspectives, respectively. National antitobacco media campaigns of 1, 5 and 10-year durations could produce net savings for Medicaid and Medicare within 2 years, and for private insurers within 6-9 years. A 10-year campaign would reduce adult cigarette smoking prevalence by 1.2 percentage points, prevent 23 500 smoking-attributable deaths over the first 10 years. In sensitivity analysis, media campaign costs would be offset by reductions in medical care spending of smoking among all payers combined within 6 years in all tested scenarios. Conclusions: 1, 5 and 10-year antitobacco media campaigns all yield net savings within 10 years from all perspectives. Multiyear campaigns yield substantially higher savings than a 1-year campaign.
Url: https://tobaccocontrol.bmj.com/content/early/2020/07/02/tobaccocontrol-2019-055482
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Authors: MacIosek, Michael V.; Armour, Brian S.; Babb, Stephen D.; Dhemer, Steven P.; Grossman, Elizabeth S.; Homa, David M.; Lafrance, Amy B.; Rodes, Robert; Wang, Xu; Xu, Zack; Yang, Zhuo; Roy, Kakoli
Periodical (Full): Tobacco Control
Issue: 3
Volume: 30
Pages: 279-285
Data Collections: IPUMS CPS
Topics: Health, Other
Countries: