Register for email alerts and news feeds:
This journal | BMJ Group
rss
Tobacco Control 2005;14:37-42; doi:10.1136/tc.2003.005470
Copyright © 2005 by the BMJ Publishing Group Ltd.
Tobacco Control 2005;14:37-42
© 2005 BMJ Publishing Group Ltd

RESEARCH PAPER

Cost effectiveness of a community based research project to help women quit smoking

R H Secker-Walker*, R R Holland, C M Lloyd, D Pelkey, B S Flynn{dagger}

The Office of Health Promotion Research, University of Vermont, Burlington, Vermont, USA

Correspondence to:
Correspondence to:
Roger H Secker-Walker MD
1 South Prospect Street, Burlington, VT 05401, USA; roger.secker-walker{at}.uvm.edu

Objective: To estimate the cost effectiveness of a four year, multifaceted, community based research project shown previously to help women quit smoking.

Design: A quasi-experimental matched control design.

Setting: Two counties in Vermont and two in New Hampshire, USA.

Subjects: Women aged 18–64 years.

Methods: Costs were the grant related expenditures converted to 2002 US$. Survey results at the end of the intervention were used to estimate the numbers of never smokers, former smokers, light smokers, and heavy smokers in the intervention and comparison counties, and 1986 life tables for populations of US women categorised by smoking status to estimate the gain in life expectancy.

Main outcome measures: Cost effectiveness ratios, as dollars per life-year saved, for the intervention only and for total grant costs (intervention, evaluation and indirect costs).

Results: The cost effectiveness ratio for the intervention, in 2002 US$ per life-year saved, discounted at 3%, was $1156 (90% confidence interval (CI) $567 to {infty}), and for the total grant, $4022 (90% CI $1973 to {infty}). When discounted at 5%, these ratios were $1922 (90% CI $1024 to $15 647), and $6683 (90% CI $3555 to $54 422), respectively.

Conclusion: The cost effectiveness ratios of this research project are economically attractive, and are comparable with other smoking cessation interventions for women. These observations should encourage further research and dissemination of community based interventions to reduce smoking.

Keywords: community; cost effectiveness; cessation; women


Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?

This Article

Services
Citing Articles
Google Scholar
PubMed
Bookmark with

Register for free content

The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.