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Estimation of the break-even point for smoking cessation programs in pregnancy

Author

Listed:
  • Shipp, M.
  • Croughan-Minihane, M.S.
  • Petitti, D.B.
  • Washington, A.E.

Abstract

Background. Successful programs to help pregnant women quit smoking have been developed and evaluated, but formal smoking cessation programs are not a part of care at most prenatal sites. The cost of such programs may be an issue. Considering the costs of adverse maternal and infant outcomes resulting from smoking, we estimated there would be an amount of money a prenatal program could invest in smoking cessation and still 'break even' economically. Methods. A model was developed and published data, along with 1989 hospital charge data, were used to arrive at a break-even point for smoking cessation programs in pregnancy. Results. Using overall United States data, we arrived at a break-even cost of $32 per pregnant woman. When these data were varied to fit specific US populations, the break-even costs varied from $10 to $237, with the incidence of preterm low birth weight having the most impact on the cost. Conclusions. It may be advisable to invest greater amounts of money in a prenatal smoking cessation program for some populations. However, for every population there is an amount that can be invested while still breaking even.

Suggested Citation

  • Shipp, M. & Croughan-Minihane, M.S. & Petitti, D.B. & Washington, A.E., 1992. "Estimation of the break-even point for smoking cessation programs in pregnancy," American Journal of Public Health, American Public Health Association, vol. 82(3), pages 383-390.
    • Handle: RePEc:aph:ajpbhl:1992:82:3:383-390_3
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    Cited by:

    1. Jennifer W. Kahende & Brett R. Loomis & Bishwa Adhikari & LaTisha Marshall, 2008. "A Review of Economic Evaluations of Tobacco Control Programs," IJERPH, MDPI, vol. 6(1), pages 1-18, December.
    2. Jeffrey E. Harris & Ana Inés Balsa & Patricia Triunfo, 2014. "Tobacco Control Campaign in Uruguay: Impact on Smoking Cessation during Pregnancy," NBER Working Papers 19878, National Bureau of Economic Research, Inc.

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