Resumo (PT):
Abstract (EN):
BACKGROUND: Tobacco-control policies have been suggested to reduce smoking among adolescents. However, there is limited evidence on the real-world costs of implementation in different settings. In this study, we aimed at estimating the costs of school smoking bans, school prevention programmes and non-school bans (smoking bans in non-educational public settings, bans on sales to minors and bans on point-of-sale advertising), implemented in Finland, Ireland, the Netherlands, Belgium, Germany, Italy and Portugal, for 2016. METHODS: We retrospectively collected costs related to the inspection, monitoring and sanctioning activities related to bans and educational activities related to smoking prevention programmes. We used an 'ingredients-based' approach, identifying each resource used, quantity and unit value for one full year, under the state perspective. Costs were measured at national, regional, local and school-level and were informed by data on how these activities were performed in reality. RESULTS: Purchasing power parities adjusted-costs varied between ¤0.02 and ¤0.74 (average ¤0.24) per person (pp) for bans implemented outside schools. Mean costs of school smoking bans ranged from ¤3.31 to ¤34.76 (average ¤20.60), and mean costs of school educational programmes from ¤0.75 to ¤4.65 (average ¤2.92). CONCLUSIONS: It is feasible to estimate costs of health policies as implemented in different settings. Costs of the tobacco control policies evaluated here depend mainly on the number of person-hours allocated to their implementation, and on the scale of intervention. Non-school bans presented the lowest costs, and the implementation of all policies cost up to ¤36 pp for 1 year. © The Author(s) 2019. Published by Oxford University Press on behalf of the European Public Health Association.
Language:
English
Type (Professor's evaluation):
Dissemination