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Economic burden from smoking-related diseases in Thailand

Tobacco control, 2016-09, Vol.25 (5), p.532-537 [Peer Reviewed Journal]

Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing ;2016 BMJ Publishing Group ;Copyright: 2016 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing ;ISSN: 0964-4563 ;EISSN: 1468-3318 ;DOI: 10.1136/tobaccocontrol-2015-052319 ;PMID: 26427527

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Title:
Economic burden from smoking-related diseases in Thailand
Author: Bundhamcharoen, Kanitta ; Aungkulanon, Suchunya ; Makka, Nuttapat ; Shibuya, Kenji
Subjects: Absenteeism ; Adolescent ; Adult ; Age ; Age groups ; Cancer ; Cardiovascular disease ; Cardiovascular diseases ; Caregivers ; Chronic obstructive pulmonary disease ; Cost estimates ; Cost of Illness ; Economic costs ; Economic growth ; Efficiency ; Female ; GDP ; Gross Domestic Product ; Health care costs ; Health Care Costs - statistics & numerical data ; Health care expenditures ; Health Expenditures - statistics & numerical data ; Health risk assessment ; Hospitals ; Humans ; Illnesses ; Income ; Length of stay ; Long term health care ; Lung cancer ; Lung diseases ; Lung neoplasms ; Male ; Middle Aged ; Mortality ; Patients ; Population ; Prevalence ; Productivity ; Smoking ; Smoking - adverse effects ; Smoking - economics ; Smoking - epidemiology ; Studies ; Surveys and Questionnaires ; Thailand - epidemiology ; Tobacco ; Tobacco smoking ; Young Adult
Is Part Of: Tobacco control, 2016-09, Vol.25 (5), p.532-537
Description: ObjectiveTo assess economic burden attributable to smoking in Thailand in 2009.MethodsA prevalence-based, disease-specific cost of illness approach was used to estimate the direct medical costs, indirect medical costs, productivity loss due to premature deaths and absenteeism caused by smoking-related diseases. Direct healthcare costs were obtained from the inpatient and outpatient charge database at the National Health Security Office and the Central Office for Healthcare Information. Indirect healthcare costs were obtained from the Health and Welfare Survey. The household Socioeconomic Survey provided data on income of the population. Costs were estimated for 7 disease groups, namely, lung cancer, chronic obstructive pulmonary disease (COPD), cardiovascular disease (CVD), upper aerodigestive tract cancer, other cancer, other respiratory diseases and other medical conditions. Smoking Attributable Fractions were derived from the 2009 Thai Burden of Disease study.ResultsTotal economic burden of smoking amounted to 74.88 billion Thai Baht (THB) (95% CI 74.59 to 75.18) (US$2.18, 95% CI US$2.17 to US$2.19 billion). Of this, most of the burden resulted from productivity loss 62.24 billion THB (95% CI 62.05 to 62.44) (US$1.81, 95% CI US$1.81 to US$1.82 billion). Total medical cost was 12.64 billion THB (12.44 to 12.85) (US$0.37, 95% CI US$0.36 to US$0.37 billion). Excluding other medical conditions, the direct healthcare costs were highest for CVD, followed by COPD and other respiratory diseases, respectively. All together, the total cost of smoking accounted for 0.78% (95% CI 0.78% to 0.79%) of the national gross domestic product and about 18.19% (95% CI 18.12% to 18.27%) of total health expenditure.ConclusionsThe total economic loss from smoking-related diseases highlights the significant loss to the society, health sector and the country's economy. Such information is crucial for informing national public health policy, particularly when a conflict arises between the economy and health.
Publisher: England: BMJ Publishing Group
Language: English
Identifier: ISSN: 0964-4563
EISSN: 1468-3318
DOI: 10.1136/tobaccocontrol-2015-052319
PMID: 26427527
Source: MEDLINE
Alma/SFX Local Collection
ProQuest Central

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Economic burden from smoking-related diseases in Thailand

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