The Health and Economic Consequences of Smoking and Smoking Cessation Interventions: The Dutch Perspective
Cigarette smoking causes a high health burden worldwide. This paper reviews trends in cigarette use, the health and economic consequences of smoking, and the cost-effectiveness of smoking cessation interventions ( cost-effectiveness analysis ) from a Dutc
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Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1662
2 2.1 2.2 2.3 2.4
Smoking Epidemiology in The Netherlands . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1663 Smoking Prevalence Over Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1663 Smoking Prevalence Among Young People . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1664 Comparison of Smoking Prevalence in EU Countries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1665 Relapse Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1665
3 The Health and Economic Impact of Smoking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1665 3.1 The Burden of Smoking in DALYs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1665 3.2 The Burden of Smoking in Monetary Terms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1669 4 Tobacco Control Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1671 4.1 Tobacco Control Policy in The Netherlands . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1671 4.2 Comparison of Dutch Tobacco Control Policy with other Countries . . . . . . . . . . . . . 1671 5 Cost-Effectiveness of Smoking Cessation Interventions . . . . . . . . . . . . . . . . . . . . . . . . . . 1672 5.1 Cost-Effectiveness of Individual Smoking Cessation Support, Tax Increase and Mass Media Campaigns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1672 5.2 Cost-Effectiveness When Including Costs in Life Years Gained . . . . . . . . . . . . . . . . . . . . 1673 5.3 Health Gains of Smoking Cessation Over Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1674 5.4 Cost-Effectiveness of Pharmacotherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1674 5.5 Comparison with other Cost-Effectiveness Studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1675 5.6 Limited Reach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1676 6
Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1676 Summary Points . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1677
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The Health and Economic Consequences of Smoking and Smoking Cessation Intervent
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