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A Cost-Effectiveness Analysis of the First Federally Funded Antismoking Campaign

Published:December 09, 2014DOI:https://doi.org/10.1016/j.amepre.2014.10.011

      Background

      In 2012, CDC launched the first federally funded national mass media antismoking campaign. The Tips From Former Smokers (Tips) campaign resulted in a 12% relative increase in population-level quit attempts.

      Purpose

      Cost-effectiveness analysis was conducted in 2013 to evaluate Tips from a funding agency’s perspective.

      Methods

      Estimates of sustained cessations; premature deaths averted; undiscounted life years (LYs) saved; and quality-adjusted life years (QALYs) gained by Tips were estimated.

      Results

      Tips saved about 179,099 QALYs and prevented 17,109 premature deaths in the U.S. With the campaign cost of roughly $48 million, Tips spent approximately $480 per quitter, $2,819 per premature death averted, $393 per LY saved, and $268 per QALY gained.

      Conclusions

      Tips was not only successful at reducing smoking-attributable morbidity and mortality but also was a highly cost-effective mass media intervention.
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      References

        • USDHHS.
        How tobacco smoke causes disease: the biology and behavioral basis for smoking-attributable disease: a report of the Surgeon General.
        USDHHS, Atlanta GA2010
        • CDC.
        Smoking-attributable mortality, years of potential life lost, and productivity losses—United States, 2000-2004.
        MMWR Morb Mortal Wkly Rep. 2008; 57: 1226-1228
        • Durkin S.
        • Brennan E.
        • Wakefield M.
        Mass media campaigns to promote smoking cessation among adults: an integrative review.
        Tob Control. 2012; 21: 127-138
      1. Zaza S, Briss PA, Harris KW, eds. Task Force on Community Preventive Services. Tobacco. Atlanta GA: Oxford University Press, 2005.

        • Hopkins D.P.
        • Briss P.A.
        • Ricard C.J.
        • et al.
        Reviews of evidence regarding interventions to reduce tobacco use and exposure to environmental tobacco smoke.
        Am J Prev Med. 2001; 20: 16-66
        • Hopkins D.P.
        • Husten C.G.
        • Fielding J.E.
        • et al.
        Evidence reviews and recommendations on interventions to reduce tobacco use and exposure to environmental tobacco smoke: a summary of selected guidelines.
        Am J Prev Med. 2001; 20: 67-87
      2. Davis RM, Gilpin EA, Loken B, et al. The role of the media in promoting and reducing tobacco use. NCI Tobacco Control Monograph No 19 [Report] 2008. cancercontrol.cancer.gov/tcrb/monographs/19/m19_complete.pdf.

        • Bala M.
        • Strzeszynski L.
        • Cahill K.
        Mass media interventions for smoking cessation in adults.
        Cochrane Database Syst Rev. 2008; (CD004704)
      3. Campaign for Tobacco Free Kids. A broken promise to our children: the 1998 tobacco settlement six years later. [Report] 2005.

        • National Cancer Institute.
        The role of the media in promoting and reducing tobacco use: tobacco control monograph no. 19.
        USDHHS, NIH, National Cancer Institute, Bethesda MD2008
        • Davis K.C.
        • Farrelly M.C.
        • Duke J.
        • et al.
        Antismoking media campaign and smoking cessation outcomes, New York State, 2003-2009.
        Prev Chronic Dis. 2012; 9: E40
        • Hyland A.
        • Wakefield M.
        • Higbee C.
        • et al.
        Anti-tobacco television advertising and indicators of smoking cessation in adults: a cohort study.
        Health Educ Res. 2006; 21: 348-354
        • Wakefield M.A.
        • Loken B.
        • Hornik R.C.
        Use of mass media campaigns to change health behaviour.
        Lancet. 2010; 376: 1261-1271
        • Biener L.
        • McCallum-Keeler G.
        • Nyman A.L.
        Adults׳ response to Massachusetts anti-tobacco television advertisements: impact of viewer and advertisement characteristics.
        Tob Control. 2000; 9: 401-407
        • Frieden T.R.
        • Bloomberg M.R.
        How to prevent 100 million deaths from tobacco.
        Lancet. 2007; 369: 1758-1761
      4. Task Force on Community Preventive Health Services. The guide to community preventive services (tobacco topic). 2013. http://www.thecommunityguide.org/tobacco/index.html.

