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Sudden infant death syndrome, maternal smoking during pregnancy, and the cost-effectiveness of smoking cessation intervention

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  • Pollack, H.A.

Abstract

Objectives. This study analyzed the relationship between prenatal maternal smoking and sudden infant death syndrome (SIDS) and examined the cost-effectiveness of smoking cessation interventions. Methods. All recorded US singleton SIDS deaths from the 1995 birth cohort with birthweight exceeding 500 g were investigated. Infants with available maternal smoking data were matched with controls who survived to 1 year. Conditional logistic regression was used to estimate SIDS risks and accompanying cost-effectiveness. Results. A total of 23.6% of singleton SIDS deaths appear to be attributable to prenatal maternal smoking. Typical cessation services available to all pregnant smokers could avert 108 SIDS deaths annually, at an estimated cost of $210 500 per life saved. Conclusions. Typical prenatal smoking cessation programs are highly cost-effective but have limited impact on the population incidence of SIDS.

Suggested Citation

  • Pollack, H.A., 2001. "Sudden infant death syndrome, maternal smoking during pregnancy, and the cost-effectiveness of smoking cessation intervention," American Journal of Public Health, American Public Health Association, vol. 91(3), pages 432-436.
    • Handle: RePEc:aph:ajpbhl:2001:91:3:432-436_2
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    Cited by:

    1. Fisher, Nirah & Amitai, Yona & Haringman, Miri & Meiraz, Hana & Baram, Nira & Leventhal, Alex, 2005. "The prevalence of smoking among pregnant and postpartum women in Israel: a national survey and review," Health Policy, Elsevier, vol. 73(1), pages 1-9, July.
    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. Jeffrey E. Harris & Ana Balsa & Patricia Triunfo, 2014. "Campaña antitabaco en Uruguay:Impacto en la decisión de dejar de fumar durante el embarazo y en el peso al nacer," Documentos de Trabajo (working papers) 0114, Department of Economics - dECON.
    4. Eduardo Fé, 2013. "Estimating production frontiers and efficiency when output is a discretely distributed economic bad," Journal of Productivity Analysis, Springer, vol. 39(3), pages 285-302, June.
    5. 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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