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Article: The economic burden of environmental tobacco smoke in the first year of life

TitleThe economic burden of environmental tobacco smoke in the first year of life
Authors
Issue Date2003
PublisherB M J Publishing Group. The Journal's web site is located at http://www.archdischild.com/
Citation
Archives Of Disease In Childhood, 2003, v. 88 n. 9, p. 767-771 How to Cite?
AbstractAims: To examine the population impact and economic costs associated with environmental tobacco smoke (ETS) in Chinese infants with non-smoking mothers. Methods: Prospective, population based birth cohort study in Hong Kong, 1997-98. Main outcome measures were: doctor consultations and hospitalisations; adjusted odds ratios for higher utilisation by service type for each of the ETS exposure variables; corresponding population attributable risks (PARs); and associated extra health care costs. Results: For the 1997 annual birth cohort, ETS exposure through the mother in utero was positively associated with higher consultation (adjusted odds ratio (OR) 1.26) and hospitalisation (OR 1.18) due to any illness. This translated into 7.4% of all inpatient episodes in the first year of life, representing an additional 1581 hospital attendances that cost over US$2.1 million. The corresponding PAR for outpatient services was 7.7%, where the majority was due to respiratory or febrile illnesses, accounting for $0.44 million in extra costs. Postnatal exposure to ETS at home was linked to higher rates of hospitalisations for any illness compared with non-exposed infants (OR 1.12), which led to 662 extra hospitalisations consuming $0.90 million, where the associated PAR was 3.1%. Conclusions: Assuming that ETS was causally associated with health services use, about 9% of the total direct medical costs in the first year of life can be attributed to passive smoking. The community, as well as the private citizen, needs to be made aware of the costs foregone from exposure to tobacco smoke as well as the potential savings from a smoke-free society.
Persistent Identifierhttp://hdl.handle.net/10722/43582
ISSN
2015 Impact Factor: 3.231
2015 SCImago Journal Rankings: 1.118
PubMed Central ID
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLeung, GMen_HK
dc.contributor.authorHo, LMen_HK
dc.contributor.authorLam, THen_HK
dc.date.accessioned2007-03-23T04:49:32Z-
dc.date.available2007-03-23T04:49:32Z-
dc.date.issued2003en_HK
dc.identifier.citationArchives Of Disease In Childhood, 2003, v. 88 n. 9, p. 767-771en_HK
dc.identifier.issn0003-9888en_HK
dc.identifier.urihttp://hdl.handle.net/10722/43582-
dc.description.abstractAims: To examine the population impact and economic costs associated with environmental tobacco smoke (ETS) in Chinese infants with non-smoking mothers. Methods: Prospective, population based birth cohort study in Hong Kong, 1997-98. Main outcome measures were: doctor consultations and hospitalisations; adjusted odds ratios for higher utilisation by service type for each of the ETS exposure variables; corresponding population attributable risks (PARs); and associated extra health care costs. Results: For the 1997 annual birth cohort, ETS exposure through the mother in utero was positively associated with higher consultation (adjusted odds ratio (OR) 1.26) and hospitalisation (OR 1.18) due to any illness. This translated into 7.4% of all inpatient episodes in the first year of life, representing an additional 1581 hospital attendances that cost over US$2.1 million. The corresponding PAR for outpatient services was 7.7%, where the majority was due to respiratory or febrile illnesses, accounting for $0.44 million in extra costs. Postnatal exposure to ETS at home was linked to higher rates of hospitalisations for any illness compared with non-exposed infants (OR 1.12), which led to 662 extra hospitalisations consuming $0.90 million, where the associated PAR was 3.1%. Conclusions: Assuming that ETS was causally associated with health services use, about 9% of the total direct medical costs in the first year of life can be attributed to passive smoking. The community, as well as the private citizen, needs to be made aware of the costs foregone from exposure to tobacco smoke as well as the potential savings from a smoke-free society.en_HK
dc.format.extent232118 bytes-
dc.format.extent25600 bytes-
dc.format.mimetypeapplication/pdf-
dc.format.mimetypeapplication/msword-
dc.languageengen_HK
dc.publisherB M J Publishing Group. The Journal's web site is located at http://www.archdischild.com/en_HK
dc.relation.ispartofArchives of Disease in Childhooden_HK
dc.rightsArchives of Disease in Childhood. Copyright © B M J Publishing Group.en_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subject.meshCost of illnessen_HK
dc.subject.meshHong kong - epidemiologyen_HK
dc.subject.meshTobacco smoke pollution - adverse effects - economicsen_HK
dc.subject.meshHealth care costsen_HK
dc.subject.meshCohort studiesen_HK
dc.titleThe economic burden of environmental tobacco smoke in the first year of lifeen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0003-9888&volume=88&issue=9&spage=767&epage=771&date=2003&atitle=The+economic+burden+of+environmental+tobacco+smoke+in+the+first+year+of+lifeen_HK
dc.identifier.emailLeung, GM:gmleung@hku.hken_HK
dc.identifier.emailHo, LM:lmho@hkucc.hku.hken_HK
dc.identifier.emailLam, TH:hrmrlth@hkucc.hku.hken_HK
dc.identifier.authorityLeung, GM=rp00460en_HK
dc.identifier.authorityHo, LM=rp00360en_HK
dc.identifier.authorityLam, TH=rp00326en_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.doi10.1136/adc.88.9.767en_HK
dc.identifier.pmid12937093-
dc.identifier.pmcidPMC1719637-
dc.identifier.scopuseid_2-s2.0-0043264015en_HK
dc.identifier.hkuros84422-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0043264015&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume88en_HK
dc.identifier.issue9en_HK
dc.identifier.spage767en_HK
dc.identifier.epage771en_HK
dc.identifier.isiWOS:000184903700011-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridLeung, GM=7007159841en_HK
dc.identifier.scopusauthoridHo, LM=7402955625en_HK
dc.identifier.scopusauthoridLam, TH=7202522876en_HK

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