Cost of tobacco-related diseases, including passive smoking, in Hong Kong

McGhee, SM, Ho, LM, Lapsley, HM, Chau, J, Cheung, WL, Ho, SY, Pow, M, Lam, TH and Hedley, AJ (2006) Cost of tobacco-related diseases, including passive smoking, in Hong Kong. Tobacco Control, 15 2: 125-130. doi:10.1136/tc.2005.013292

Author McGhee, SM
Ho, LM
Lapsley, HM
Chau, J
Cheung, WL
Ho, SY
Pow, M
Lam, TH
Hedley, AJ
Title Cost of tobacco-related diseases, including passive smoking, in Hong Kong
Journal name Tobacco Control   Check publisher's open access policy
ISSN 0964-4563
Publication date 2006-01-01
Sub-type Article (original research)
DOI 10.1136/tc.2005.013292
Open Access Status Not Open Access
Volume 15
Issue 2
Start page 125
End page 130
Total pages 6
Editor S. Chapman
Place of publication London, U.K.
Publisher BMJ Publishing Group
Language eng
Subject C1
321202 Epidemiology
730308 Health policy economic outcomes
Abstract Background: Costs of tobacco-related disease can be useful evidence to support tobacco control. In Hong Kong we now have locally derived data on the risks of smoking, including passive smoking. Aim: To estimate the health-related costs of tobacco from both active and passive smoking. Methods: Using local data, we estimated active and passive smoking-attributable mortality, hospital admissions, outpatient, emergency and general practitioner visits for adults and children, use of nursing homes and domestic help, time lost from work due to illness and premature mortality in the productive years. Morbidity risk data were used where possible but otherwise estimates based on mortality risks were used. Utilisation was valued at unit costs or from survey data. Work time lost was valued at the median wage and an additional costing included a value of US$1.3 million for a life lost. Results: In the Hong Kong population of 6.5 million in 1998, the annual value of direct medical costs, long term care and productivity loss was US$532 million for active smoking and US$156 million for passive smoking; passive smoking accounted for 23% of the total costs. Adding the value of attributable lives lost brought the annual cost to US$9.4 billion. Conclusion: The health costs of tobacco use are high and represent a net loss to society. Passive smoking increases these costs by at least a quarter. This quantification of the costs of tobacco provides strong motivation for legislative action on smoke-free areas in the Asia Pacific Region and elsewhere.
Keyword Public, Environmental & Occupational Health
Health-service Utilization
Economic Burden
Medical Costs
Care Costs
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
2007 Higher Education Research Data Collection
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 31 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 40 times in Scopus Article | Citations
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Created: Wed, 15 Aug 2007, 18:06:34 EST