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Article: Economic burden of environmental tobacco smoke on Hong Kong families: Scale and impact

TitleEconomic burden of environmental tobacco smoke on Hong Kong families: Scale and impact
Authors
Issue Date1998
PublisherB M J Publishing Group. The Journal's web site is located at http://jech.bmjjournals.com/
Citation
Journal Of Epidemiology And Community Health, 1998, v. 52 n. 1, p. 53-58 How to Cite?
AbstractStudy objective - To examine the financial cost of doctor consultations for cough, phlegm, and wheeze in children living in a home where family members smoke compared with those not exposed to environmental tobacco smoke. To model these costs to provide the Territory of Hong Kong with estimates of potentially avoidable health care resource use. Design - Cross sectional questionnaire survey. Subjects and setting - All children (10,615) in classes primary 3 to 6 (aged 8-13 years) attending 27 schools in two districts of Hong Kong in 1992 and their parents. Measurements and main results - Doctor consultations during the previous three months for symptoms of either cough, phlegm or wheeze were higher in younger children, ranging from 22.9% in 8 year olds to 8.4% in those aged 12 or over. For those children living in homes with one, or more than one, smoker category (there were four categories of smokers: father, mother, siblings, others), the adjusted odds ratios (95% confidence intervals) for a doctor consultation for any of these symptoms were 1.15 (1.01, 1.31) and 1.38 (1.14, 1.67) respectively. Using US$15 as the minimum cost incurred per consultation, the expected direct cost per annum per child of doctor consultations was 14% higher for children living in a one smoker category home and 25% for two or more compared with exposure to no smokers in the home. Using these values on a territory wide basis, the annual avoidable direct cost associated with exposure to tobacco smoke in children from birth to 12 years of age ranged from US$338,042 to US$991,591. Conclusions - Exposure to environmental tobacco smoke not only provides a respiratory health risk for children but also an avoidable excess cost to the family's financial resources and health service providers.
Persistent Identifierhttp://hdl.handle.net/10722/43566
ISSN
2015 Impact Factor: 3.865
2015 SCImago Journal Rankings: 1.890
PubMed Central ID
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorPeters, Jen_HK
dc.contributor.authorMcCabe, CJen_HK
dc.contributor.authorHedley, AJen_HK
dc.contributor.authorLam, THen_HK
dc.contributor.authorWong, CMen_HK
dc.date.accessioned2007-03-23T04:49:11Z-
dc.date.available2007-03-23T04:49:11Z-
dc.date.issued1998en_HK
dc.identifier.citationJournal Of Epidemiology And Community Health, 1998, v. 52 n. 1, p. 53-58en_HK
dc.identifier.issn0143-005Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/43566-
dc.description.abstractStudy objective - To examine the financial cost of doctor consultations for cough, phlegm, and wheeze in children living in a home where family members smoke compared with those not exposed to environmental tobacco smoke. To model these costs to provide the Territory of Hong Kong with estimates of potentially avoidable health care resource use. Design - Cross sectional questionnaire survey. Subjects and setting - All children (10,615) in classes primary 3 to 6 (aged 8-13 years) attending 27 schools in two districts of Hong Kong in 1992 and their parents. Measurements and main results - Doctor consultations during the previous three months for symptoms of either cough, phlegm or wheeze were higher in younger children, ranging from 22.9% in 8 year olds to 8.4% in those aged 12 or over. For those children living in homes with one, or more than one, smoker category (there were four categories of smokers: father, mother, siblings, others), the adjusted odds ratios (95% confidence intervals) for a doctor consultation for any of these symptoms were 1.15 (1.01, 1.31) and 1.38 (1.14, 1.67) respectively. Using US$15 as the minimum cost incurred per consultation, the expected direct cost per annum per child of doctor consultations was 14% higher for children living in a one smoker category home and 25% for two or more compared with exposure to no smokers in the home. Using these values on a territory wide basis, the annual avoidable direct cost associated with exposure to tobacco smoke in children from birth to 12 years of age ranged from US$338,042 to US$991,591. Conclusions - Exposure to environmental tobacco smoke not only provides a respiratory health risk for children but also an avoidable excess cost to the family's financial resources and health service providers.en_HK
dc.format.extent166738 bytes-
dc.format.extent25600 bytes-
dc.format.extent2360 bytes-
dc.format.mimetypeapplication/pdf-
dc.format.mimetypeapplication/msword-
dc.format.mimetypetext/plain-
dc.languageengen_HK
dc.publisherB M J Publishing Group. The Journal's web site is located at http://jech.bmjjournals.com/en_HK
dc.relation.ispartofJournal of Epidemiology and Community Healthen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.rightsJournal of Epidemiology & Community Health. Copyright © B M J Publishing Group.en_HK
dc.subject.meshRespiratory sounds - etiologyen_HK
dc.subject.meshTobacco smoke pollution - adverse effects - economicsen_HK
dc.subject.meshCost of illnessen_HK
dc.subject.meshCough - economics - etiologyen_HK
dc.subject.meshHealth care costsen_HK
dc.titleEconomic burden of environmental tobacco smoke on Hong Kong families: Scale and impacten_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0143-005X&volume=52&issue=1&spage=53&epage=58&date=1998&atitle=Economic+burden+of+environmental+tobacco+smoke+on+Hong+Kong+families:+scale+and+impacten_HK
dc.identifier.emailHedley, AJ:hrmrajh@hkucc.hku.hken_HK
dc.identifier.emailLam, TH:hrmrlth@hkucc.hku.hken_HK
dc.identifier.emailWong, CM:hrmrwcm@hkucc.hku.hken_HK
dc.identifier.authorityHedley, AJ=rp00357en_HK
dc.identifier.authorityLam, TH=rp00326en_HK
dc.identifier.authorityWong, CM=rp00338en_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.pmid9604042en_HK
dc.identifier.pmcidPMC1756610-
dc.identifier.scopuseid_2-s2.0-0031982817en_HK
dc.identifier.hkuros29877-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0031982817&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume52en_HK
dc.identifier.issue1en_HK
dc.identifier.spage53en_HK
dc.identifier.epage58en_HK
dc.identifier.isiWOS:000071637000010-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridPeters, J=24784601400en_HK
dc.identifier.scopusauthoridMcCabe, CJ=7101648655en_HK
dc.identifier.scopusauthoridHedley, AJ=7102584095en_HK
dc.identifier.scopusauthoridLam, TH=7202522876en_HK
dc.identifier.scopusauthoridWong, CM=7404954904en_HK

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