IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v84y2007i1p75-88.html
   My bibliography  Save this article

Costs, health effects and cost-effectiveness of alcohol and tobacco control strategies in Estonia

Author

Listed:
  • Lai, Taavi
  • Habicht, Jarno
  • Reinap, Marge
  • Chisholm, Dan
  • Baltussen, Rob

Abstract

Objective To assess the population-level costs, effects and cost-effectiveness of different alcohol and tobacco control strategies in Estonia.Design A WHO cost-effectiveness modelling framework was used to estimate the total costs and effects of interventions. Costs were assessed in Estonian Kroon (EEK) for the year 2000, while effects were expressed in disability-adjusted life years (DALYs) averted. Regional cost-effectiveness estimates for Eastern Europe, were used as baseline and were contextualised by including country-specific input data.Results Increased excise taxes are the most cost-effective intervention to reduce both hazardous alcohol consumption and smoking: 759Â EEK ([euro]49) and 218Â EEK ([euro]14) per DALY averted, respectively. Imposing additional advertising bans would cost 1331Â EEK ([euro]85) per DALY averted to reduce hazardous alcohol consumption and 304Â EEK ([euro]19) to reduce smoking. Compared to WHO-CHOICE regional estimates, interventions were less costly and thereby more cost-effective in Estonia.Conclusions Interventions in alcohol and tobacco control are cost-effective, and broad implementation of these interventions to upgrade current situation is warranted from the economic point of view. First priority is an increase in taxation, followed by advertising bans and other interventions. The differences between WHO-CHOICE regional cost-effectiveness estimates and contextualised results underline the importance of the country level analysis.

