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Health burden and economic costs of smoking in Chile: The potential impact of increasing cigarettes prices

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  • Marianela Castillo-Riquelme
  • Ariel Bardach
  • Alfredo Palacios
  • Andrés Pichón-Riviere

Abstract

Background: Globally, tobacco consumption continues to cause a huge burden of preventable diseases. Chile has been leading the tobacco burden ranking in the Latin American region for the last ten years; it has currently a 33. 3% prevalence of current smokers. Methods: A microsimulation economic model was developed within the framework of a multi-country project in order to estimate the burden attributable to smoking in terms of morbidity, mortality, disability-adjusted life-years (DALYs), and direct costs of care. We also modelled the impact of increasing cigarettes’ taxes on this burden. Results: In Chile, 16,472 deaths were attributable to smoking in 2017, which represent around 16% of all deaths. This burden corresponds to 416,445 DALYs per year. The country’s health system spends 1.15 trillion pesos annually (in Dec 2017 CLP, approx. U$D 1.8 billion) in health care treatment of illnesses caused by smoking. If the price of tobacco cigarettes was to be raised by 50%, around 13,665 deaths and 360,476 DALYs from smoking-attributable diseases would be averted in 10 years, with subsequent savings on health care costs, and increased tax revenue collection. In Chile, the tobacco tax collection does not fully cover the direct healthcare costs attributed to smoking. Conclusion: Despite a reduction observed on smoking prevalence between 2010 (40.6%) and 2017 (33.3%), this study shows that the burden of disease, and the economic toll due to smoking, remain high. As we demonstrate, a rise in the price of cigarettes could lead to a significant reduction of this burden, averting deaths and disability, and reducing healthcare spending.

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  • Marianela Castillo-Riquelme & Ariel Bardach & Alfredo Palacios & Andrés Pichón-Riviere, 2020. "Health burden and economic costs of smoking in Chile: The potential impact of increasing cigarettes prices," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-16, August.
  • Handle: RePEc:plo:pone00:0237967
    DOI: 10.1371/journal.pone.0237967
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    References listed on IDEAS

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    1. World Health Organization, 2017. "WHO report on the global tobacco epidemic 2017: Monitoring tobacco use and prevention policies," University of California at San Francisco, Center for Tobacco Control Research and Education qt8nw5p0zt, Center for Tobacco Control Research and Education, UC San Francisco.
    2. Patricia Vold Pepper & Douglas K. Owens, 2002. "Cost-Effectiveness of the Pneumococcal Vaccine in Healthy Younger Adults," Medical Decision Making, , vol. 22(1_suppl), pages 45-57, September.
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    Cited by:

    1. Alfredo Palacios & Andrea Alcaraz & Agustín Casarini & Federico Rodriguez Cairoli & Natalia Espinola & Dario Balan & Lucas Perelli & Federico Augustovski & Ariel Bardach & Andrés Pichon‐Riviere, 2023. "The health, economic and social burden of smoking in Argentina, and the impact of increasing tobacco taxes in a context of illicit trade," Health Economics, John Wiley & Sons, Ltd., vol. 32(11), pages 2655-2672, November.
    2. Karen A. Domínguez-Cancino & Pablo Martínez & José Ignacio Nazif-Munoz, 2023. "Chile’s Tobacco Strategy: A Scoping Review of Tobacco Measures Over Time," SAGE Open, , vol. 13(2), pages 21582440231, June.
    3. Ariel Bardach & Andrea Alcaraz & Javier Roberti & Agustín Ciapponi & Federico Augustovski & Andrés Pichon-Riviere, 2021. "Optimizing Tobacco Advertising Bans in Seven Latin American Countries: Microsimulation Modeling of Health and Financial Impact to Inform Evidence-Based Policy," IJERPH, MDPI, vol. 18(10), pages 1-13, May.

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