Economic cost of cigarette smoking in China: a propensity score matching and DALY-based analysis (2014-2020).

IF 4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Rong Zheng, Lingyun Meng, Aduqinfu He, Xiao Hu
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引用次数: 0

Abstract

Background: Cigarette smoking imposes substantial health and economic burdens on China, yet its full impact remains significantly underestimated and based on outdated data. This study aims to comprehensively assess the direct and indirect economic costs of cigarette smoking from 2014 to 2020.

Methods: From a societal perspective, the study uses the subtractive method in conjunction with propensity score matching to estimate direct costs, particularly excess healthcare expenditures incurred by people who smoke compared with those who have never smoked. Additionally, indirect costs, including productivity losses due to premature mortality and morbidity, are quantified using disability-adjusted life-years and the human capital approach.

Results: The total economic cost of cigarette smoking in China increased significantly from 1.40 trillion RMB in 2012 to 2.43 trillion RMB in 2020, representing an average of 2.29% of Gross Domestic Product (GDP) annually. In contrast, the fiscal benefits derived from the tobacco industry, including tax revenue and profits, were substantially lower, amounting to 1.52 trillion RMB in 2020. This disparity reveals that the economic cost of cigarette smoking was approximately 1.6 times greater than the fiscal gains, undermining the narrative that the tobacco industry is economically advantageous.

Conclusions: This study underscores the unsustainability of relying on revenues from the tobacco industry and emphasises the urgent need for comprehensive tobacco control policies in China. Policy-makers should prioritise raising tobacco taxes and adopting effective strategies to reduce smoking prevalence, thereby safeguarding long-term public health and promoting economic sustainability.

中国吸烟经济成本:基于倾向得分匹配和daly的分析(2014-2020)。
背景:吸烟给中国带来了巨大的健康和经济负担,但其全面影响仍被严重低估,且基于过时的数据。本研究旨在全面评估2014 - 2020年吸烟的直接和间接经济成本。方法:从社会的角度来看,本研究使用减法结合倾向评分匹配来估计直接成本,特别是与从不吸烟的人相比,吸烟的人产生的额外医疗支出。此外,使用残疾调整生命年和人力资本方法对间接成本,包括因过早死亡和发病造成的生产力损失进行了量化。结果:中国吸烟的总经济成本从2012年的1.40万亿元人民币显著增加到2020年的2.43万亿元人民币,平均每年占国内生产总值(GDP)的2.29%。相比之下,烟草行业的财政收益(包括税收和利润)则要低得多,到2020年为1.52万亿元。这一差异表明,吸烟的经济成本大约是财政收益的1.6倍,破坏了烟草业在经济上有利的说法。结论:本研究强调了依赖烟草业收入的不可持续性,并强调了中国迫切需要制定全面的烟草控制政策。决策者应优先考虑提高烟草税和采取有效战略降低吸烟率,从而保障长期公共健康和促进经济可持续性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Tobacco Control
Tobacco Control 医学-公共卫生、环境卫生与职业卫生
CiteScore
9.10
自引率
26.90%
发文量
223
审稿时长
6-12 weeks
期刊介绍: Tobacco Control is an international peer-reviewed journal covering the nature and consequences of tobacco use worldwide; tobacco''s effects on population health, the economy, the environment, and society; efforts to prevent and control the global tobacco epidemic through population-level education and policy changes; the ethical dimensions of tobacco control policies; and the activities of the tobacco industry and its allies.
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