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Cost Effectiveness of Tobacco Control Policies in Vietnam: The Case of Population-Level Interventions

  • Hideki Higashi

    (School of Population Health, The University of Queensland, Brisbane, Queensland, Australia)

  • Khoa D. Truong

    (Health Strategy and Policy Institute, Hanoi, Vietnam; Department of Public Health Sciences, Clemson University, Clemson, South Carolina, USA)

  • Jan J. Barendregt

    (School of Population Health, The University of Queensland, Brisbane, Queensland, Australia)

  • Phuong K. Nguyen

    (Health Strategy and Policy Institute, Hanoi, Vietnam)

  • Mai L. Vuong

    (Health Strategy and Policy Institute, Hanoi, Vietnam)

  • Thuy T. Nguyen

    (Health Strategy and Policy Institute, Hanoi, Vietnam)

  • Phuong T. Hoang

    (Health Strategy and Policy Institute, Hanoi, Vietnam)

  • Angela L. Wallace

    (School of Population Health, The University of Queensland, Brisbane, Queensland, Australia)

  • Tien V. Tran

    (Health Strategy and Policy Institute, Hanoi, Vietnam)

  • Cuong Q. Le

    (Health Strategy and Policy Institute, Hanoi, Vietnam)

  • Christopher M. Doran

    (National Drug and Alcohol Research Centre, The University of New South Wales, Sydney, New South Wales, Australia; Hunter Medical Research Institute, Newcastle, New South Wales, Australia)

Registered author(s):

    Background: Tobacco smoking is one of the leading public health problems in the world. It is also possible to prevent and/or reduce the harm from tobacco use through the use of cost-effective tobacco control measures. However, most of this evidence comes from developed countries and little research has been conducted on this issue in developing countries. Objective: The objective of this study was to analyse the cost effectiveness of four population-level tobacco control interventions in Vietnam. Methods: Four tobacco control interventions were evaluated: excise tax increase; graphic warning labels on cigarette packs; mass media campaigns; and smoking bans (in public or in work places). A multi-state life table model was constructed in Microsoft Excel to examine the cost effectiveness of the tobacco control intervention options. A government perspective was adopted, with costing conducted using a bottom-up approach. Health improvement was considered in terms of disability-adjusted life-years (DALYs) averted. All assumptions were subject to sensitivity and uncertainty analysis. Results: All the interventions fell within the definition of being very cost effective according to the threshold level suggested by the WHO (i.e.

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    Article provided by Springer Healthcare | Adis in its journal Applied Health Economics and Health Policy.

    Volume (Year): 9 (2011)
    Issue (Month): 3 ()
    Pages: 183-196

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    Handle: RePEc:wkh:aheahp:v:9:y:2011:i:3:p:183-196
    Contact details of provider: Web page: http://healtheconomics.adisonline.com/

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