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Free nicotine replacement therapy programs vs implementing smoke-free workplaces: A cost-effectiveness comparison

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  • Ong, M.K.
  • Glantz, S.A.

Abstract

We compared the cost-effectiveness of a free nicotine replacement therapy (NRT) program with a statewide smoke-free workplace policy in Minnesota. We conducted 1-year simulations of costs and benefits. The number of individuals who quit smoking and the quality-adjusted life years (QALYs) were the measures of benefits. After 1 year, a NRT program generated 18500 quitters at a cost of $7020 per quitter ($4440 per QALY), and a smoke-free workplace policy generated 10400 quitters at a cost of $799 per quitter ($506 per QALY). Smoke-free workplace policies are about 9 times more cost-effective per new nonsmoker than free NRT programs are. Smoke-free workplace policies should be a public health funding priority, even when the primary goal is to promote individual smoking cessation.

Suggested Citation

  • Ong, M.K. & Glantz, S.A., 2005. "Free nicotine replacement therapy programs vs implementing smoke-free workplaces: A cost-effectiveness comparison," American Journal of Public Health, American Public Health Association, vol. 95(6), pages 969-975.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2004.040667_6
    DOI: 10.2105/AJPH.2004.040667
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    Cited by:

    1. Parkinson, Bonny & Goodall, Stephen, 2011. "Considering consumer choice in the economic evaluation of mandatory health programmes: A review," Health Policy, Elsevier, vol. 101(3), pages 236-244, August.
    2. 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.
    3. Lisa Stolzenberg & Stewart J. D’Alessio, 2007. "Is Nonsmoking Dangerous to the Health of Restaurants? The Effect of California’s Indoor Smoking Ban on Restaurant Revenues," Evaluation Review, , vol. 31(1), pages 75-92, February.
    4. Koshi Nakamura & Masaru Sakurai & Katsuyuki Miura & Yuko Morikawa & Shin-ya Nagasawa & Masao Ishizaki & Teruhiko Kido & Yuchi Naruse & Yasushi Suwazono & Hideaki Nakagawa, 2013. "Nicotine Dependence and Cost-Effectiveness of Individualized Support for Smoking Cessation: Evidence from Practice at a Worksite in Japan," PLOS ONE, Public Library of Science, vol. 8(1), pages 1-9, January.
    5. Amanual Getnet Mersha & Gillian Sandra Gould & Michelle Bovill & Parivash Eftekhari, 2020. "Barriers and Facilitators of Adherence to Nicotine Replacement Therapy: A Systematic Review and Analysis Using the Capability, Opportunity, Motivation, and Behaviour (COM-B) Model," IJERPH, MDPI, vol. 17(23), pages 1-21, November.

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