@article {Secker-Walker207, author = {R H Secker-Walker and J K Worden and R R Holland and B S Flynn and A S Detsky}, title = {A mass media programme to prevent smoking among adolescents: costs and cost effectiveness.}, volume = {6}, number = {3}, pages = {207--212}, year = {1997}, doi = {10.1136/tc.6.3.207}, publisher = {BMJ Publishing Group Ltd}, abstract = {OBJECTIVE: To examine costs and cost-effectiveness ratios of a four-year mass media programme previously shown to prevent the onset of smoking among adolescents. DESIGN: A matched control design. SETTING: Two cities in Montana, one in New York and one in Vermont, USA. SUBJECTS: Students in grades 10-12 (ages 15-18). INTERVENTION: A four-year mass media campaign to prevent the onset of smoking. MAIN OUTCOME MEASURES: Cost per student potentially exposed to the mass media campaign; cost per student smoker potentially averted; and cost per life-year gained. Cost estimates were also made for a similar campaign that would be broadcast nationally in the United States. RESULTS: In 1996 dollars, the cost of developing and broadcasting the mass media campaign was $759,436, and the cost per student potentially exposed to the campaign (n = 18,600) was $41. The cost per student smoker averted (n = 1023) was $754 (95\% confidence interval (CI) = $531-$1296). The cost per life-year gained discounted at 3\% over the life expectancy for young adult smokers was $696 (95\% CI = $445-$1269). The estimated cost of developing and broadcasting a similar four-year mass media campaign in all 209 American media markets would be approximately $84.5 million, at a cost of $8 per student potentially exposed to a national campaign, $162 per student smoker averted, and $138 (95\% CI = $88-$252) per life-year gained. CONCLUSION: Estimates of the cost-effectiveness ratios of this mass media campaign in preventing the onset of smoking showed it to be economically attractive and to compare favourably with other preventive and therapeutic strategies.}, issn = {0964-4563}, URL = {https://tobaccocontrol.bmj.com/content/6/3/207}, eprint = {https://tobaccocontrol.bmj.com/content/6/3/207.full.pdf}, journal = {Tobacco Control} }