Suggested Citation

  • Lai, Taavi & Habicht, Jarno & Reinap, Marge & Chisholm, Dan & Baltussen, Rob, 2007. "Costs, health effects and cost-effectiveness of alcohol and tobacco control strategies in Estonia," Health Policy, Elsevier, vol. 84(1), pages 75-88, November.
    • Handle: RePEc:eee:hepoli:v:84:y:2007:i:1:p:75-88
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168-8510(07)00062-0
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Elsinga, Einte & Rutten, Frans F. H., 1997. "Economic evaluation in support of national health policy: The case of the Netherlands," Social Science & Medicine, Elsevier, vol. 45(4), pages 605-620, August.
    2. Pen, Claude Le, 1997. "Pharmaceutical economy and the economic assessment of drugs in France," Social Science & Medicine, Elsevier, vol. 45(4), pages 635-643, August.
    3. Christopher J.L. Murray & David B. Evans & Arnab Acharya & Rob M.P.M. Baltussen, 2000. "Development of WHO guidelines on generalized cost‐effectiveness analysis," Health Economics, John Wiley & Sons, Ltd., vol. 9(3), pages 235-251, April.
    4. Jha, Prabhat & Chaloupka, Frank (ed.), 2000. "Tobacco Control in Developing Countries," OUP Catalogue, Oxford University Press, number 9780192632463.
    5. Habicht, Jarno & Kunst, Anton E., 2005. "Social inequalities in health care services utilisation after eight years of health care reforms: a cross-sectional study of Estonia, 1999," Social Science & Medicine, Elsevier, vol. 60(4), pages 777-787, February.
    6. Saffer, Henry & Chaloupka, Frank, 2000. "The effect of tobacco advertising bans on tobacco consumption," Journal of Health Economics, Elsevier, vol. 19(6), pages 1117-1137, November.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Nystrand, Camilla & Gebreslassie, Mihretab & Ssegonja, Richard & Feldman, Inna & Sampaio, Filipa, 2021. "A systematic review of economic evaluations of public health interventions targeting alcohol, tobacco, illicit drug use and problematic gambling: Using a case study to assess transferability," Health Policy, Elsevier, vol. 125(1), pages 54-74.
    2. Bolin, Kristian & Borgman, Benny & Gip, Christina & Wilson, Koo, 2011. "Current and future avoidable cost of smoking – Estimates for Sweden 2007," Health Policy, Elsevier, vol. 103(1), pages 83-91.
    3. Jain, Vageesh & Crosby, Liam & Baker, Peter & Chalkidou, Kalipso, 2020. "Distributional equity as a consideration in economic and modelling evaluations of health taxes: A systematic review," Health Policy, Elsevier, vol. 124(9), pages 919-931.
    4. Hill, Sarah R. & Vale, Luke & Hunter, David & Henderson, Emily & Oluboyede, Yemi, 2017. "Economic evaluations of alcohol prevention interventions: Is the evidence sufficient? A review of methodological challenges," Health Policy, Elsevier, vol. 121(12), pages 1249-1262.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. 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.
    2. Jon Nelson, 2003. "Youth smoking prevalence in developing countries: effect of advertising bans," Applied Economics Letters, Taylor & Francis Journals, vol. 10(13), pages 805-811.
    3. Raydel Valdés-Salgado & Luz Myriam Reynales-Shiguematsu & Eduardo C Lazcano-Ponce & Mauricio Hernández-Avila, 2009. "Susceptibility to Smoking among Adolescents and Its Implications for Mexico’s Tobacco Control Programs. Analysis of the Global Youth Tobacco Survey 2003-2004 and 2006-2007," IJERPH, MDPI, vol. 6(3), pages 1-14, March.
    4. Blecher, Evan, 2008. "The impact of tobacco advertising bans on consumption in developing countries," Journal of Health Economics, Elsevier, vol. 27(4), pages 930-942, July.
    5. Maryam Mirza, 2019. "Advertising Restrictions and Market Concentration in the Cigarette Industry: A Cross-Country Analysis," IJERPH, MDPI, vol. 16(18), pages 1-17, September.
    6. Hoeck, Sarah & François, Guido & Van der Heyden, Johan & Geerts, Joanna & Van Hal, Guido, 2011. "Healthcare utilisation among the Belgian elderly in relation to their socio-economic status," Health Policy, Elsevier, vol. 99(2), pages 174-182, February.
    7. Nelson, Jon P., 2001. "Advertising Bans, Monopoly, and Alcohol Demand: Testing for Substitution Effects Using Panel Data," Working Papers 1-01-1, Pennsylvania State University, Department of Economics.
    8. Michaël Schwarzinger & Jean‐Louis Lanoë & Erik Nord & Isabelle Durand‐Zaleski, 2004. "Lack of multiplicative transitivity in person trade‐off responses," Health Economics, John Wiley & Sons, Ltd., vol. 13(2), pages 171-181, February.
    9. Roger D. Magarey & Christina M. Trexler, 2020. "Information: a missing component in understanding and mitigating social epidemics," Palgrave Communications, Palgrave Macmillan, vol. 7(1), pages 1-11, December.
    10. Branko Milanovic, 2008. "Qat Expenditures in Yemen and Djibouti: An Empirical Analysis," Journal of African Economies, Centre for the Study of African Economies, vol. 17(5), pages 661-687, November.
    11. G. Guindon, 2014. "The impact of tobacco prices on smoking onset in Vietnam: duration analyses of retrospective data," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 15(1), pages 19-39, January.
    12. Piotr Pękała & Andrzej Torój, 2017. "Wpływ czynników cenowych i niecenowych na konsumpcję tytoniu – analiza danych panelowych," Collegium of Economic Analysis Annals, Warsaw School of Economics, Collegium of Economic Analysis, issue 47, pages 157-176.
    13. Anderson, D. Mark, 2010. "Does information matter? The effect of the Meth Project on meth use among youths," Journal of Health Economics, Elsevier, vol. 29(5), pages 732-742, September.
    14. Carnazza, Giovanni & Liberati, Paolo & Resce, Giuliano & Molinaro, Sabrina, 2021. "Smoking and income distribution: Inequalities in new and old products," Health Policy, Elsevier, vol. 125(2), pages 261-268.
    15. Rajeev Goel, 2011. "Persistence of cigarette advertising across media and smoking rates," Applied Economics Letters, Taylor & Francis Journals, vol. 18(7), pages 611-619.
    16. Tauras, John A. & Chaloupka, Frank J. & Emery, Sherry, 2005. "The impact of advertising on nicotine replacement therapy demand," Social Science & Medicine, Elsevier, vol. 60(10), pages 2351-2358, May.
    17. Galinato, Gregmar I. & Olanie, Aaron Z. & Yoder, Jonathan K., 2017. "The Trade and Health Effects of Tobacco Regulations," Journal of Agricultural and Resource Economics, Western Agricultural Economics Association, vol. 42(3), September.
    18. Vedran Recher, 2019. "Tobacco smuggling in the Western Balkan region: Exploring habits, attitudes, and predictors of illegal tobacco demand," Working Papers 1901, The Institute of Economics, Zagreb.
    19. Théophile T Azomahou & Racky Baldé & Abdoulaye Diagne & Pape Yona Mané & Ibrahima Sory Kaba, 2019. "Public finances and tobacco taxation with product variety: Theory and application to Senegal and Nigeria," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-21, February.
    20. Quartey, Jonathan D. & Nyarko, Lydia Gyamea, 2022. "Economic Sustainability of Mobile Money Payments in Ghana: Does a Tax on Transactions Matter?," African Journal of Economic Review, African Journal of Economic Review, vol. 10(5), December.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:84:y:2007:i:1:p:75-88. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.