        • Evans P.
        Government action, social capital and development: reviewing the evidence on synergy.
        World Dev. 1996; 24: 1119-1132
        • Holtgrave D.R.
        • Wunderink K.A.
        • Vallone D.M.
        • Healton C.G.
        Cost-utility analysis of the National truth campaign to prevent youth smoking.
        Am J Prev Med. 2009; 36: 385-388
        • Villanti A.C.
        • Curry L.E.
        • Richardson A.
        • et al.
        Analysis of media campaign promoting smoking cessation suggests it was cost-effective in prompting quit attempts.
        Health Aff (Millwood). 2012; 31: 2708-2716
        • CDC.
        Best practices for comprehensive tobacco control programs—2014.
        DHHS, Atlanta GA2014
      5. Office of the Legislative Counsel. Patient Protection and Affordable Care Act (“PPACA”). Public Law 111–148. 2010.

        • McAfee T.
        • Davis K.C.
        • Alexander R.L.
        • et al.
        Impact of the first federally funded U.S. anti-smoking national media campaign.
        Lancet. 2013; 382: 2003-2011
        • Hughes J.R.
        • Keely J.
        • Naud S.
        Shape of the relapse curve and long-term abstinence among untreated smokers.
        Addiction. 2004; 99: 29-38
        • Jha P.
        • Ramasundarahettige C.
        • Landsman V.
        • et al.
        21st-century hazards of smoking and benefits of cessation in the United States.
        N Engl J Med. 2013; 368: 341-350
        • Woloshin S.
        • Schwartz L.M.
        • Welch H.G.
        The risk of death by age, sex, and smoking status in the United States: putting health risks in context.
        J Natl Cancer Inst. 2008; 100: 845-853
        • Sloan F.A.
        • Ostermann J.
        • Picone G.
        • et al.
        The price of smoking.
        Cambridge MA. MIT Press, 2004
        • Murphy S.L.
        • Xu J.Q.
        • Kochanek K.D.
        Deaths: final data for 2010. National vital statistics reports; vol 61 no. 4.
        National Center for Health Statistics, Hyattsville MD2013
        • Fiscella K.
        • Franks P.
        Cost-effectiveness of the transdermal nicotine patch as an adjunct to physicians׳ smoking cessation counseling.
        JAMA. 1996; 275: 1247-1251
        • Grosse S.D.
        Assessing cost-effectiveness in healthcare: history of the $50,000 per QALY threshold.
        Expert Rev Pharmacoecon Outcomes Res. 2008; 8: 165-178
        • WHO.
        Choosing interventions that are cost effective (WHO-CHOICE)—cost-effectiveness thresholds. 2012;
      6. U.S. Census Bureau Population Division. Annual estimates of the population for the United States, regions, states, and Puerto Rico: April 1, 2010 to July 1, 2012 (NST-EST2012-01). www.census.gov/popest/data/national/totals/2012/index.html.

      7. U.S. Bureau of Economic Analysis. GDP and the National Income and Product Account (NIPA) historical tables. www.bea.gov/national/index.htm.

        • Zhu S.H.
        • Wang J.B.
        • Hartman A.
        • et al.
        Quitting cigarettes completely or switching to smokeless tobacco: do US data replicate the Swedish results?.
        Tob Control. 2009; 18: 82-87
        • Yeager D.S.
        • Krosnik J.A.
        • Chang L.
        • et al.
        Comparing the accuracy of RDD telephone surveys and internet surveys conducted with probability and non-probability samples.
        Public Opin Q. 2011; 75: 709-747
        • Xiao D.
        • Chen Z.
        • Wang C.
        Effects of a short-term mass-media campaign against smoking.
        Lancet. 2013; 382: 1964-1966