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Deaths from secondhand smoke exposure in the United States: Economic implications

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  • Max, W.
  • Sung, H.-Y.
  • Shi, Y.

Abstract

Objectives. We estimated the number of deaths attributable to secondhand smoke (SHS), years of potential life lost (YPLL), and value of lost productivity for different US racial/ethnic groups in 2006. Methods. We determined the number of SHS-related deaths among nonsmokers from 2 adult and 4 infant conditions using an epidemiological approach. We estimated adult SHS exposure using detectable serum cotinine. For each death, we determined the YPLL and the value of lost productivity. Results. SHS exposure resulted in more than 42 000 deaths: more than 41 000 adults and nearly 900 infants. Blacks accounted for 13% of all deaths but 24% to 36% of infant deaths. SHS-attributable deaths resulted in a loss of nearly 600 000 YPLL and $6.6 billion of lost productivity, or $158 000 per death. The value of lost productivity per death was highest among Blacks ($238 000) and Hispanics ($193 000). Conclusions. The economic toll of SHS exposure is substantial, with communities of color having the greatest losses. Interventions need to be designed to reduce the health and economic burden of smoking on smokers and nonsmokers alike and on particularly vulnerable groups.

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  • Max, W. & Sung, H.-Y. & Shi, Y., 2012. "Deaths from secondhand smoke exposure in the United States: Economic implications," American Journal of Public Health, American Public Health Association, vol. 102(11), pages 2173-2180.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.300805_6
    DOI: 10.2105/AJPH.2012.300805
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    Cited by:

    1. Jeonghoon Kim & Kiyoung Lee & Ho-Jang Kwon & Do Hoon Lee & KyooSang Kim, 2016. "Association between Secondhand Smoke in Hospitality Venues and Urinary 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol Concentrations in Non-Smoking Staff," IJERPH, MDPI, vol. 13(11), pages 1-11, November.
    2. Ashley L Merianos & Roman A Jandarov & Judith S Gordon & Michael S Lyons & E Melinda Mahabee-Gittens, 2021. "Healthcare resources attributable to child tobacco smoke exposure," PLOS ONE, Public Library of Science, vol. 16(2), pages 1-13, February.
    3. Anna Choi & Dhaval Dave & Joseph J. Sabia, 2016. "Smoke Gets in Your Eyes: Medical Marijuana Laws and Tobacco Use," NBER Working Papers 22554, National Bureau of Economic Research, Inc.
    4. Jay J. Xu & Jarvis T. Chen & Thomas R. Belin & Ronald S. Brookmeyer & Marc A. Suchard & Christina M. Ramirez, 2021. "Racial and Ethnic Disparities in Years of Potential Life Lost Attributable to COVID-19 in the United States: An Analysis of 45 States and the District of Columbia," IJERPH, MDPI, vol. 18(6), pages 1-29, March.
    5. Jeonghoon Kim & Hyunkyung Ban & Yunhyung Hwang & Kwonchul Ha & Kiyoung Lee, 2016. "Impact of Partial and Comprehensive Smoke-Free Regulations on Indoor Air Quality in Bars," IJERPH, MDPI, vol. 13(8), pages 1-11, July.
    6. Swope, Carolyn B. & Hernández, Diana, 2019. "Housing as a determinant of health equity: A conceptual model," Social Science & Medicine, Elsevier, vol. 243(C).
    7. Florian Fischer & Alexander Kraemer, 2016. "Health Impact Assessment for Second-Hand Smoke Exposure in Germany—Quantifying Estimates for Ischaemic Heart Diseases, COPD, and Stroke," IJERPH, MDPI, vol. 13(2), pages 1-11, February.

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