Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-28813
Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Burden of smoking on disease-specific mortality, DALYs, costs : the case of a high-income European country
Authors: Farcher, Renato
Syleouni, Maria Eleni
Vinci, Linda
Mattli, Renato
et. al: No
DOI: 10.1186/s12889-023-15535-9
10.21256/zhaw-28813
Published in: BMC Public Health
Volume(Issue): 23
Issue: 698
Issue Date: 2023
Publisher / Ed. Institution: BioMed Central
ISSN: 1471-2458
Language: English
Subjects: Burden of disease; Chronic disease; Cost of illness; Smoking; Chronische Krankheit; Rauchen; Kosten; Gesundheitsökonomie; Schweiz; 2017
Subject (DDC): 362.1041: Health economics
Abstract: Background: Smoking is a major risk factor for chronic diseases causing early death and disability. Smoking prevalence over the past 25 years has remained high in Switzerland. Evidence about the burden of disease and cost of illness attributable to smoking can support tobacco control. The aim of the present paper is to quantify from a societal perspective the mortality, disability-adjusted life years (DALYs), medical costs and productivity losses attributable to smoking in Switzerland in 2017. Methods: Smoking attributable fractions (SAFs) were calculated based on the prevalence of current and former active smoking in the latest Swiss Health Survey from 2017 and relative risks from the literature. The SAFs were then multiplied with the number of deaths, DALYs, medical costs and productivity losses in the total population. Results: In the Swiss population in 2017 smoking accounted for 14.4% of all deaths, for 29.2% of the deaths due to smoking-related diseases, 36.0% of the DALYs, 27.8% of the medical costs and 27.9% of productivity losses. Total costs amounted to CHF 5.0 billion which equals CHF 604 per capita per year. The highest disease burden in terms of mortality and DALYs attributable to smoking was observed for lung cancer and chronic obstructive pulmonary disease (COPD), whereas the highest cost of illness in terms of medical costs was observed for coronary heart diseases and lung cancer and in terms of productivity losses for COPD and coronary heart diseases. Sex and age group differences were found. Conclusions: We provide an estimate of the burden of smoking on disease-specific mortality, DALYs, medical costs and productivity losses in Switzerland that could be prevented through evidence-based tobacco prevention and control policies as well as regular monitoring of tobacco consumption.
URI: https://digitalcollection.zhaw.ch/handle/11475/28813
Fulltext version: Published version
License (according to publishing contract): CC BY 4.0: Attribution 4.0 International
Departement: School of Management and Law
Organisational Unit: Winterthur Institute of Health Economics (WIG)
Appears in collections:Publikationen School of Management and Law

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Farcher, R., Syleouni, M. E., Vinci, L., & Mattli, R. (2023). Burden of smoking on disease-specific mortality, DALYs, costs : the case of a high-income European country. BMC Public Health, 23(698). https://doi.org/10.1186/s12889-023-15535-9
Farcher, R. et al. (2023) ‘Burden of smoking on disease-specific mortality, DALYs, costs : the case of a high-income European country’, BMC Public Health, 23(698). Available at: https://doi.org/10.1186/s12889-023-15535-9.
R. Farcher, M. E. Syleouni, L. Vinci, and R. Mattli, “Burden of smoking on disease-specific mortality, DALYs, costs : the case of a high-income European country,” BMC Public Health, vol. 23, no. 698, 2023, doi: 10.1186/s12889-023-15535-9.
FARCHER, Renato, Maria Eleni SYLEOUNI, Linda VINCI und Renato MATTLI, 2023. Burden of smoking on disease-specific mortality, DALYs, costs : the case of a high-income European country. BMC Public Health. 2023. Bd. 23, Nr. 698. DOI 10.1186/s12889-023-15535-9
Farcher, Renato, Maria Eleni Syleouni, Linda Vinci, and Renato Mattli. 2023. “Burden of Smoking on Disease-Specific Mortality, DALYs, Costs : The Case of a High-Income European Country.” BMC Public Health 23 (698). https://doi.org/10.1186/s12889-023-15535-9.
Farcher, Renato, et al. “Burden of Smoking on Disease-Specific Mortality, DALYs, Costs : The Case of a High-Income European Country.” BMC Public Health, vol. 23, no. 698, 2023, https://doi.org/10.1186/s12889-023-15535-9.


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